Regarding the reimbursement process and reimbursement standards of Nanchang prenatal care insurance, many people have been confused recently and have been consulting me. Today I have sorted out the following content on this issue, hoping to help you answer your questions.
1. After the insured residents are diagnosed with pregnancy, they should take their social security cards to the designated medical institutions at the grassroots level for pregnancy examination and registration; the insured residents need to undergo early pregnancy examinations and registration, prenatal examinations, postpartum visits, etc. that occur at the designated medical institutions at the grassroots level due to childbirth needs.
Medical expenses that meet the regulations will be paid by the general outpatient overall fund in accordance with regulations; 2. When giving birth, go to the selected designated medical institution with your ID card and social security card to go through the birth hospitalization registration procedures; 3. Hospitalization of insured residents who comply with the family planning policy
Medical expenses within the scope of the policy for childbirth are paid by the Urban and Rural Resident Basic Medical Insurance Hospital Coordination Fund, and a maximum payment limit is set. The specific standards are: 1,000 yuan for a single natural birth, 1,500 yuan for multiple births, and 2,000 yuan for a single caesarean section.
Multiple caesarean section costs 2,500 yuan.
Compliant hospitalization medical expenses due to ectopic pregnancy, pathological pregnancy, postpartum complications, etc. are paid from the hospitalization pooling fund and are settled immediately, with individuals paying their share.