1. In terms of outpatient service, there are three kinds of reimbursement for insured children in designated medical institutions.
General outpatient service: the reimbursement rate is 60%, and 200 yuan can be reimbursed at most within the validity period of an insurance policy.
Special disease outpatient service: medical expenses incurred by insured newborn babies in outpatient service that meet the scope of reimbursement for special diseases shall be reimbursed according to relevant regulations respectively.
Dog Injury Clinic: The outpatient medical expenses incurred in dog injury treatment medical institutions can be reimbursed to 200 yuan at most per person per year.
Hospitalization reimbursement, children's mutual aid fund is clearly divided into four types of medical institutions.
2, township hospitals and community health service centers deductible.
Deductible line (threshold fee) for hospitalization in a first-class hospital: 100 yuan.
Deductible line for hospitalization in secondary hospital (threshold fee): 200 yuan.
Deductible line for hospitalization in tertiary hospital (threshold fee): 500 yuan.