1, the first-class hospital does not have a deductible line, and 65% of the hospitalization medical expenses can be reimbursed;
2. The deductible line of the secondary hospital is 300 yuan, and the hospitalization medical expenses can be reimbursed by 60%;
3. In 500 yuan, the deductible line of tertiary hospitals, hospitalization medical expenses can be reimbursed by 55%.
Children's hospitalization fund reimbursement materials:
1, original medical certificate;
2. Discharge summary;
3. Original and photocopy of receipt of medical expenses;
4. Original and photocopy of the detailed list of medical expenses;
5. Copy of birth medical certificate (required for reimbursement of hospitalization expenses for newborns).
Conditions for reimbursement of children's hospitalization fund:
1, the insured children are hospitalized in designated medical institutions, and the hospitalization procedures are handled with the children's medical insurance card and the children's hospitalization mutual fund medical card;
2. Insured children who are hospitalized in non-designated medical institutions should belong to the category of emergency rescue, and report to the Municipal Children's Hospital Mutual Fund Management Office and go through the registration formalities within 10 working days after going through the hospitalization procedures;
3. Insured children who are hospitalized overseas or in Hong Kong, Macao and Taiwan, or who suffer from acute diseases and need to be hospitalized overseas or in Hong Kong, Macao and Taiwan, should report to the Municipal Children's Hospital Mutual Fund Management Office and go through the registration formalities within 10 working days.
To sum up, the above reimbursement conditions are for reference only and should be decided according to local policies.
Legal basis:
Article 30 of People's Republic of China (PRC) Social Insurance Law
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.