How to apply for Shenzhen children's medical insurance card?

What are the payment methods and reporting conditions of Shenzhen minor medical insurance in 2022-2023? Shenzhen will share the collected information with everyone immediately!

How to bind parents' cards in Shenzhen children's medical insurance

How to deal with Shenzhen Children's Medical Insurance Binding Hospital?

Insurance conditions

Meet one of the following conditions

1. Shenzhen registered students in the park.

2. Children and adolescents whose parents have participated in social insurance in Shenzhen 1 year or more.

3. Full-time students who receive general higher education in various full-time ordinary colleges and universities (including private schools) or scientific research institutes in Shenzhen.

4. Children whose household registration is not in Shenzhen Park.

Insurance time

The unified medical insurance for children (college students) is from September 2 to September 30.

2. In a unified time period (from September 2 to September 30), if you are insured and receive payment, the payment period is from September 2022 to August 2023. If the insured person fails to receive it within a unified time period, the payment shall be started from the month of supplementary deduction.

3. If you are insured after a unified period of time, you will complete the insurance registration before the 20th of that month, and the payment will be calculated from that month to August 2023, and the insurance registration will be completed after the 20th of that month. It can be calculated from the current month to August 2023, or from the following month to August 2023.

4. If a registered baby in Shenzhen applies for insurance within 30 days from the date of entering the household or within 90 days after birth, the payment can be calculated from the month of birth to August 2023. (Special note: If you need to pay the medical insurance premium from the month of birth to the time of insurance registration, you need to go to the tax service office to handle it. )

1From 0:00 on September 0 to 8:00 on September 2, the children's school registration system was closed and upgraded.

Insurance process

1, students in the park

The school collects the information of students and guardians who meet the conditions of insurance, inputs it and uploads it to the school social security online service system of Shenzhen Social Insurance Fund Administration for insurance registration.

2. Children who are not in school

Children who are insured for the first time need to register for insurance (choose one of the three websites and handle it on the spot) before paying.

(1) Web page processing:

Log on to the website of Shenzhen Social Security Bureau, click on Personal Online Service System → Personal Insurance Management, select First Insurance Registration for Children with Non-Park Household Registration in this city, and enter the information of the insured children to register.

(2) the handle:

1 Pay attention to the official account of "Shenzhen Medical Insurance" WeChat. Select "pocket government affairs" →→→→→ personal business handling →→→ children's insurance management →→ children's insurance registration/recovery (children who are not in the park) from the menu bar, and enter the information of insured children and guardians to register.

(3) on-site treatment

You can apply for insurance at the nearest social security agency and submit the following materials:

1 Children's Application Form for Registration/Change of Medical Insurance for Children (Students) in Shenzhen;

2. Original children's household registration book (parents (guardians) information must be recorded in the household registration book at the same time. If the parents and children are not in the same household registration book, a birth certificate or adoption certificate is required);

3. The original bank account of the guardian (the requirement is the bank passbook or debit card opened by the person in Shenzhen).

Payment standard

Shenzhen children's medical insurance participants participated in the second stage of basic medical insurance according to regulations: the average monthly salary of employees in this city last year was ××× 12 months.

The secondary medical insurance for the 2022-2023 school year is:

12964××× 12 = yuan, that is, yuan/person/month; The financial subsidy is 666 yuan/person/year, that is, the subsidy is yuan/person/month.

Insurance during the unified reporting period:

Pay the medical insurance premium from September 2022 to August 2023 (12 months) in one lump sum, and the actual payment amount is RMB/person/year.

Insurance beyond the unified declaration period:

Pay the medical insurance premium in one lump sum, from the payment month to August 2023, and the actual payment amount is RMB/person/month.

For example:

Xiaoming, 2 years old, registered children's medical insurance on June 2, 2022. The medical insurance expenses that his parents need to pay for him include June 65438+2022 10-August 2023 (June 10). That is, the medical insurance expenses actually paid by Xiao Ming are the medical insurance expenses actually paid every month) × 10 (the number of months actually paid) = yuan.

payment types/methods

1, students in the park

After the school collects all the students' medical insurance premiums, it logs in to the social insurance premium management client of the tax authorities to pay the fees by itself.

Download path of enterprise social security fee management client: official website → tax service → software download → enterprise social security fee management client. Download guide, deep-seated children who are not in school.

