1. Bring the required materials to the relevant departments of the local social security center for formalities;

2. Upon examination by the department, if the information is complete and meets the requirements, you can go through the reimbursement procedures;

3. When the insured handles the reimbursement of outpatient medical expenses, it is necessary to deduct the personal account amount included in the medical insurance this social security year, and then verify the reimbursement amount of self-funded outpatient service.

Children's outpatient expenses reimbursement materials:

1, the original ID card and social security card of the insured person are required for reimbursement;

2, the original medical diagnosis certificate issued by the designated medical institutions;

3, outpatient medical records, inspection, inspection and other reports and other medical materials;

4, finance, tax agreed to the original receipt of medical institutions outpatient charges;

5. The detailed list of outpatient expenses printed by the hospital computer or the original prescription issued by the hospital doctor;

6. If it is a designated pharmacy, it is also necessary to provide a unified invoice for tax commodity sales and an original list printed by computer;

7. If someone else handles the reimbursement procedures, it is also necessary to provide the original ID card of the agent.

Children's medical insurance card processing process:

1. The guardian (or child) logs into the online declaration system of children's medical insurance on the website of the Municipal Social Security Bureau, fills in the insurance information and prints the registration form;

2. The insured person submits the application materials to the social security agency in the place of residence, and the social security agency accepts the application materials, that is, enters the audit procedure;

3. Pay in the designated bank, and after the payment is successful, you will receive a certificate of personal payment of social insurance premiums;

4. After the processing is completed, you will receive the receipt and get the card 60 days later.

To sum up, if a child is hospitalized or treated in an outpatient clinic due to a special disease, the individual will pay in advance, and the medical expenses incurred will be accounted for by the designated medical institution. At the time of settlement, according to the regulations, the part paid by the serious illness medical insurance fund shall be settled by designated medical institutions and social insurance agencies, and the rest of the medical expenses shall be settled by individuals and designated medical institutions.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.