Legal analysis: 1. Children's mutual funds reimbursed for outpatient service can directly pay for outpatient service in community hospitals, but the outpatient expenses of children's mutual funds are reimbursed at the rate of 60%, not exceeding 200 yuan every year. 2, hospitalization reimbursement When the child is sick and needs to be hospitalized, inform the doctor that the child has a children's mutual gold card; The doctor will swipe the card to enter the child's information into the hospitalization expense reimbursement system; After leaving the hospital, bring the children's mutual gold card to settle the account, and the children's mutual gold will be automatically settled at the time of checkout;

Legal basis: People's Republic of China (PRC) Social Insurance Law.

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

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.