According to the regulations of Xi municipal government, medical insurance and maternity insurance can cover hospitalization, outpatient service, prenatal examination, childbirth and other expenses, and some expenses can be reimbursed. The specific reimbursement ratio varies according to different situations. Generally speaking, medical insurance and maternity insurance can reimburse higher hospitalization delivery expenses and prenatal examination expenses. For example, the medical expenses of ordinary natural childbirth can be reimbursed by 70% for medical insurance and 85% for cesarean section; Medical insurance can reimburse 80% of the cost of prenatal examination. In addition, for some special circumstances, medical insurance can also give a higher amount of reimbursement. For example, high-risk pregnancy and multiple pregnancy, medical insurance can reimburse 100% of the prenatal diagnosis costs. It should be noted that there may be differences in medical insurance policies in different regions and different time periods. Therefore, when applying for reimbursement, it is recommended to inquire about relevant policies and reimbursement ratio in advance so as to handle business better.
What are the restrictions on medical insurance baby reimbursement? The restrictive conditions for reimbursement of medical insurance babies include: they must give birth within the validity period of maternity insurance; Must receive prenatal examination, childbirth and other services in designated medical institutions; Relevant receipts and supporting documents must be provided. In addition, the reimbursement rate of medical insurance babies may also be different due to factors such as individual contributions and total medical expenses.
Xi municipal government has made a series of regulations on medical insurance and maternity insurance, and its reimbursement ratio and restrictions must be observed. When handling business, it is recommended to inquire about relevant policies and requirements in advance so as to better apply and review. If you have any unclear questions, you can also consult relevant professionals.
Legal basis:
"Social Insurance Law of People's Republic of China (PRC)" Article 29 Units and employees participating in maternity insurance shall pay social insurance premiums in accordance with regulations. Insured persons shall enjoy maternity insurance benefits in accordance with regulations during the period of establishing legal labor relations or other legal labor relations.