What is the proportion of reimbursement for maternity in rural medical insurance?

The reimbursement rate of the new rural cooperative medical system for giving birth to children is caesarean section, and the reimbursement threshold is 2000 yuan; 2000 yuan ≤7000 yuan for medical expenses, 45% for reimbursement; 7000 medical expenses will be reimbursed 65%.

The reimbursement rate of the new rural cooperative medical system for giving birth to children is caesarean section, and the reimbursement threshold is 2000 yuan; 2000 yuan ≤7000 yuan for medical expenses, 45% for reimbursement; 7000 medical expenses will be reimbursed 65%. Proportion of reimbursement for natural childbirth of the new rural cooperative medical system: those who are hospitalized in designated medical institutions at the township level will be given a fixed subsidy in 300 yuan within the price limit; Hospitalized in designated medical institutions at or above the county level, and the new rural cooperative medical system is in 450 yuan.

Reimbursement conditions of new rural cooperative medical system

1. If the child is born within the validity period of the new rural cooperative medical system, the new rural cooperative medical system will be insured once a year, and the child can only be reimbursed if he is insured within one year. If he insured last year and didn't participate this year, the children born this year will not be reimbursed.

You must have a birth certificate.

For the reimbursement of the new rural cooperative medical system for giving birth to children, the standards vary from place to place. You can call the service hotline of the local social security bureau or call the relevant telephone number for consultation.

The reimbursement process of children born under the new rural cooperative medical system

1, go to the hospital's new rural cooperative medical system window for filing, and submit an expense account to the hospital's new rural cooperative medical system window with the hospitalization bill, discharge certificate, birth certificate, social security card and mother's ID card after discharge;

2. If you are hospitalized in a different place, you must go through the referral procedures within 3 days before hospitalization or after hospitalization, and go through the referral procedures at the new rural cooperative medical service agency with the referral certificate from the transferred hospital or the hospitalization certificate from the hospital outside the county, the cooperative medical service certificate, the mother's ID card and the birth certificate. If you live or work in a different place, you can call the new rural cooperative medical system for the record. After discharge, you should hold a copy of medical records, summary list, hospitalization documents, discharge certificate, referral certificate (work or residence certificate) and.

To sum up, it is Bian Xiao's relevant answer about the proportion of maternity reimbursement in rural medical insurance, hoping to help you.

legal ground

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

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.