Job Recruitment Website - Social security inquiry - Can the social security card for pregnancy check be reimbursed?
Can the social security card for pregnancy check be reimbursed?
Maternity medical expenses include prenatal examination reimbursement and delivery reimbursement, but the overall reimbursement ratio of prenatal examination is not high. If the employer gives the employee maternity insurance, then the birth check-up can be reimbursed. A social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when pregnant and childbirth women workers stop working.
The reimbursement process for using social security cards is as follows:
1. First of all, when the insured person goes to see a doctor, he will write a prescription to pay the fee after seeing a doctor with a social security card. The insured person goes to the doctor with the registration form, and the doctor registers the insurance card at the registration office. After the insured person takes the prescription to the hospital settlement window for pricing, he can directly swipe the social security card to pay the medical expenses within the scope of the medical insurance fund. If some drugs in the prescription are not covered by the medical insurance fund, the insured person needs to pay cash;
2. After the insured is hospitalized, the deductible line of the overall fund is divided into three grades: tertiary hospital 1000 yuan, secondary hospital 600 yuan, and primary hospital 400 yuan. In a basic medical insurance settlement year, the medical expenses for multiple hospitalizations are calculated cumulatively. When discharged from a designated medical institution, the designated medical institution calculates the reimbursement amount and the amount that the individual should pay in accordance with relevant policies. The amount of reimbursement shall be settled by designated medical institutions and urban social insurance agencies, and the amount payable by individuals shall be settled by designated medical institutions and insured persons. The use of special medical materials or disposable medical materials with a unit price of more than 1000 yuan, as well as the installation and replacement of artificial organs, shall be paid by the basic medical insurance pooling fund at 90% of the domestic general price.
In summary, social security for pregnancy test can be reimbursed. Maternity medical expenses include prenatal examination reimbursement and delivery reimbursement, but the overall reimbursement ratio of prenatal examination is not high. If the employer gives the employee maternity insurance, then the birth check-up can be reimbursed.
Legal basis:
Article 55 of People's Republic of China (PRC) Social Insurance Law
Maternity medical expenses include the following contents:
(1) Maternity medical expenses;
(two) family planning medical expenses;
(3) Other project expenses stipulated by laws and regulations.
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