1, outpatient reimbursement

Children with children's mutual funds can directly pay the outpatient expenses when they see a doctor in a community hospital, but the outpatient expenses of children's mutual funds are reimbursed at the rate of 60%, not exceeding 200 yuan every year.

2, hospitalization reimbursement

When the child is sick and needs to be hospitalized, inform the doctor that the child has a children's mutual gold card;

The doctor will swipe the card to enter the child's information into the hospitalization expense reimbursement system;

After leaving the hospital, bring the children's mutual gold card to settle the account, and the children's mutual gold will be automatically settled at the time of checkout;

According to the medical expenses, after deducting the reimbursement expenses of the children's mutual fund, the hospital deposit that is overpaid and underpaid will be refunded.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.