-Chengdu Children Hospitalization Mutual Fund is a non-profit social welfare undertaking based on the principle of "mutual assistance", led by Chengdu people's organizations and health administrative departments, and coordinated by other departments.
Start time: September 2005, 1. Form of participation: voluntary participation.
Qualification for joining:
1, registered students of primary and secondary schools (including technical secondary schools, technical schools, vocational schools and special schools) with permanent residence or residence permit in Chengdu 19 district (city) county.
2. Infants in nurseries.
3. Preschool children born for one month.
4. Children who are not in school due to illness or disability.
Payment method:
1, registered students, voluntary payment to participate in the school.
2. Eligible scattered preschool children and children who are not enrolled in school due to illness or disability shall go to the community health service center or township (town) hospital, child health care and planned immunization institution at the domicile or residence by virtue of the household registration book or residence permit.
3. In that year, the newborn baby voluntarily attended the above places with birth medical certificate, household registration book or residence permit within 1 month after the full moon.
Cost standard and time limit
The school year fee is implemented, valid from 0: 00 on September of 1 year to 24: 00 on August 3 1 day of the following year.
Effective on the date of payment.
Everyone pays 40 yuan every academic year.
The maximum accumulated reimbursement amount is 80,000 yuan.
Designated hospital:
There are 309 provincial medical units, municipal medical units, military hospitals, county hospitals and township (town) hospitals serving general diseases.
Contact telephone number of children's hospitalization mutual fund management center
Qingyang District: 86959655 Dujiangyan: 87 1 10 152
Jinjiang District: 86629355 Xinjin County: 8255642 1
Chenghua district: 84329322 Longquanyi: 84852334
Wuhou District: 8505 10 13 Qingbaijiang: 836 19668.
Jinniu district: 87705 13 1 chongzhou city: 82279695
High-tech Zone: 82829626 Dayi County: 882 1 1 182
Wenjiang District: 82726649, Qionglai City: 8876 1370.
Xindu District: 830 13058 Pengzhou City: 83887300
Shuangliu County: 85839005 Pujiang County: 88554539
Pixian County: 87889000 Jintang County: 84998277
Question 2: The scope of reimbursement for children's mutual fund Basic knowledge of medical mutual fund for primary and middle school students and infants in Chengdu.
For the healthy growth of children in Chengdu, to further improve the social security system, and to ensure the healthy growth and social stability of more than 2.4 million children in Chengdu, with the strong support of the municipal party committee and the municipal government, and drawing on the successful experience of Shanghai and Beijing in establishing the "Children's Hospital Mutual Fund", in September 2005, the Chengdu Municipal Health Bureau, the Municipal Education Bureau and the Municipal Red Cross jointly established the "Chengdu Medical Mutual Fund for Primary and Secondary School Students and Infants". Children's hospitalization mutual fund is a non-profit social welfare undertaking different from commercial insurance, which is based on the humanitarian spirit and mutual aid principle of "saving lives and helping the poor". As long as every primary and secondary school student and infant pays 40 yuan money every year, they can reduce the family economic burden caused by hospitalization due to illness and injury, and they can enjoy hospitalization medical insurance of up to 80,000 yuan per academic year; Participating in the mutual fund is also to send a love to the unfortunate children who are seriously ill.
● Participants: (1) registered students in primary and secondary schools (including secondary schools, technical schools, vocational schools and special schools) and kindergartens with Chengdu household registration or Chengdu residence permit; (two) scattered preschool children with Chengdu household registration or Chengdu residence permit and children who are not enrolled due to illness or disability.
● Payment standard: Everyone who participates in the Children's Hospitalization Mutual Fund pays 40 yuan every academic year.
● Participation method: ① School children: students registered in primary and secondary schools (including technical secondary schools, technical schools, vocational schools and special education schools) and kindergartens with household registration or residence permit in Chengdu, who pay voluntarily to attend the school from September 1 day to 10/day every year. ② Children who are not enrolled in school: scattered preschool children with household registration or residence permit in Chengdu, and children who are not enrolled due to illness or disability. Every year from September 1 day to 1 October1day, you can voluntarily participate in the community health service center or township (town) hospital, child health care and planned immunization institution with your household registration or residence permit. (3) Newborn babies: Newborn babies of that year must come to the community health service center, township (town) hospital or child health care and planned immunization institution at the place of residence or residence with birth medical certificate, household registration book or residence permit within one month after the full moon, and pay for it voluntarily. Those who fail to attend after the deadline can participate in the second year.
