1, outpatient, insured children in outpatient designated medical institutions for reimbursement in three ways:
(1) general outpatient service: the reimbursement rate is 60%, and 200 yuan can be reimbursed at most during an insurance period;
(2) Outpatient service for special diseases: 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;
(3) Dog injury clinic: The outpatient medical expenses incurred in the dog injury treatment medical institutions can be reimbursed to 200 yuan at most per person per year;
(4) Hospitalization reimbursement, children's mutual aid funds are clearly divided into four types of medical institutions.
2, township hospitals and community health service center 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.
Legal basis: Article 2 of the Interim Measures for Social Assistance.
The social assistance system adheres to the bottom line, which is difficult and sustainable, and is connected with other social security systems. The level of social assistance is compatible with the level of economic and social development.
Social assistance should follow the principles of openness, fairness, impartiality and timeliness.
essay
The State Council Civil Affairs Department co-ordinates the construction of the national social assistance system. The State Council civil affairs, emergency management, health, education, housing and urban construction, human resources and social security, medical security and other departments are responsible for the corresponding social assistance management according to their respective responsibilities.
The departments of civil affairs, emergency management, health, education, housing and urban construction, human resources and social security, medical security and other departments of the local people's governments at or above the county level shall be responsible for the corresponding social assistance management within their respective administrative areas.
The administrative departments listed in the preceding two paragraphs are collectively referred to as social assistance management departments.