The reimbursement ratio of newborn medical insurance in p>222 is as follows:

1. The annual settlement unit is the general outpatient expenses. For the outpatient expenses below 3 yuan, the fund payment ratio is 4%, that is, the maximum annual 12 yuan, and the one-time settlement is completed, and some expenses above 3 yuan need to be paid by individuals;

2. The outpatient expenses for serious diseases, such as hemophilia, aplastic anemia, systemic lupus erythematosus, etc., are not limited by the fund, and the medical insurance fund pays 75%; Third, hospitalization expenses, according to the level of medical institutions, different hospitalization qifubiaozhun and fund payment ratio are set. Take tertiary hospitals as an example, if the standard is above 5 yuan, the fund payment ratio is 8%: < P > (1) The qifubiaozhun of tertiary hospitals is 65 yuan, and the reimbursement ratio is 5%, with an upper limit of 2, yuan;

(2) qifubiaozhun for secondary hospitals is 3 yuan, and the reimbursement rate is 6%;

(3) There is no minimum threshold for first-class hospitals, and the reimbursement rate is 65%.

medical insurance for newborns:

1. reimbursement for outpatient and emergency treatment. Within one year, the deductible line of outpatient and emergency medical expenses incurred by urban and rural residents in a first-class hospital is 8 yuan, and the maximum payment limit is 3, yuan, and the subsidy is 3%;

2. Hospitalization medical insurance benefits. According to different levels of hospitals, the reimbursement of hospitalization medical expenses below 18, in a year will be different:

(1) First-class hospitals can reimburse 65% of hospitalization medical expenses without deductible;

(2) The deductible line of the secondary hospital is 3 yuan, and 6% of the hospitalization expenses can be reimbursed;

(3) The deductible line of tertiary hospitals is 5 yuan, and 55% of hospitalization expenses can be reimbursed.

3, outpatient special disease reimbursement treatment. For outpatient special diseases, the deductible standard in one year is 3 yuan, and the maximum payment limit and reimbursement ratio are implemented according to the standard of hospitalization reimbursement;

4. Student accident insurance benefits. On the basis of the basic medical insurance for urban and rural residents, it is suggested to allocate a unified accidental injury insurance for students and children to solve the problems of medical expenses compensation, disability and death allowance caused by accidental injuries for students and children.

legal basis: article 26 of the social insurance law of the people's Republic of China

the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

article 28

medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.

article 29

the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units.

the social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.