● Time limit for reimbursement: After the payment year ends, the time limit for reimbursement of children's mutual fund is from 0: 00 on September 1 day to 24: 00 on August 3 1 day of the following year.
● Reimbursement ratio: 50% of the medical expenses incurred by primary and secondary school students and infants who participate in the children's hospitalization mutual fund for hospitalization in designated medical institutions or outpatient treatment of specific diseases shall be borne by their parents, and 50% shall be reimbursed by the children's hospitalization mutual fund according to the following provisions. The payment ratio is: 1 1,000 yuan (including 1 1,000 yuan), and the reimbursement is 60%; 1000 yuan to 5000 yuan (including 5000 yuan) is 70%; 80% of expenses ranging from 5000 yuan to 10000 yuan (including 10000 yuan) shall be reimbursed; /kloc-more than 0/0000 will be reimbursed by 90%.
The cumulative reimbursement for each primary and secondary school student and infant in each academic year shall not exceed 80,000 yuan.
● Reimbursement scope: The medical expenses incurred by primary and secondary school students and infants who participated in the children's hospitalization mutual aid fund to the designated medical institutions, the medical treatment items and drugs used are in the Catalogue of Basic Medical Insurance and Work-related Injury Drugs for Urban Workers in Sichuan Province, the Catalogue of Basic Medical Insurance for Urban Workers in Chengdu, the Supplementary Catalogue of Medical Mutual Aid Fund for Primary and Secondary School Students and Infants in Chengdu, and the Catalogue of Medical Mutual Aid Fund for Primary and Secondary School Students and Infants with Serious Diseases in Chengdu, or they are managed by the municipal children's hospitalization mutual aid fund.
The outpatient treatment expenses of patients with leukemia, hemophilia, aplastic anemia and malignant tumor after discharge, as well as the dialysis expenses before renal transplantation and the expenses of anti-rejection drugs after operation, shall be reimbursed by the Children's Hospitalization Mutual Fund according to the same reimbursement ratio of hospitalization medical expenses.
Children's hospitalization mutual fund shall not be reimbursed, including registration fees, meals, escort and observation rooms, family beds and rehabilitation wards; & gt
Question 3: Where can I buy Chengdu Children's Mutual Fund? 1. Where can I buy it?
1. Preschool baby: a community health service center or street office.
2. Babies who have already gone to school, including kindergartens: general schools (kindergartens) will purchase them in a unified way.
3. Cost:
40 yuan/year
4. Required information-original account books
Second, the purchase time
1, newborn: within 30 days after the full moon enters the palace,
2. Others: September 1 to February 20th 10 every year.
Third, the validity period.
1, year1-August purchase: purchased in the current month and effective next month; Example: it was purchased in February 2009, and 10 came into effect on March 3 1, and terminated on February 2, 20091;
2. Purchase from September to June 65438+February every year: effective from June 65438+ 10/the following year. Example: it was purchased in September 2009/ 12, took effect in September 201/and expired in September 20 10/ 1 31year; (This article only applies to non-newborns)
Answer to the question:
ask
1. How to buy a domicile different from the actual domicile?
A: As long as it is within the scope of Chengdu. You don't have to buy it in the community where your account is located.
ask
I am already ill, can I still buy it?
A: Yes, especially for children who are unfortunately suffering from major diseases, they can still be bought. In fact, mutual funds can help them.
It can be bigger.
ask
3. What if the registered permanent residence is not in Chengdu?
A: Newborns: One parent can purchase Chengdu residence permit (non-temporary residence permit); Doll who went to school:
If the school buys it uniformly, there will be no household registration restrictions.
How to reimburse?
Reimbursement expenses = (total expenses-threshold expenses-self-expense) × reimbursement ratio.
