Introduction of Jiangsu Children's Overall Medical Insurance
In fact, the overall medical insurance for children varies from place to place in all aspects. Now, this paper takes Jiangsu children's overall medical insurance as an example to introduce Jiangsu children's overall medical insurance.
First, the object and scope of children's medical co-ordination in Jiangsu Province
(1) Children of registered employees of state organs and institutions in this district (under the age of 18, including 18) may apply to participate in Wuxi Children's Medical Co-ordination, except those who have already joined the work and entered institutions of higher learning.
(two) to apply for children to participate in the overall medical care in this city, they must be selected by their parents, and generally not to support each other halfway. If two or more children and their parents are in institutions, one party shall be responsible for the formalities, and the expenses may be shared equally by both units.
Second, Jiangsu children's overall medical insurance benefits
(a) to participate in the city's overall medical care for children due to illness medical expenses according to the parents' personal burden of 30%, children's overall medical fund burden of 70% payment. The medical expenses that individuals should bear during each outpatient service and hospitalization are directly charged by the hospital to the parents of patients.
(two) the scope of children's overall medical treatment according to the relevant provisions, beyond the scope of drug costs borne by individuals.
(3) The scope of medical service facilities mainly includes hospitalization bed fee and outpatient (emergency) observation bed fee. The hospital bed fee is paid (reimbursed) according to the standard of ordinary insured workers' wards, and not paid (reimbursed) in special wards. Outpatient (emergency) observation bed fee shall be paid (reimbursed) according to the standard approved by the Municipal Price Bureau (within 20 yuan/day).
(four) the scope of diagnosis and treatment projects in accordance with the relevant provisions.
(five) the scope of payment and the scope of non-payment of the children's overall medical fund shall be implemented in accordance with the provisions.
3. What is not included in the reimbursement scope of Jiangsu children's overall medical insurance?
Not within the scope of Jiangsu children's overall medical insurance reimbursement: registration fee; Going out, consulting fees; Production cost; Expert outpatient fee; All kinds of non-functional cosmetic surgery fees; All kinds of weight loss, weight gain and cost increase; All kinds of health examination and entrance examination fees; All kinds of vaccination fees; Adjuvant treatment fees such as myopia torque correction therapy, qigong and music; The cost of organ source and tissue source required for various tissues or organ transplantation and the cost of some unimportant organs or tissues transplantation; All kinds of medical consultation and medical appraisal fees; Air conditioning, incubator, diapers, milk fees; Escort, carer, washing fee, ambulance fee, etc. I just sorted out the relevant contents about buying insurance for physical examination, hoping to help you: Do you need a physical examination before buying insurance?
The above Jiangsu children's overall medical insurance mainly introduces the insured object, scope, treatment and the scope of non-reimbursement of Jiangsu children's overall medical insurance.
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I haven't bought it now, and I don't dare to think about getting back the money, so as not to get deeper i