Proportion of children's social security hospitalization insurance: The hospitalization expenses below 18, in a year will be reimbursed differently according to different levels of hospitals.

No deductible line is set in the first-class hospital, and 65% of hospitalization expenses can be reimbursed; The deductible line of the secondary hospital is 3 yuan, and the reimbursable hospitalization medical expenses are 6%; The deductible line of tertiary hospitals is 5 yuan, which can reimburse 55% of hospitalization medical expenses;

Children's insurance is a kind of personal risk protection provided by insurance companies for people of a specific age from to 15 years old. Because of the high probability of neonatal death and the poor resistance of preschool children, they are prone to get some epidemic diseases, and the proportion of general medical compensation for insurance with death as the payment condition is not high.

Extended information:

Scope of medical insurance reimbursement

1. The reimbursement of medical insurance card is limited to medical expenses above hospitalization caused by diseases and some accidents in designated hospitals.

the reimbursement formula is: (total expense-threshold expense-self-expense-cost overrun) *(75+ age *.2)%. Under normal circumstances, the actual reimbursement ratio ranges from 2% to 6%.

Self-funded drugs are not reimbursed, and 8% of Class B drugs are reimbursed. The bed fee is limited, and some inspection fees and medical treatment fees according to regulations cannot be reimbursed.

2. The reimbursement amount of medical insurance card is four times the average salary of local social workers (accumulated value within one year).

3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and pay for outpatient and emergency expenses, but it does not belong to the category of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account.

4. Reimbursement of serious illness insurance

After the insured suffers from a serious illness, the personal conceit part that occurred in the designated medical institutions of the municipal medical insurance and met the requirements of the municipal medical insurance will be included in the payment scope of the residents' serious illness insurance, and 5% will be reimbursed by the serious illness insurance funds. That is, reimbursement amount = self-funded part ×5%

References: social medical insurance. Baidu Encyclopedia