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Can non-local newborn medical insurance also apply for medical insurance for their babies?
Non-local parents can also apply for it.
Ms. Lin, a citizen of Guizhou, has only been born for more than a month, although she works in Kunming, she has not bought a house, and she has not settled in the local hukou.
In fact, the current medical insurance policy is to implement universal medical insurance, whether it is the new regulations or the old regulations, there are no restrictions on this aspect, foreign parents do not have a local household registration in Kunming, only need to hold the residence permit of either party, as well as the baby's birth certificate, to the community labor security service where the place of residence belongs, you can go through the relevant procedures for the newborn urban residents' medical insurance. It is worth reminding that migrant workers in Kunming, as long as they have applied for a residence permit in Kunming, and the newborn has gone through the settlement procedures within 3 months after birth, the newborn's household registration is not within the province or outside the province, and the parents can apply for neonatal medical insurance for the baby, and enjoy the reimbursement retrospective within 3 months after birth, and the treatment they enjoy thereafter is the same as the basic medical insurance for ordinary urban residents.
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Hello, is the newborn social security universal nationwide? How to handle it? Which department is on? Who to contact? In a few months. But then said that the expenses of the current year can be reimbursed?
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Hello dear, you can seek medical treatment in a different place If it is a remote place in the province, you can directly choose a designated medical institution for hospitalization, and the system will automatically settle the reimbursement fee when you are discharged. If you seek medical treatment in other places across provinces, you need to use your social security card to register with the social security institution in the place where you participate in the insurance for medical treatment, and then choose a designated medical institution. Show your social security card when you are hospitalized, and if the hospital has opened a fast settlement for medical treatment in other places, the expenses will be reimbursed directly by the system.
If you do not activate the service, you need to go to the Social Security Bureau for reimbursement of the expense invoice. All in all, the neonatal medical insurance card can be reimbursed in other places, but it is necessary to pay attention to whether it is outside the province or within the province.
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Legal analysis: Yes, the medical expenses incurred in the agreed medical institutions can be reimbursed if they meet the standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facilities, and can be reimbursed by the medical insurance center in the insured place with the settlement bills and daily lists.
The specific process is as follows:
1. The applicant pays the relevant medical expenses in advance.
2. Bring the information required for medical insurance reimbursement to the social security institution or medical institution to go through the reimbursement procedures.
3. After review, if the conditions are met, the relevant medical expenses will be reimbursed.
Some provinces have opened a settlement system for remote medical treatment in the province, and the insured can be directly discharged from the hospital for settlement. The specific reimbursement process is subject to the local medical insurance policy.
Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease. Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation. The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the best funding, which can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from becoming poor due to illness.
Legal basis: Social Insurance Law of the People's Republic of China
Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.
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Brand model: Huawei Mate 40E Pro system version:
Software version: Alipay.
Newborn medical insurance can be reimbursed in Alipay off-site. The specific steps are as follows:
1. Click "Civic Center".First of all, the first step is to open Alipay and click on the "Civic Center" option in the interface.
2. Click "Medical Insurance".The second step is to click on the "Medical Insurance" business in the interface.
3. Click "Neonatal Cooperative Medical Reimbursement".
Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China.
The medical expenses incurred by the insured persons in the agreed medical institutions, in line with the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards, shall be paid from the medical insurance ** in accordance with national regulations.
If the insured person really needs emergency treatment or rescue, he or she can seek medical treatment in a non-agreed medical institution; The scope of drugs that must be used for rescue purposes may be appropriately relaxed. The specific management measures for medical services for emergency and rescue of insured persons shall be formulated by the overall planning area according to the actual local situation.
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2. Under special circumstances, emergency hospitalization medical expenses incurred in other places for business trips, family visits, vacations and other reasons shall be reimbursed in accordance with the specific provisions of the medical insurance measures of the place where the insurance is enrolled. In general, in the case of an emergency department, it is allowed to be treated nearby. After that, return to the local medical insurance agency for reimbursement according to the regulations with the valid voucher issued by the hospital.
3. In addition, if you have retired and your children have settled in Beijing, you can apply for retirees to be resettled in other places by going back to the medical insurance center of the insured place, and you can choose one or two designated hospitals for medical treatment after doing so, and the expenses will be paid in advance first, and then you will go back to the medical insurance center of the insured place for reimbursement.
4. For long-term overseas employees, they can also apply for medical insurance for resettlement in other places, which can be applied for by the unit, and after doing so, they can choose one or two designated hospitals for medical treatment, and the expenses will be paid in advance first, and then reimbursed by the medical insurance center in the place where they are insured.
Hope it helps.
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In this case, the regulations of each province or region are different, some of the city can, some of the province can, you need to consult the local medical insurance department, but the country is also undergoing medical reform, and will gradually improve the remote reimbursement function of medical insurance!
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It can also be reimbursed, but it seems that you have to go to the local area to open a referral form.
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Legal analysis: can be used off-site. The part of the medical expenses that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business model.
Legal basis: Article 29 of the Social Insurance Law of the People's Republic of China Article 29 The part of the medical expenses that should be paid by the basic medical insurance shall be directly settled by the social insurance agency and the medical institutions and drug business units.
The administrative department of social repentance code and the administrative department of health shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the insured to enjoy basic medical insurance benefits.
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