Can medical insurance reimburse hospitalization insurance expenses?

Medical insurance can't reimburse hospitalization expenses.

Its expenses are reimbursed in maternity insurance, and the medical service fees and medicine fees that exceed the provisions shall be borne by the employees themselves. Maternity insurance is a social insurance system that the state and society provide medical services, maternity allowance and maternity leave for female workers who are pregnant and give birth through legislation.

Legal basis: Article 6 of the Trial Measures for Maternity Insurance for Enterprise Employees stipulates that 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.

Reimbursement scope of employee medical insurance

1. Outpatient and emergency expenses: This expense means that you can only take insurance in designated hospitals, and this expense does not include registration fees, outpatient fees, case fees and medical examination fees.

2. Purchasing drugs at designated pharmacies: This fee refers to purchasing drugs at designated medical insurance pharmacies, and the drugs that can be reimbursed can only belong to the drugs specified in the basic medical insurance drug list.

3. Emergency rescue hospitalization expenses: Emergency rescue hospitalization expenses can be reimbursed, but only expenses within 7 days of hospitalization observation can be reimbursed.