First, the threshold fee:
health clinics in towns and townships
50 yuan
Community health service centers and first-class hospitals
100 yuan
Secondary hospital:
200 yuan; For example, the city children's hospital.
Tertiary hospitals:
500 yuan; For example, the Second Affiliated Hospital of Huaxi;
Second, the reimbursement ratio (corresponding amount ratio)
Township hospitals 90%
Question 4: The role of children's mutual fund Once the participants are hospitalized due to illness or injury, they can be exempted from paying 50% of the hospitalization advance payment when they are admitted to the hospital with the medical certificate and hospitalization settlement certificate of children's hospitalization fund.
* Every hospitalization exceeds Qifubiaozhun (the standard refers to the medical insurance policy), and 50% of the medical expenses will be paid by the Children's Hospitalization Fund.
Qifubiaozhun is: 50 yuan, a first-class medical institution; 100 yuan, a secondary medical institution; 300 yuan, a tertiary medical institution. The expenses below Qifubiaozhun (including Qifubiaozhun) will not be paid by the overall fund.
* There is no minimum payment standard for outpatient treatment expenses of children with leukemia, hemophilia, aplastic anemia and malignant tumor after discharge, as well as dialysis expenses before renal transplantation and anti-rejection drugs after operation. The children's hospitalization pooling fund pays 50% according to the regulations, and the payment procedures are handled by the Medical Record of Serious Illness Outpatient. Specialist clinics should be treated in the original hospital, limited to one hospital.
* The maximum cumulative payment per person per academic year is 6,543,800 yuan.
Question 5: The basic introduction of Children's Mutual Fund is "Chengdu Medical Mutual Fund for Primary and Secondary School Students and Infants". Chengdu Children's Hospitalization Mutual Fund is a non-profit social welfare undertaking based on the principle of "mutual assistance and mutual aid", led by Chengdu people's organizations and health administrative departments, and coordinated by other departments. The mutual medical fund for primary and secondary school students and infants in Chengdu is jointly established by the Municipal Health Bureau, the Municipal Education Bureau, the Municipal Red Cross Society and other departments with the strong support of the municipal party committee and municipal government. It is intended to provide a green umbrella for primary and secondary school students and infants to protect their health and life. Every child pays this 40 yuan every year, and when he leaves the hospital, he can directly enjoy the subsidy from the children's hospitalization mutual fund, and the children can also participate in insurance when they are sick. Children's hospitalization mutual fund is included in the basic medical insurance for urban and rural residents in Chengdu, and children can be insured in spite of illness.
Question 6: Where can I handle the Children's Mutual Fund in Qingyang District of Chengdu? When can I deal with it? Hello! Qingyang District Children's Hospitalization Mutual Fund Management Center has been merged into Chengdu Qingyang District Social Security Bureau, with the specific address at No.8 Approximate Street and the telephone number at 86937702.
Question 7: The expenses of children's mutual fund reimburse the expenses incurred by patients in hospitalization. Deduct the self-funded part and the self-funded part outside the scope of reimbursement, and the rest will be paid by the mutual fund in proportion. All designated hospitals in Chengdu have reimbursement windows for children's hospitalization mutual funds. Upon admission, the patient must show the medical certificate of Chengdu Children's Hospitalization Mutual Aid Fund and the patient's identity certificate (ID card or household registration book). After the two certificates are verified, the admission certificate is stamped with the chapter of children's hospitalization medical mutual assistance, and the hospital will review it according to the prescribed reimbursement ratio and scope when leaving the hospital. In principle, the hospital will pay in advance. Necessary materials for patients: Chengdu Children's Hospitalization Mutual Medical Certificate, ID card or household registration book, hospitalization invoice, discharge certificate and list of hospitalization medical expenses.
Question 8: What information is needed for the renewal of Chengdu Children's Mutual Fund 1? Chengdu hukou baby: the baby's hukou book.
2. Non-Chengdu registered baby: a household registration book that can prove the relationship between the baby and the party with a residence permit in Chengdu.
Question 9: Where can children's mutual funds buy children's insurance? Health and accidents should be considered first, and then education funds should be considered.