The medical insurance premium for one academic year will be collected at one time, and the tax authorities will deduct the medical insurance premium from the account of the deduction agreement signed by the payer in the tax authorities. The payer shall ensure that the bank account is in a normal state and the balance is sufficient.

The payer can also pay by himself in the following ways.

Mode 1:

Pay attention to the official account of "Shenzhen Tax" WeChat, and select "I want to do it" → "Social Security Payment" → After passing the identity verification, enter the personal business module → "Urban and rural residents declare and pay".

Mode 2:

Alipay searches for the life number of "Shenzhen Taxation Bureau" and clicks "Personal Center" → After passing the identity verification, it enters the personal business module → "Urban and rural residents declare and pay".

Mode 3:

Enter the official website of Shenzhen Electronic Taxation Bureau, select a natural person to log in, and click the related functions of social security and tripartite agreement → social security fee business processing → social security fee payment.

Mode 4:

You can go to any tax service hall in the city (except the second tax branch) to pay for children's medical insurance.

skill

Insured children under the age of 18 who have not gone through the formalities of stopping insurance will be renewed by default. The tax authorities will deduct the medical insurance premium from the account of the deduction agreement signed by the payer in the tax authorities, and the payer needs to ensure that the bank account is in a normal state and the balance is sufficient.

If you need to stop the insurance, you can handle it through the "personal online service system".

Website insurance inquiry

1, school enquiry

Schools can log in to the "School Online Service System" of Shenzhen Medical Insurance Bureau or official website of Shenzhen Social Security Bureau, and click "Information Query" to check the enrollment this year.

Website, personal inquiry

Insured people can pay attention to the official WeChat account "Shenzhen Medical Insurance", and inquire about this year's participation through handheld government affairs → personal information inquiry → payment information inquiry → payment details inquiry.

Activate medical insurance e-cert

After activating the electronic medical insurance certificate, you can directly "swipe your card for medical treatment and purchase medicine", handle medical insurance business and inquire about medical insurance accounts.

The insured can activate the electronic medical insurance certificate for family members. After activating my medical insurance e-cert through the National Medical Insurance Service Platform APP, click My → Add My Family Members → Confirm, click in the circle of "Read the Notice of Family Members Addition", click "I have read and agreed", enter the name, ID number and relationship of family members, upload the letter of commitment and photos of household registration book, and complete the medical insurance e-cert of family members according to the prompts.

/kloc-Family members under the age of 0/6 can complete the authentication without brushing their faces./kloc-Family members over the age of 0/6 need to brush their faces for authentication.

Click here to enter the "National Medical Insurance Service Platform" APP download portal.

Click here to get: medical insurance electronic certificate.

Click here to get: Alipay medical insurance electronic certificate.

Apply for a financial social security card

The first-time insured can apply for the third-generation financial social security card through one of three ways: bank window application, online application and instant business card printing at outlets, and apply for the third-generation financial social security card independently at the business outlets of cooperative banks, free of charge for the first time.

Click here to view: the specific handling method of Shenzhen Children's Medical Insurance Card.

After the successful application for financial social security card, if activated, the insured's own financial social security card will automatically be used as the payment account, and the guardian's bank account will no longer be used. When parents pay medical insurance premiums in the new school year, please deposit them in the correct account.

Outpatient medical binding

The insured children's general outpatient service should seek medical treatment in the bound designated medical institutions, and those who are not bound to the designated medical institutions cannot enjoy the medical insurance outpatient treatment. (It cannot be changed within 1 month after binding the medical institution)

1./kloc-insured persons under the age of 0/4 can be bound to designated hospitals below the second level in Shenzhen or designated social rehabilitation centers in Shenzhen;

Children over one year old can be bound to the designated social rehabilitation center in Shenzhen.

Handle binding mode (one out of three)

Web page binding: log in to official website Personal Online Service System of Shenzhen Medical Insurance Bureau for binding;

Binding: Pay attention to the official WeChat account of "Shenzhen Medical Insurance" and select "Pocket Government Affairs" → "Personal Business Handling" for binding.

On-site binding: you can go to the nearest street, social health and designated hospital for binding.

medical insurance

It only costs about RMB every day, and the maximum reimbursement for hospitalization is 6.5438 yuan +0.93 million yuan. See the table below for specific medical insurance benefits.

Search Shenzhen, WeChat official account, and reply to children's medical insurance in the dialog box after paying attention. You can get the entrance of Shenzhen children's medical insurance, the handling guide, the payment method, the payment inquiry, and the handling of children's medical insurance cards.