1, rural household registration: the proportion of medical insurance reimbursement for urban residents is high. The reimbursement rate of medical insurance for urban residents is 85%, and the reporting rate of the new rural cooperative medical system varies from 10-80% according to different hospital levels, which is less than that of urban residents.
2. Urban household registration: the reimbursement rate of the new rural cooperative medical system in township hospitals is high, and the average reimbursement rate of municipal hospitals is lower than that of urban medical insurance 120%, and the maximum cap is also less than that of urban medical insurance.
The process of neonatal medical insurance is:
1, go through the qualification examination formalities at the human resources and social security service institution or the medical insurance agency;
2. Submit the original and photocopy of the newborn household registration book;
3. Apply for a social security card after passing the qualification examination.
To sum up, the specific scope, proportion and conditions of medical insurance reimbursement need to be determined according to local medical insurance policies and regulations.
Legal basis:
Article 25 of People's Republic of China (PRC) Social Insurance Law
The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.