The process of maternity reimbursement under urban and rural residents’ medical insurance is as follows:
1. The insured person shall pay the hospitalization deposit first and then be hospitalized based on his or her ID card and the doctor’s admission arrangements;
2. When you are discharged, go to the hospital's hospitalization charge office to settle the fee;
3. Bring the hospitalization receipt, charge receipt, medical insurance card and ID card to the affiliated medical institution for reimbursement;
< p>4. For insured persons who comply with the national family planning policy, maternity medical expenses will be included in the payment scope of the medical insurance fund, and a fixed lump sum payment will be implemented;5. Those who use the medical insurance card to register for hospitalization will be settled directly at the hospital when they are discharged. Reimbursement;
6. If you need cash reimbursement, go to the county medical insurance office to apply for it;
7. If you have received maternity insurance maternity subsidy, the medical insurance fund will no longer pay.
Conditions for maternity reimbursement by urban and rural residents’ medical insurance:
1. Qualifications of insured persons: must be those who have participated in urban and rural residents’ medical insurance and successfully paid;
2. Reimbursement scope: According to local medical insurance policies, it usually includes the cost of maternity medical services, hospital delivery costs, etc.;
3. Reimbursement ratio: The reimbursement ratio may vary in different regions, and is generally in accordance with the policy. Reimbursement will be made in proportion;
4. Reimbursement limit: Maternity reimbursement usually has a certain cost limit, and the excess may need to be paid at your own expense;
5. Reimbursement materials: The materials required include ID cards , medical insurance card, discharge summary, expense list, invoice, etc.;
6. Reimbursement time: Reimbursement application usually needs to be completed within a certain period of time after giving birth, and the specific time is subject to the regulations of the local medical insurance bureau.
To sum up, the process of medical insurance maternity reimbursement for urban and rural residents includes steps such as payment of hospitalization deposit, cost settlement, reimbursement procedures, etc. Insured persons who comply with the national family planning policy can enjoy medical insurance fund payment and use medical insurance. If you register for hospitalization with a card, you can settle and reimburse directly at the hospital. If you need cash reimbursement, you need to go to the county or district medical insurance office. Those who have received maternity subsidies will no longer be eligible for payment from the medical insurance fund.
Legal basis:
"Social Insurance Law of the People's Republic of China"
Article 54
The employer has Employees who pay maternity insurance premiums will enjoy maternity insurance benefits; their unemployed spouses will enjoy maternity medical expense benefits in accordance with national regulations. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowances.