Do not write "children of one and one" in the hospitalization of the newborn
source: Shandong commercial newspaper
"landing participation" for more than half a year, parents do not understand the new rules, resulting in the emergence of the problem
otherwise the reimbursement will be very troublesome
Ji'nan news (reporter Zhang Wen Wen) reporter learned from the Ji'nan Social Security Bureau Although the newborns in Ji'nan can "participate in the insurance", many parents do not go through the formalities in the prescribed period, which leads to the tedious procedures for the late hospitalization reimbursement. To this end, the Bureau of Jinan society reminds the parents that parents should take care of their newborns as soon as possible and try to avoid cash reimbursement as soon as possible. At the same time, they remind the public that the baby's name should be written as far as possible instead of "son and woman" in the case of admission to the newborns, so as not to add trouble to the later reimbursement.
it is understood that Ji'nan has implemented the policy of "landing insurance" since April 1st. Born in April 1, 2012, the newborns in Ji'nan cities and towns were registered in 3 months from the date of birth, and the medical insurance premiums for the annual residents were paid in one time. Each year, 40 yuan per person, from the date of birth to enjoy the treatment of medical insurance.
for the insured persons who have been insured for more than 3 months after birth, they will still enjoy the medical insurance benefits from the next month. The payment ratio of the medical insurance fund for the first, two and three level medical institutions is 80%, 65% and 55% respectively, and the maximum payment limit is 150 thousand yuan because of the medical expenses stipulated in the range of payment in the hospital or outpatient department.
according to the requirements, the medical definition of newborns is a child born within 28 days. Due to the immature development of immune function, the incidence of newborns after birth is relatively high, and it is easy to suffer from jaundice, respiratory tract infection, pneumonia and umbilical inflammation. Especially for preterm infants, the cost of medical treatment is very high. When they are born, they need to be hospitalized for one or two months. Many parents are busy taking care of their children and miss three months of insurance.
for this purpose, Jinan City People's social Bureau stipulates that newborn babies can also be reimbursed after 3 months of birth. Only this kind of hospitalization reimbursement must be paid attention to: use the name of the newborn when hospitalized, try to avoid the name of "the son of XXX" or "the woman of a certain"; tell the doctor to take part in the medical insurance of the residents, try to use the medications and treatment methods in the medical insurance reimbursement catalogue as far as possible, and reduce the use of the self paid medicine.
the person in charge of the Bureau of the people's society of Jinan said that after the newborns were insured, the medical insurance settlement system was more convenient. If there was no insurance, the reimbursement procedure was relatively complex, so the cash reimbursement should be avoided so as to lighten the burden of personal information and funds. In case of cash reimbursement, a copy of the neonatal inpatient invoices, cost details, copies of hospitalized medical records, copy of guardian identity card, copy of newborn birth certificate, newborn account book (home page, index page and individual page of newborns) should be submitted to the medical insurance office in the district.
, in addition, the newborns need to be hospitalized after being insured. They must hold "inpatient certificate" to the social security service center of the insured human resources social security service at the time of hospitalization, and submit it to the medical insurance office of the hospital. When clearing the hospital, the medical insurance settlement system will be used to settle accounts and only pay the personal conceit.