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How to handle the medical insurance for newborns in Sichuan?
1, the newborn settled down. Bring your ID card, household registration book and birth certificate to the place where your household registration is located for the newborn to settle down. (Some places need to write an application);
2. Participate in insurance. Bring birth certificate and household registration book to the street office or social security agency for registration. (Note, even if you have a social security card without registration, you can't pay it);
3. Submit an application. Bring birth certificate, identity certificate, household registration book and other materials to the local social security agency to handle the social security card procedures, and submit various materials as required;
4, the social security department for review. After receiving all the information, the staff will review the information and feedback the results to the applicant in time;
5. Make a social security card. For those who meet the requirements, the staff will make social security cards in time according to the corresponding processes;
6. Get a social security card. After handling the card, they will notify the applicant by SMS or telephone to collect it within the legal time;
7. Pay by mobile phone. Parents can pay for baby medical insurance on their mobile phones.
Medical insurance reimbursement process:
1. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your medical insurance card and medical records, and settle with your medical insurance card. That is, some of them are paid by themselves, and some medical insurance centers and hospitals reimburse and settle accounts;
2 from designated hospitals to secondary or tertiary hospitals, medical insurance cards can be used for settlement;
3. The patient is critically ill and hospitalized in a non-designated hospital. He should go to the municipal medical insurance center for emergency rescue disease identification within 5 days. After being identified as an emergency rescue disease, he can use the medical insurance card for settlement in the rescue hospital;
4, transferred to other places for treatment, with the consent of the hospital and medical insurance center, the referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement;
5, medical insurance reimbursement is calculated in proportion, generally ranging from 70%. The proportion and amount of reimbursement are related to factors such as self-examination, medication and medical grade;
6. At the time of reimbursement, the insured person needs to prepare relevant materials for hospitalization, such as outpatient medical records, discharge records, discharge diagnosis (disease diagnosis), hospitalization invoices (which can be reported to the outpatient department), general list of hospitalization expenses, and medical insurance statements. If the hospital has done CT, B-ultrasound, electrocardiogram and other inspections, it is also necessary to prepare relevant inspection reports;
7, discharge settlement, submit relevant information, in the medical insurance reimbursement window can be reimbursed. After approval, the reimbursement amount will generally arrive within 15 working days.
To sum up, all infants over 1 month old with Chengdu household registration or parents with Chengdu household registration or residence permit can participate in the basic medical insurance for urban and rural residents. The applicant's parents can apply for insurance at the medical insurance center where the household registration is located with their ID cards, household registration books or birth certificates.
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.
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