What is the reimbursement standard for caesarean section?

Standard of reimbursement for caesarean section: The cost of caesarean section is usually more than 5,000 yuan. Partial reimbursement of medical insurance or new rural cooperative medical system. However, anesthesia and analgesic pump are not included in the reimbursement. The cost of cesarean section depends on the level of the hospital, and the price level, specific location, hospital and charging standard may be different in different regions. The normal situation of cesarean section in city hospitals is about 5000 yuan, and that in county hospitals is about 3000 yuan.

What is the reimbursement rate for the first child of caesarean section?

Reimbursement standard: 1, cesarean section/cesarean section abortion after 7 months of pregnancy: 3,000 yuan; 2. Delivery/abortion after 7 months of pregnancy: 2,000 yuan; 3. Pregnancy for more than 3 months but less than 7 months: l000 yuan; 4. Abortion within 3 months of pregnancy: 300 yuan; 5. Every extra baby born in multiple births: increase 400 yuan. Legal basis: Article 6 of the Trial Measures for Maternity Insurance for Enterprise Employees, the examination fee, delivery fee, operation fee, hospitalization fee and medicine fee of female employees shall be paid by the maternity insurance fund. The medical service fee and medicine fee (including self-funded medicine and nutritional medicine) exceeding the prescribed amount shall be borne by the employees themselves. 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.

How much can medical insurance caesarean section be reimbursed?

Reimbursement standard: (1) Production needs to be carried out in designated medical institutions, and there is a certain threshold for reimbursement of caesarean section. Generally from 2000 yuan, 45% for the part between 2000 and 7000 yuan, and 65% for the part above 7000 yuan. (2) In some areas, maternity reimbursement is a fixed standard, that is to say, the amount of reimbursement is fixed. The reimbursement standards vary from place to place.

Can ic expenses be reimbursed by medical insurance?

Can be reimbursed. First use medical insurance to reimburse, and deduct the rest from the deposit after deducting medical insurance reimbursement. However, ICU generally uses more imported drugs, that is, class C drugs, and social security is not reimbursed. No more than 50%, and imported drugs are not reimbursed. Remember to use social security medicine. Medical insurance can be reimbursed according to the agreed proportion as long as it is hospitalized. The expenses of ICU wards can be reimbursed by medical insurance, but generally only about 40%, and the drugs commonly used in ICU are expensive new drugs or imported drugs. This medical insurance is not reimbursed, so it is rarely reimbursed. If the patient gets better, he can be transferred to the general ward.

Resignation after maternity leave for reimbursement by caesarean section?

You can't reimburse after leaving your job, because social security will be cut off after leaving your job, and you must continue to pay social security before you can reimburse. In order to enjoy maternity-related reimbursement, two conditions must be met at the same time: first, the time for paying maternity insurance has accumulated for one year (slightly different in some areas); You must be on the job during childbirth and continue to pay maternity insurance premiums. Maternity allowance for female employees during maternity leave shall be paid by the maternity insurance fund according to the standard of the average monthly salary of employees in the previous year; Those who have not participated in maternity insurance shall be paid by the employer according to the wage standard of female employees before maternity leave. Medical expenses incurred by female workers in childbirth or abortion shall be paid by maternity insurance fund according to the items and standards stipulated in maternity insurance. Did not participate in maternity insurance, paid by the employer.

What is the reimbursement rate of medical insurance expenses in town hospitals?

The proportion of medical insurance reimbursement in the city is as follows: the proportion of medical insurance reimbursement for residents, the proportion of reimbursement for first-class hospitals is 65%, and the proportion of reimbursement for more than 6000 in secondary hospitals is 80%. The reimbursement rate of employees' medical insurance hospitalization is 85%, and the hospitalization expenses range from 1300 yuan to 30 thousand yuan; The reimbursement rate is 90% for 30,000-40,000 yuan, 95% for 4 4- 10/00,000 yuan and 85% for10-300,000 yuan.

To sum up, if caesarean section is medical insurance, the reimbursement rate is about 60% or 70%, if it is the new rural cooperative medical system. The conservative ratio should be. About forty percent. Therefore, the medical insurance and the new rural cooperative medical system in each region are also different.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 54

The employer has paid maternity insurance, and its employees 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. Maternity insurance benefits include maternity medical expenses and maternity allowance.

Article 55

Maternity medical expenses include the following items: (1) Maternity medical expenses; (two) family planning medical expenses; (3) Other project expenses stipulated by laws and regulations.