Newborns can participate in the basic medical insurance for urban and rural residents in Urumqi at any time within one year old. After the insurance payment, the medical expenses incurred from the date of birth of the child can be reimbursed according to the regulations. If you get sick before the insurance, you can be reimbursed retrospectively within one year.
Xinjiang Morning Post reporter learned from the Medical and Maternity Insurance Department of Urumqi Human Resources and Social Security Bureau that some parents pay insufficient attention to their children's insurance, considering the weak resistance and high incidence of newborns. In addition, it takes a long time for them to pay insurance after completing their household registration, which affects the enjoyment of medical insurance benefits for newborns. In order to solidly promote the social security project to benefit the people, ensure that newborns enjoy medical insurance benefits on time, and reduce the family burden of newborns suffering from major diseases, the policy of "landing insurance" for newborns is specially introduced. The Notice on Issues Concerning the Inclusion of Newborns in medical insurance coverage has been issued to all designated medical institutions.
For newborns, the previous policy was to participate in medical insurance at birth, apply for a medical insurance card, and enjoy medical insurance benefits the next month. Starting from this year 1, newborns can apply for medical insurance cards and enjoy medical insurance benefits from the date of birth, but only if they participate in medical insurance.
Yang Xiuchun, director of the Medical and Maternity Insurance Department of Urumqi Human Resources and Social Security Bureau, said that unlike the previous policy, newborns who fell ill before the insurance payment can enjoy landing insurance and can be reimbursed retroactively within one year (previously, they could not be reimbursed retroactively). For example, if the child was hospitalized in April and paid in August, the medical expenses of the newborn insured in April can be retroactively reimbursed.
Gao, a resident who lives near the south gate, said that she learned the information of "newborn medical insurance" when she was in the hospital for examination. Subsequently, Gao handled the medical insurance card for the child at the first time after the child was born and settled down, but due to the cumbersome procedures, he didn't get the social security card until half a year later. "My baby was hospitalized when he was 8 months old, and' Newborn Medical Insurance' paid me 50% of the medical expenses. At that time, other parents in the same ward envied me because they didn't insure their children, and all medical expenses had to be borne by themselves. "
Unlike Gao, Ms. Yu's child has been born for more than 4 months, but she has not yet gone through the formalities of neonatal insurance. "I heard that it is more troublesome for newborns to apply for insurance for a long time. The child has been ill recently and is going to be hospitalized. I'm afraid it can't be reimbursed without insurance. Now children can enjoy medical insurance benefits as soon as they are born, and they can be reimbursed retroactively within one year. We don't have to worry. " Ms. Yu said.
Yang Xiuchun reminded the guardian of the newborn that the child should go through the formalities of participating in the basic medical insurance for urban and rural residents in time after birth. At present, the individual payment standard for preschool children is 120 yuan per person per year, and preschool children from low-income families and disabled preschool children are entitled to 60 yuan per person per year. If the child falls ill and is hospitalized within one year after birth, it is necessary to provide the social security agency with the relevant proof of the child's medical treatment, and go through the networking procedures in the inpatient department of the hospital, and the expenses incurred can be reimbursed in time through the network.
It is understood that newborns can enjoy medical insurance benefits like urban and rural residents after paying insurance premiums. Newborns who are hospitalized can be reimbursed according to a certain proportion. In township hospitals, first-class hospitals, second-class hospitals and third-class hospitals, the proportion of policy reimbursement is 90%, 85%, 70% and 55% respectively. The maximum payment limit of the overall fund is 90,000 yuan, and there is no maximum payment limit for serious illness medical insurance, that is, there is no upper limit for hospitalization reimbursement.
;