The hospitalization reimbursement ratio of children's medical insurance is as follows: within a settlement year, medical expenses of less than 180,000 yuan that meet the reimbursement scope are incurred: 1. The minimum payment standard for third-level hospitals is 650 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; 2. Second-level hospitals

The minimum payment standard for hospitals is 300 yuan, and the reimbursement ratio is 60%; 3. There is no minimum payment standard for first-level hospitals, and the reimbursement ratio is 65%.

The reimbursement conditions of children's medical insurance are as follows: 1. The insured person has gone through the outpatient serious illness review and registration procedures before seeking medical treatment, and the outpatient serious illness medical expenses incurred when seeking treatment in a designated hospital; 2. The designated medical institution where the insured person seeks treatment breaks down or

The account cannot be recorded due to damage to the children's medical insurance card or other reasons; 3. Hospitalization in non-designated medical institutions in this city due to acute or critical illness;

4. Transferred to a medical institution outside the city for hospitalization and treatment with the consent of the city's children's medical insurance designated medical institution or the city's social insurance institution; 5. Hospitalized in a medical institution outside the city due to an acute illness while visiting relatives or on vacation outside the city, and has been admitted to a medical institution outside the city.

Social insurance institutions handle registration procedures; 6. Medical expenses incurred by children and adolescents registered in this city when they settle outside the city (limited to those who have gone through registration procedures in other places with social insurance institutions in advance).

To sum up, medical insurance is a kind of insurance that compensates for the medical expenses caused by diseases.

The basic medical insurance for urban residents is divided into two parts: outpatient coordination and basic medical insurance for urban residents.

Legal basis: "Social Insurance Law of the People's Republic of China" Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) those that should be paid from the work-related injury insurance fund (2) that should be borne by a third party

(3) Those who should be borne by the public health department (4) Those who seek medical treatment abroad.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.

After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.