Newborn medical insurance mainly reimburses the following three types of expenses:
First, the general outpatient fees are settled annually. For outpatient expenses below 300 yuan, the fund pays 40%, that is, the maximum is 120 yuan/year. After the one-time settlement is completed, part of the expenses above 300 yuan need to be paid by individuals;
Second, there is no minimum payment limit for outpatient expenses for serious diseases, such as hemophilia, aplastic anemia and systemic lupus erythematosus, and the medical insurance fund pays 75%;
Third, hospitalization expenses. According to the level of medical institutions, different hospitalization qifubiaozhun and fund payment ratio are set. Take a tertiary hospital as an example. The standard is above 500 yuan, and the fund payment ratio is 80%.
All insured newborns can enjoy the basic medical security benefits of hospitalization and outpatient service, and the medical expenses can be written off immediately by holding a card for medical treatment. If the newborn is insured within 3 months after birth, it can enjoy corresponding medical treatment from birth; Students who were insured before June 3 1 of that year will enjoy the corresponding medical treatment from July 1 of that year.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.