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How to reimburse medical insurance for neonatal hospitalization
The scope of reimbursement ratio of medical insurance for hospitalized newborns

Generally speaking, the medical expenses of the newborn can be partially reimbursed by the mother's maternity insurance, and the reimbursement scope of the newborn medical insurance is as follows:

The scope of reimbursement for newborns:

A, the annual settlement unit is the general outpatient expenses. For the part of outpatient medical expenses below 300 yuan, the proportion of fund payment is 40%, that is, the highest 120 yuan/year, and the one-time settlement is completed, and the part above 300 yuan needs to be paid by individuals.

Two, the outpatient expenses of serious diseases, such as hemophilia, aplastic anemia, systemic lupus erythematosus and other diseases, the fund has no deductible, and the medical insurance fund pays 75%.

Three, hospitalization expenses, according to the level of medical institutions to set different hospitalization Qifubiaozhun and fund payment ratio, taking tertiary hospitals as an example, the standard is above 500 yuan, and the fund payment ratio is 80%.

Proportion of neonatal hospitalization reimbursement:

First of all, this belongs to the hospitalization expenses before the full moon, and the children's hospitalization fund is not responsible. Secondly, the proportion of reimbursement for neonatal hospitalization is to set different hospitalization qifubiaozhun and fund payment proportion according to the level of medical institutions. Take tertiary hospitals as an example. If the standard is above 500 yuan, the proportion of fund payment is 80%. Third, the reimbursement for neonatal hospitalization covers the basic medical expenses of general outpatient clinics in selected community medical institutions, and is reimbursed at 80%.

Newborn hospitalization reimbursement materials:

1, copy of the first page of the household registration book and the baby's name page;

2. Hospitalization receipt and photocopy;

3, the cost list and a copy;

4. Original and photocopy of discharge summary;

5. The agent's ID card;

6. Newborn medical certificate;

7. Two orders for community hospitals.

Of course, you need to be reminded that the reimbursement scope of neonatal hospitalization medical insurance varies in different cities. I hope you can know the reimbursement of your local neonatal hospitalization medical insurance, so that the reimbursement process can go smoothly.