Preschool children have health insurance, personal 40 yuan, government subsidy 80 yuan.
preschool children's medical insurance, there is a 40 Yuan government subsidy of 80 yuan
in the campaign to propagate the medical insurance policy to the community. The citizens are very concerned about how to participate in the insurance of preschool children, medical care and reimbursement.
"my daughter was born in 2006, I heard that the country has a policy, can be in the community for preschool children to deal with medical insurance, what is the insurance for children? Where should I go? Citizen Liu Xiaofang consulted. At present, all the students in Yantai are insured by their status as school units, and how should those preschool children be insured?
Sun Zhentian, director of the medical insurance division of the city, said that preschool children insured 40 yuan per person per year and the government subsidy was 80 yuan. Among them, the minimum allowances for the disabled are 10 yuan, 90 yuan for the government, and 5 yuan for the "three no" personnel, and 95 yuan for the government subsidy.
according to the regulations, the medical treatment of the underage insured residents is divided into three parts: one is the treatment of hospitalized medical insurance, the two is the overall treatment of outpatient medical treatment, and the three is the outpatient treatment of accidental injury. In a medical year, the maximum payment limit for outpatient and co-ordinated outpatient medical expenses is 80 thousand yuan.
specific reimbursement ratio and reimbursement method
(1) hospitalized medical insurance treatment:
medical insurance of urban residents set up front payment line before payment, specifically: 300 yuan, 500 yuan and 700 yuan respectively at the one or two and three level medical institutions; a medical doctor. During the course of the year, the medical expenses in accordance with the prescribed medical expenses of the insured persons are in accordance with the prescribed medical expenses, in the starting payment line to the maximum payment limit of 80 thousand yuan. The overall fund is paid according to the hospital grade according to the standard: the first level hospital pays 70%, the two level hospital pays 60%, and the three level hospital pays 50%.
the urban residents' continuous payment (excluding paid years) over five years, the proportion of hospitalization expenses increased by 5%.
(two) Co ordinated medical treatment treatment of disease type:
co ordinated disease out-patient out-patient start line, 300 yuan a year, participation of the residents in accordance with the provisions of the overall medical expenses, in a medical year, the starting line standard to the maximum payment limit of 80 thousand yuan, overall fund to pay 50%.
the outpatient medical expenses of the patients were co ordinate, and the community health service centers of the residential areas (towns and townships) were responsible for settlement.
(three) unforeseen injury outpatient medical treatment:
under the prescribed outpatient medical expenses due to accidental injury, more than 100 yuan more than 80%, the maximum payment limit in a medical year is 600 yuan.
specific insurance procedures
handling method: can be handled in the location of the location of the streets (township, town) labor security service agencies. When dealing with the registration procedures, it is necessary to fill in the information registration form for the residents of the basic medical insurance for urban residents, and provide my identity card, the original and the copy of the residence book, and two copies of the recent color free crown photos (not provided under the age of 1). The collective account should be provided with a copy of the original of the collective account book, the home page of the collective account and the information of the insured. The guardian must provide the original, the original and the copy of the identity card. Generally speaking, the registration form is filled out by the insured or its dependents and guardians.
low insurance, heavy disability and "three non" minor residents should also carry "People's Republic of China disabled person", "Shandong city residents minimum living security certificate" or "welfare certificate" original and copy.
is in accordance with the insured conditions without payment or interruption of the insured contribution. In the future, the medical insurance premium should be paid by the individual in the past. Medical insurance benefits begin from the beginning of the insured premiums, and the basic medical insurance fund is not paid. (YMG reporter Xia Dan)