1. How to pay for children’s urban resident medical insurance. The annual financing standard for students and children is 100 yuan. Individuals pay 60 yuan for medical insurance premiums, and the remaining 40 yuan is subsidized by the government.
For students and children with severe disabilities, subsistence allowances and families with special difficulties, no individual payment is required, and all medical insurance premiums are subsidized by the government.
2. How to reimburse children’s urban residents’ medical insurance. During a settlement year, if medical expenses of less than 180,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 55%; the minimum payment standard for second-level hospitals is 300 yuan
Yuan, the reimbursement rate is 60%; there is no minimum payment standard for first-level hospitals, and the reimbursement rate is 65%.
The following expenses incurred by insured persons at designated medical institutions and designated retail pharmacies are included in the reimbursement scope of the Urban Resident Basic Medical Insurance Fund: (1) Medical expenses for hospitalization; (2) Emergency medical expenses within 7 days before being transferred to hospital for observation.
Medical expenses; (3) Medical expenses that comply with the regulations on special diseases for urban residents’ outpatient services; (4) Other expenses that comply with the regulations.