1. The time limit for medical insurance reimbursement is within half a year from the date of birth, abortion, going to the ring and taking the ring, and the overdue treatment fund will not be paid.
2 where the birth, abortion, Sheung Wan, ring removal must be carried out in the designated hospital, otherwise the medical fund will not pay.
3. Quota standard: natural delivery (tertiary hospital): 2,000 yuan; Assist in delivery of 2500 yuan; Cesarean section: 4,000 yuan; Abortion less than 3 months: 500 yuan (excluding medical expenses and abortion will not be reimbursed); Induced labor for more than 3 months and less than 7 months: 1000 yuan; Induced labor for more than 7 months: 2,000 yuan; Sheung Wan and ring removal (including skin burial) 80 yuan.
4. None of the above expenses can be swiped by medical insurance card. Did not meet the quota standard, according to the actual cost reimbursement.
5. The spouse of a male worker is a rural registered permanent residence or an unemployed person in this city, and the maternity insurance is reimbursed with relevant certificates, and the standard is 50% of the maternity standard of a female worker.
6. Enjoy 90 days maternity allowance after delivery; The increase in dystocia is 15 days maternity allowance; For multiple births, the maternity allowance will be increased by 15 days for each additional baby.
7 pregnant within 3 months (including 3 months) abortion, enjoy 30 days maternity allowance.
8. Those who have been pregnant for more than 3 months and induced labor for less than 7 months are entitled to maternity allowance for 42 days.
9. If the labor is induced for more than 7 months (including 7 months), you can enjoy 90 days of maternity allowance. For female employees who meet the state regulations and enjoy maternity leave for 90 days or more, a one-time nutritional subsidy will be paid from the maternity insurance fund according to 3% of the average salary of local employees in the previous year.
10. Maternity reimbursement for female employees in different places shall be stipulated separately.
Xuzhou maternity insurance reimbursement application materials
1. Maternity reimbursement application materials (seven months after pregnancy and before delivery)
1. ID card;
2. Birth certificate (reproductive health certificate);
3. Unit certificate (family planning office, personnel department);
4. Perinatal care card.
2. Abortion reimbursement application materials (before abortion)
1. ID card;
2. Unit certificate (family planning office, personnel department);
3. Medical insurance records.
Three. Maternity reimbursement application materials
1. Letter of introduction for delivery;
2. Birth certificate (original);
3. Discharge record (original);
4. Unloading invoice (original).
Four. Application materials for abortion reimbursement
1. Letter of introduction for delivery;
2. Medical insurance medical records (original);
3. Invoice (original).
Five. Application materials for reimbursement of Sheung Wan and Ring (including skin burial)
1. ID card (copy);
2. Medical insurance medical records (original);
3. Invoice (original).
Matters needing attention in Xuzhou maternity insurance reimbursement standard: Please prepare the above materials yourself and submit them to the Hospital Family Planning Office on June 10-20 every month, and submit them to Xuzhou Medical Insurance Fund Management Center. After the audit by the financial department of the hospital, the expenses will be allocated after reimbursement.