At present, the Interim Measures for the Basic Medical Insurance for Urban Residents in Tangshan City has been officially promulgated and implemented. Yesterday, the reporter learned from the Tangshan Municipal Labor and Social Security Bureau that children meet the relevant conditions and also enjoy the relevant treatment of participating in the basic medical insurance for urban residents, becoming the beneficiaries of Tangshan residents' medical insurance and reducing the burden on their families.

It is understood that the basic medical insurance for urban residents in Tangshan has the characteristics of less individual contributions, more government subsidies, low minimum threshold and high reimbursement cap. Children's participation in the basic medical insurance for urban residents has certain coverage and related policies, so parents should know more about it.

1. Coverage:

Students in primary and secondary schools (including technical secondary schools, vocational schools and technical schools) with registered permanent residence in lunan district, lubei district, Kaiping District, guye district and Hi-tech Development Zone (students in school are subject to their school status) and non-school residents under the age of 18 (the age calculation date is December 31st of each year).

Parents of newborn babies should pay attention to: they must go through the insurance payment procedures within 9 days after the baby is born, and pay according to a medical treatment payment period and enjoy the treatment.

II. Payment standard:

The annual payment standard for all kinds of students and non-school residents under the age of 18 is 1 yuan, with financial assistance to 6 yuan and personal payment to 4 yuan. The medical insurance premiums for the minimum living allowances and severely disabled persons are all borne by the financial subsidy funds.

Third, the insurance method:

(1) Students take the school as the unit to participate in the residents' medical insurance, students with ID cards provide ID cards, students without ID cards provide a recent one-inch color photo without a hat, and enjoy special circumstances such as subsistence allowance and disability, and they need to bring the original and one copy of the proof materials to prove their special identity.

(2) Non-school residents under the age of 18 should go through the insurance formalities in the neighborhood community and township labor and social security service station where their household registration is located, and they should bring the following documents when they join the insurance:

A. One original and one copy of the first page of the household registration book, one copy of the medical insurance card of the family members who have participated in the basic medical insurance for urban workers, one copy of the medical insurance card of those who have participated in the new rural cooperative medical care system, and one copy of the medical certificate of those who have a work unit but have not participated in the basic medical insurance for urban workers.

B, a recent 1-inch bareheaded color photo;

C, to enjoy the subsistence allowance, disability and other special circumstances, you need to bring the original and one copy of the proof materials to prove your special identity.

the reporting and payment period is from September 1st to October 31st every year, and the deadline for reporting and payment for urban residents in 27 is November 15th, and the payment period for medical treatment of medical insurance is from January 1st to December 31st every year.

iv. medical insurance benefits

the urban residents' basic medical co-ordination fund pays hospitalization expenses for diseases and accidental injuries of all kinds of students and non-school residents under the age of 18, and outpatient expenses for hematological diseases after radiotherapy and chemotherapy for malignant tumors, renal dialysis and kidney transplantation, taking anti-rejection drugs, aplastic anemia and leukemia in remission.

The first-level hospital and community health service center of the insured children's hospitalization deductible line is 3 yuan, the second-level hospital is 5 yuan, and the third-level hospital is 9 yuan. The deductible line for outpatient special diseases is 12 yuan. The maximum payment limit of the overall fund in a natural year is 1, yuan. The overall fund pays 7% of inpatient and outpatient special disease expenses above Qifubiaozhun and below the maximum payment limit for primary hospitals and community health service centers, 6% for secondary hospitals and 5% for tertiary hospitals.

V. Means of medical treatment

After your child participates in medical insurance, he can go to the designated hospital for medical treatment with the social security card issued by the medical insurance agency and the Tangshan Urban Residents' Medical Certificate. When seeking medical treatment, you need to pay the deposit according to the regulations of the hospital. When you are discharged from the hospital, the reimbursement of the overall fund will be settled by the medical insurance agency and the designated hospital.

