Job Recruitment Website - Social security inquiry - Is the inspection fee reimbursed by medical insurance or maternity insurance?

Is the inspection fee reimbursed by medical insurance or maternity insurance?

It can be reimbursed through medical insurance or maternity insurance.

First, medical insurance reimburses the cost of birth inspection.

For the insured who participate in the basic medical insurance, the cost of examination can be reimbursed through medical insurance to a certain extent. The specific reimbursement ratio and limit will vary according to different regions and policies. Generally speaking, medical insurance will pay part of the cost of inspection items, but it may not include all items. Therefore, when using the medical insurance card to pay the medical examination expenses, it is necessary to know the specific provisions of the local medical insurance policy to ensure maximum reimbursement.

Two, maternity insurance reimbursement of birth inspection costs

Maternity insurance is an insurance system specially set up for women to protect their rights and interests during childbirth. For women who participate in maternity insurance, the cost of maternity check-up can be reimbursed through maternity insurance. Maternity insurance usually covers the cost of birth check-up, including some items that are not reimbursed by medical insurance. Therefore, for eligible women, it may be a more appropriate choice to reimburse the cost of birth check-up through maternity insurance.

It should be noted that different regions and policies may have different reimbursement regulations for production inspection expenses. Therefore, it is suggested that the insured should consult the local social security department or relevant institutions in advance to understand the specific reimbursement policies and procedures when reimbursing the medical expenses.

In addition, in order to ensure the smooth reimbursement of medical examination expenses, the insured should also pay attention to keeping relevant medical bills and supporting documents. These documents are indispensable evidence in the reimbursement process and can help the insured to get reimbursement smoothly.

To sum up:

The cost of birth check-up can be reimbursed through medical insurance or maternity insurance. The specific reimbursement method should be determined according to the insured's insurance type and local specific policies and regulations. In the process of reimbursement, the insured should know the policies and procedures in advance, and keep relevant bills and supporting documents to ensure the smooth reimbursement.

Legal basis:

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

Article 27 provides that:

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 54 provides that:

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.

Special provisions on labor protection for female workers

Article 8 provides that:

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.