Longyan 10000 yuan caesarean section medical insurance can be reported?

I. Employees of government agencies and units

The maternity medical expenses of employees in government agencies and institutions shall be fixed. Husband and wife did not pay maternity insurance in other institutions, according to the quota of 50% to pay.

Lump sum quota standard:

① Natural childbirth: 1000 yuan,

② Cesarean section: 1800 yuan.

Second, enterprise employees.

Maternity insurance for enterprise employees includes maternity medical expenses and maternity allowance, as follows:

(a) prenatal examination fees in 600 yuan;

(2) production cost

During childbirth, if the delivery fee, operation fee, hospitalization fee and medicine fee meet the prescribed reimbursement scope, they shall be reimbursed within the limit standard according to the hospital level:

1 natural delivery limit:

① 3A hospitals 1300 yuan.

② Level II Hospital 1600 yuan.

③ tertiary hospital: 1900 yuan.

2 dystocia limit:

① 3,200 yuan for the top three hospitals.

② The secondary hospital is 3,900 yuan.

③ The tertiary hospital costs 4600 yuan.

On the basis of the highest standard, the medical expenses will increase by 1000 yuan for each additional baby of multiple births.

general clause

Extended data:

1, reproductive medical expenses

The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. Medical business expenses and medicine expenses (including self-funded drugs and nutritional drugs) exceeding the prescribed amount shall be borne by the employees themselves.

Article 53 of the Social Insurance Law stipulates: "Employees shall participate in maternity insurance, and employers shall pay maternity insurance premiums in accordance with state regulations, while employees shall not pay maternity insurance premiums." Article 54 of the Social Insurance Law stipulates: "If the employer has paid maternity insurance, its employees shall enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund. " The above provisions show that the scope of maternity insurance in China covers all employers and their employees, and extends to the unemployed spouses of employees of employers. However, the coverage of maternity insurance in different regions of China is also different, and the specific coverage is subject to the information published by the local human resources and social security bureau.

After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; The medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits.

2. Maternity allowance

Female employees shall enjoy maternity allowance according to law during maternity leave, which shall be calculated and paid by maternity insurance fund according to the average monthly salary of employees in the previous year.