According to Changzhou Human Resources and Social Security Bureau and Finance Bureau "Changzhou Maternity Insurance Maternity Medical Expenses Settlement Measures".
"(Ordinary People's Social Development [2014] No.280)
It is stipulated that female workers in Changzhou should go to designated medical institutions for medical treatment. If it is necessary to transfer medical treatment outside the city due to illness, the relevant examination and approval procedures shall be handled in the designated medical institutions with the right to transfer outside the city, and the medical insurance agency shall register before transferring to other places for medical treatment. The practice of social security transfer in different places is to enter the province first and then save. The maternity insurance fund for female employees returning to Liaoning will not be paid.
Changzhou labor resources social security bureau and bureau of finance
"Changzhou maternity insurance maternity medical expenses settlement method"
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Ordinary people's social development [2014] No.280
Article 4
Insured persons holding social security cards or medical insurance IC cards can enjoy direct settlement of reproductive health care in designated medical institutions.
Article 5
The insured person meets the requirements of prenatal medical expenses, and the medical insurance agency shall compensate according to the limit standard.
The maternity medical expenses of the insured who meet the requirements shall be paid by the maternity insurance fund. According to the mode of delivery, the type of operation and the level of designated medical institutions, the corresponding settlement amount is set (see Annex 2). After the designated medical institutions keep accounts, the medical insurance agencies shall settle accounts according to the quota standard. The expenses exceeding the prescribed scope and limit shall be paid by the individual in proportion and borne by the insured; If there are still unsettled expenses, except in special circumstances, they shall be borne by designated medical institutions in principle.
During the period of delivery hospitalization, the medical expenses incurred by the insured due to the diagnosis and treatment of eclampsia, intrahepatic cholestasis of pregnancy, amniotic fluid embolism, postpartum hemorrhage, postpartum acute renal failure, disseminated intravascular coagulation, puerperal infection, etc., in addition to the expenses that should be borne by the insured according to the regulations, shall be temporarily settled by the medical insurance agency according to the project.
Article 6
If it is really necessary for the insured to be referred to the hospital in the city due to illness, they must go through the relevant examination and approval procedures at the designated medical institutions and register with the medical insurance agencies. The transferred medical institutions must be designated medical institutions. After transferring out the designated medical institutions and paying the fees in cash, the insured unit shall, by virtue of the Changzhou Maternity Insurance Transfer Application Form and related materials, declare the maternity-related treatment to the medical insurance agency in accordance with the regulations. Maternity medical expenses transfer, the insured person directly credit card settlement, medical insurance agencies in accordance with the provisions of Article 5 of these measures to the designated medical institutions settlement transfer fees.
If the insured person needs to be transferred outside the city for medical treatment due to illness, the designated medical institution with the right to transfer outside the city shall go through the relevant examination and approval procedures and register with the medical insurance agency before being transferred to another place for medical treatment. After the personal cash advance of the medical expenses incurred by transferring out and transferring into designated medical institutions, the insured unit shall submit the maternity-related treatment to the medical insurance center in accordance with the provisions with the Changzhou Maternity Insurance Transfer Application Form and related materials.