深圳市少儿医保简介

　　深圳市少儿医保简介参保对象
　　1、深户：未满18周岁且吻合国家筹划生育政策，不管是否属中小学和托儿机构在册、是否在本市假寓均可 参保；
　　2、非深户：未满18周岁且合乎国度规划生育政策，须属中小学和托幼机构在册并与父母在本市寓居，当且 时父母任一方加入社保并满一年以上。
　　保障规模
　　1 、住院 2 、大病门诊
　　住院保障指， 少儿医疗保险定点医疗机构住院发生的基本医疗费用
　　大病： 白血病、血友病、再生阻碍性贫血、恶性肿瘤、 器官移植（七类）
　　器官移植范畴包含：肾脏、心脏瓣膜、角膜、皮肤、血管、骨跟骨髓移植。
　　保费：每人每年 150 元，其中少儿家庭缴纳 75 元，财政补贴 75 元。
　　报销尺度
　　住院起付标准： 市内一级及以下医院 300 元，市内二级医院 400 元，市内三级医院 500 元，市外医院 600 元。
　　大病门诊费用，不履行起付线轨制。
　　参保人每次住院发生的起付线以上的基础医疗费用，或每次大病门诊产生的根本医疗用度，在年度最高支付限 额内的， 5000 元以下部分，少儿医保基金支付 80% ,air max 97； 5000-10000 元部门，少儿医保基金支付 85% ； 10000 元以上局部，少儿医保基金支付 90% 。
　　最高支付限额：持续参保 4 年以上的可享受最高支付限额 20 万元。
　　办理时光： 每年 9 月
　　在统一办理期限（9月份）之后办理的，除特别起因外，需自申办之日起渡过三个月的期待期，比方12月份 来办理，那么1－3月是等待期， 4月1日 缴费，从4月1日开端盘算。
　　办理地点：
　　1 、深圳市在校学生、幼儿园孩子：由学校、幼儿园统一办理参保和缴费手续,cheap christian louboutin；
　　2 、 深圳 户籍的未入学、入园或在市外定居的未满18周岁少年儿童：由其父母或其余法定监护人到市社保机构办理参保和 缴费手续，社区居委会可以代理参保和缴费手续。
　　3 、深圳户籍低保家庭少儿由市民政局同一办理参保和缴费手续，办理参保时应供给参保人户口簿以及《最低生涯保 障接济金领取证》等相干证实资料。
　　办理少儿医保需提供的材料：
　　1 、参保少儿的诞生证、户口本、身份证、独生子女证（或打算生养证）、复印件（验原件）
　　2 、监护人户口本、身份证、银行存折复印件（验原件）
　　3 、参保少儿须提供深圳市公安机关认可的第二代身份证联网相馆数码照回执，并签上名及少儿身份证 号（ 0---3 岁儿童不必提供）。
　　办理少儿医保特殊提醒：
　　1 、新生儿(深户)须在出生后两个月内办理参保手续，方能够从出生之月起享受少儿医保待遇，否则 须有 3 个月等候期，即自申请后第 4 个月才干享受少儿医保待遇。
　　2 、 0---3 岁幼儿参保不须要提供数码照回执，但必需提供出生证号，并尽快提供身份证号录入后，少儿医疗保险证能力应用 。
　　3 、不在划定的每年 9 月和新生儿出身后两个月内办理参保的，需从申报参保确当月起 3 个月后，从第四个月起托收少人医保费，托收当月起可享受待遇（学校申请除外）
　　4 、少儿及监护人所提供的申报材料复印件全体使用 A4 纸复印件,salvatore ferragamo sale。
　　少儿医保定点医院名单
　　市属医院深圳市人民医院深圳市第二人民医院北京大学深圳医院深圳市中医院深圳市儿童医院深圳市妇幼保健 院孙逸仙血汗管医院深圳市康宁医院
　　深圳市眼科医院深圳市东湖医院福田区深福田区人民医院深福田区妇幼保健院深圳市福田区中医院福田区人民 医院香蜜湖分院福田区慢性病防治院深福田区梅林医院 罗湖区罗湖区人民医院市罗湖区妇幼保健院深圳市罗湖区中医院
　　南山区 市南山区人民医院深圳市蛇口人民医院市南山区妇幼保健院深圳市南山区西丽医院
　　盐田区 市盐田区国民病院深圳市盐田区盐港医院
　　宝安区 市宝安区人民医院市宝安区妇幼保健院深圳市宝安区中医院深圳市宝安区沙井医院市宝安区西乡医院
　　市宝安区福永医院市宝安区观澜医院深圳市宝安区龙华医院深圳市宝安区松岗医院
　　市宝安区石岩医院龙岗区 市龙岗区核心医院市龙岗区人民医院市龙岗区妇幼保健院深圳市龙岗区坑梓医院
　　市龙岗区沙湾医院市龙岗区葵涌医院市龙岗区横岗医院市龙岗区南澳医院
　　深圳市龙岗区坪地医院市龙岗区南岭医院深圳市龙岗区平湖医院深圳市龙岗区布吉医院深圳市龙岗区坪山医院 深圳市龙岗区大鹏医院 光明新区光亮医院公明医院 少儿医保保障缺口
　　1、意外身故及意外伤残部分；
　　2、意外医疗门诊部分；
　　3、疾病身故部分；
　　4、住院费用起付线下部分（300-600元）；
　　5、住院费用封顶线以内个人自付部分（10-20%）；
　　6、超越社保封顶线以上个人自付部分（尤其是连续投保年限在2年内的参保人）,worx boots by red wing。
　　少儿医保的其它限度
　　1、除新生儿外，其余职员须在每年9月统一办理；
　　2、非深户且父母当时没有参加社保或参保时间不足一年以上的儿童无法购买；
　　3、不契合方案生育政策的儿童无奈购置；
　　4、除市外省亲、度假时急病外，其余时间住院医疗仅限深圳地域。
　　详情请征询，中国人寿保险公司，王哲经理 手机：13699796337

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