Chengdu children's mutual aid fund reimbursement ratio:
(1) outpatient medical expenses reimbursement
general outpatient service: outpatient medical expenses that meet the reimbursement scope can be reimbursed by 6%, with the highest annual reimbursement to 2 yuan.
special outpatient service: special diseases need to be identified in a special special disease identification hospital, and then go to the hospital on the treatment list, and the outpatient medical expenses can be reimbursed by 6%.
Dog injury outpatient service: It mainly aims at the expenses of treating wounds and injecting rabies vaccine in outpatient service after being completely injured, and each person can be reimbursed to 2 yuan at the maximum every year. It should be noted that the reimbursement for dog injury outpatient service is generally in community health centers and township health centers.
(II) Reimbursement of hospitalization medical expenses
The deductible line (threshold fee) of township hospitals and community health service centers in 1 yuan, the proportion of basic medical reimbursement is 95%;
The deductible line (threshold fee) of first-class hospitals is 1 yuan, and the reimbursement rate is 85%;
The deductible (threshold fee) for hospitalization in secondary hospitals is 2 yuan, and the reimbursement rate is 75%;
The deductible line (threshold fee) of tertiary hospitals is 5 yuan, and the reimbursement rate is 6%.
Children's Mutual Aid Fund is a medical mutual aid fund for primary and secondary school students and infants in Chengdu. Chengdu Children's Hospitalization Mutual Aid Fund is a non-profit social welfare undertaking based on the principle of "mutual aid", which is organized by the Chengdu Municipal People's Government and led by the health administrative department and coordinated by other departments. The mutual medical assistance fund for primary and secondary school students and infants in Chengdu was jointly established by the Municipal Health Bureau, the Municipal Education Bureau, the Municipal Red Cross and other departments with the strong support of the Municipal Party Committee and the Municipal Government. It is intended to hold up a green umbrella to protect health and life for primary and secondary school students and infants. Children's hospitalization mutual aid funds are included in the basic medical insurance for urban and rural residents in Chengdu, and children can be insured with illness.
Where can I go through the insurance procedures for children's mutual funds?
(1) Students and young children who are registered and in the park participate in insurance and pay fees in schools and kindergartens;
(2) scattered children and other urban and rural residents pay insurance fees in labor security offices (stations) in streets (towns) and villages (communities);
1. enrolled students and children: the original and photocopy of ID number or household registration can be purchased by the school, kindergarten and child care institution.
2. Scattered children with registered permanent residence in our district: provide the original and copy of registered permanent residence to pay for insurance in their neighborhood and community;
3. Parents and children registered in other places: the original and photocopy of the children's household registration book; The original and photocopy of the parents' household registration book; The original and photocopy of Chengdu Residence Permit; Proof of the relationship between the applicant and his parents.
Legal basis:
Guide to Participating in Chengdu Children's Mutual Aid Fund in 222
The supplementary insurance premium for serious illness medical assistance for students and children (including college students) who have participated in the basic medical insurance for urban and rural residents in Chengdu is included in the supplementary insurance for serious illness medical assistance for urban and rural residents at the rate of 2% paid by students and children (including college students), and the amount included is 64 yuan.