What is the reimbursement rate of hospitalization medical insurance for giving birth to children?

The reimbursement standards for hospitalization medical insurance for children are as follows:

1, urban workers: 1 90% of grade hospitals, 80% of grade 2 hospitals and 70% of grade 3 hospitals;

2. Urban residents: the reimbursement rate is 65%;

3. Cooperative medical care: 1 hospital 27%, 2 hospitals 50%, 3 hospitals 60-70%.

Maternity medical expenses and maternity allowance:

1, maternity medical expenses. Maternity medical expenses refer to the examination fees, delivery fees, operation fees, hospitalization fees and medicine fees paid by the maternity insurance fund. The medical business expenses and medicine expenses that exceed the provisions 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 of sick leave treatment and medical insurance treatment;

2. Maternity allowance. Female employees shall enjoy maternity allowance according to law during maternity leave, which shall be calculated and paid by maternity insurance fund according to the average monthly salary of employees in the previous year.

To sum up, the medical insurance for giving birth to a child can be reimbursed, but only if the insurance premium is paid. The reimbursement of urban medical insurance for giving birth to children is generally 60%-80%.

Legal basis:

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.