The Tangshan Municipal Labor and Social Security Bureau reminds that when a child meets the insurance requirements, if he is not insured during the payment period of that year, he should pay back the medical insurance premium from the year that meets the insurance requirements when he is insured in other years, and pay the late payment fee according to the regulations. The medical insurance premium payable during this period will not be subsidized by the government, and the medical expenses incurred will not be paid by the urban residents' basic medical insurance fund. After the insured, the payment is interrupted and the insurance is renewed.

1. Coverage: students in primary and secondary schools (including technical secondary schools, vocational schools and technical schools) with registered permanent residence in lunan district, lubei district, Kaiping District, guye district and Hi-tech Development Zone (students in school are subject to their school status) and non-school residents under the age of 18 (the age is calculated on December 31st of each year).

Parents of newborn babies should pay attention to: they must go through the insurance payment procedures within 9 days after the baby is born, and pay according to a medical treatment payment period and enjoy the treatment. Ii. payment standard:

the annual payment standard for all kinds of students and non-school residents under the age of 18 is 1 yuan, with financial assistance to 6 yuan and personal payment to 4 yuan. The medical insurance premiums for the minimum living allowances and severely disabled persons are all borne by the financial subsidy funds. Third, the insurance method: (1) Students take the school as the unit to participate in residents' medical insurance, students with ID cards provide ID cards, and students without ID cards provide a recent one-inch bareheaded color photo. In special circumstances such as subsistence allowance and disability, they need to carry the original and one copy of the proof materials to prove their special identity.

(2) Non-school residents under the age of 18 should go through the insurance formalities in the neighborhood community and township labor and social security service station where their household registration is located, and they should bring the following documents when they join the insurance:

A. One original and one copy of the first page of the household registration book, one copy of the medical insurance card of the family members who have participated in the basic medical insurance for urban workers, one copy of the medical insurance card of those who have participated in the new rural cooperative medical care system, and one copy of the medical certificate of those who have a work unit but have not participated in the basic medical insurance for urban workers.

B, a recent 1-inch bareheaded color photo;

C, to enjoy the subsistence allowance, disability and other special circumstances, you need to bring the original and one copy of the proof materials to prove your special identity.

the reporting and payment period is from September 1st to October 31st every year, and the deadline for reporting and payment for urban residents in 27 is November 15th, and the payment period for medical treatment of medical insurance is from January 1st to December 31st every year. Iv. medical insurance benefits

the urban residents' basic medical co-ordination fund pays the hospitalization expenses for diseases and accidental injuries of all kinds of students and non-school residents under the age of 18, and the outpatient expenses for hematological diseases after radiotherapy and chemotherapy for malignant tumors, renal dialysis, taking anti-rejection drugs after kidney transplantation, aplastic anemia and leukemia in remission.

The first-level hospital and community health service center of the insured children's hospitalization deductible line is 3 yuan, the second-level hospital is 5 yuan, and the third-level hospital is 9 yuan. The outpatient special disease deductible line is 12 yuan. The maximum payment limit of the overall fund in a natural year is 1, yuan. The overall fund pays 7% of inpatient and outpatient special disease expenses above Qifubiaozhun and below the maximum payment limit for primary hospitals and community health service centers, 6% for secondary hospitals and 5% for tertiary hospitals. V. Means of medical treatment

After your child participates in medical insurance, he can go to the designated hospital for medical treatment with the social security card issued by the medical insurance agency and the Tangshan Urban Residents' Medical Certificate. When seeking medical treatment, you need to pay the deposit according to the regulations of the hospital. When you are discharged from the hospital, the reimbursement of the overall fund will be settled by the medical insurance agency and the designated hospital.

The Tangshan Municipal Labor and Social Security Bureau reminds that when a child meets the insurance requirements, if he is not insured during the payment period of that year, he should pay back the medical insurance premium from the year that meets the insurance requirements when he is insured in other years, and pay the late payment fee according to the regulations. The medical insurance premium payable during this period will not be subsidized by the government, and the medical expenses incurred will not be paid by the urban residents' basic medical insurance fund. After the insured, the payment is interrupted and the insurance is renewed.