How much can maternity medical insurance be reimbursed?

The proportion of reimbursement for childbirth varies from place to place, as follows:

1, if it is necessary to use maternity insurance for reimbursement, the woman can quote 100%, but does not include drugs at her own expense;

2. If the woman has no maternity insurance and the man has maternity insurance, he can reimburse 50%-80% at his own expense.

The reimbursement of employees' medical insurance and residents' medical insurance is different, and the reimbursement amount is different due to different production methods. In addition, different levels of hospitals have different reimbursement quotas.

If you use employee medical insurance to reimburse, you can basically reimburse about 60% to 80% of the expenses. However, maternity insurance is included in the social security handled by employees, so it is basically reimbursed by maternity insurance. If female employees give birth, maternity insurance can generally be reimbursed by more than 75%.

If residents' medical insurance is used, 300 yuan will be given a fixed subsidy in the designated hospitals at the township level; In the designated hospitals at or above the county level, 450 yuan will be given a fixed subsidy. However, if it is a caesarean section, the general medical expenses can only be reimbursed if it exceeds 2,000, and between 2,000 and 7,000, it can be reimbursed by 45%; The part exceeding 7000 can be reimbursed by 65%.

Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC).

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. After payment, have the right to recover from the third party.