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Is the second child who bought Shenzhen Social Security reimbursed?
Reimbursement conditions:
1, 18 years old, has not reached the statutory retirement age and has not been employed by the employer, and has participated in maternity medical insurance according to the provisions of the Measures of Shenzhen Municipality on Social Medical Insurance;
2. Enjoy maternity insurance benefits from the next month 1 day after going through the insurance formalities and paying maternity medical insurance premiums in full;
3. Complete birth registration or re-birth approval has been handled.
Expansive material
Maternity leave reimbursement guide
(1) Reimbursable expenses
The insured who has participated in maternity medical insurance can enjoy the treatment of maternity medical expenses, including:
1, the prenatal examination fee stipulated by the state and province;
2, the cost of termination of pregnancy;
3. Delivery fee, operation fee, hospitalization fee and medicine fee during delivery hospitalization;
4, pregnancy complications and complications of diagnosis and treatment costs;
5, family planning medical expenses, such as placing or taking out intrauterine devices, tubal ligation or recanalization surgery, induced abortion, induced labor and other medical expenses.
(2) reimbursement treatment
Medical expenses for childbirth:
(1) Prenatal check-up: 2,000 yuan will be paid in one lump sum for providing the baby's birth certificate, and the rest will be reviewed and reimbursed according to the pre-natal check-up items and expense standards stipulated by this Municipality, and the part exceeding 2,000 yuan will not be paid;
② Single child: 2,700 yuan;
③ Single-child dystocia (including cesarean section): 5,200 yuan;
④ Multiple births: On the basis of corresponding delivery standards, each additional birth will be increased by 1 1,000 yuan.
The cost of termination of pregnancy refers to the corresponding project standard of family planning.
Family planning medical expenses:
1. Placement and removal of IUD: 36 yuan per case, including IUD fee.
2. Abortion (uterine aspiration): RMB 102 per case.
3. Abortion (curettage): every case 180 yuan.
4. Induced labor in the second trimester: 600 yuan
5. Drug abortion: 96 yuan, including medical expenses.
6. Subcutaneous implantation: each case 1 15 yuan, including drug costs.
7. Tubal ligation: every case of 240 yuan, including hospitalization expenses.
8. Vasectomy: per case 120 yuan.
9. Tubal recanalization: 2400 yuan per case.
10. vasectomy: every case 1860 yuan.
If the family planning operation is paid by special financial funds, the maternity insurance fund will no longer pay.
(III) Reimbursement conditions
1, 18 years old, has not reached the statutory retirement age and has not been employed by the employer, and has participated in maternity medical insurance according to the provisions of the Measures of Shenzhen Municipality on Social Medical Insurance;
2. Enjoy maternity insurance benefits from the next month 1 day after going through the insurance formalities and paying maternity medical insurance premiums in full;
3. Complete birth registration or re-birth approval has been handled.
(IV) Reimbursement method
If it is in Shenzhen:
In the designated medical institutions for maternity medical expenses, the insured can settle the related maternity medical expenses through credit card bookkeeping, and directly enjoy maternity medical insurance benefits.
Don't forget to provide your own social security card when spending by credit card, you can directly reimburse it by credit card!
If it is outside Shenzhen:
In case of maternity medical expenses in designated medical institutions, the insured person needs to pay in advance and apply for reimbursement of maternity medical expenses outside the city within 1 year after delivery, termination of pregnancy or family planning operation.
Note: The prenatal examination fee shall be paid by the maternity medical insurance fund according to the regulations from the date of birth registration or re-birth approval for all employees.
Source:
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