How much is Jinan maternity insurance reimbursement?

In Jinan, the reimbursement standard of maternity insurance must be analyzed according to the specific situation of pregnant women. For example, if the pregnancy is less than 4 months, the reimbursement standard is 300 yuan. In case of natural delivery, the reimbursement standard for delivery fee is 1600 yuan. If it is a caesarean section, the reimbursement fee is 3800 yuan. Other medical expenses reimbursement standards shall be implemented in accordance with the relevant provisions of local medical insurance.

1. How much is Jinan maternity insurance reimbursement?

The reimbursement standard of maternity insurance in Jinan should be analyzed in detail. If the employer pays the maternity insurance premium in full and on time, the medical expenses incurred by the female workers who meet the family planning policy, including prenatal examination fees, delivery fees, operation fees, hospitalization fees and medicine fees, shall be paid by the maternity insurance fund according to the following standards:

1, 300 yuan, who was pregnant for less than 4 months;

2. Natural delivery or induced labor for more than 4 months of pregnancy 1.600 yuan;

Vaginal surgery is 32,000 yuan;

Cesarean section is 43,800 yuan.

Eligible spouses of male workers enjoy maternity grants at 50% of the standard of maternity medical expenses.

Medical expenses for birth complications shall be reimbursed according to regulations. The scope of drug use, diagnosis and treatment items and standards of medical service facilities shall be implemented in accordance with the relevant provisions of this Municipality's basic medical insurance.

2. What is the reimbursement process of maternity insurance in Jinan?

1, receiving. The materials receiving post personnel of the Industrial Injury Maternity Insurance Department of the Municipal Social Security Bureau receive the maternity insurance reimbursement materials submitted by the applicant, check the authenticity, accuracy and completeness of the reimbursement materials, and review the payment and treatment enjoyment of the insured.

2. review. According to the requirements of the process, the staff of the first instance and review post of the industrial injury insurance department will conduct the first instance and review of the materials submitted by the applicant.

3. review. The medical insurance supervision department of the Municipal Social Security Bureau shall review and confirm the payment materials for maternity insurance benefits, and give settlement payment after it is correct. If in doubt, it will be returned to obstetrics for re-examination.

4. reconciliation. The Maternity Department of Work-related Injury settles the hospitalization expenses without doubt, and prints Jinan Maternity Insurance Treatment Statement, Jinan Maternity Insurance Complications Statement, Jinan Maternity Insurance Treatment Excess Record Form and Jinan Maternity Insurance Complications Excess Record Form.

5. Sign for approval. On the 20th of each month, the maternity insurance department for work-related injuries will submit the Overrecording Table of Maternity Insurance Benefits in Jinan, Overrecording Table of Maternity Insurance Complications in Jinan, Summary Table of Maternity Insurance Benefits in Jinan and Summary Table of Maternity Insurance Complications in Jinan to the competent director for approval, and then submit them to the fund management office, which will report them to the director for approval.

6. Payment of benefits. On the 20th of each month, the Fund Management Office rechecks and confirms the maternity insurance benefits and maternity insurance complications information from the 20th of last month to the 9th of this month/kloc-0, and checks them with the Jinan Maternity Insurance Benefits Overexpenditure Table, Jinan Maternity Insurance Complications Expense Overexpenditure Table, Jinan Maternity Insurance Benefits Summary Table and Jinan Maternity Insurance Complications Expense Summary Table submitted by the Maternity Office at Work Injury. If the data are consistent, the benefits will be distributed.

It is impossible for the legal system to stipulate in advance how much it costs for pregnant women to give birth in hospitals. As long as she gives birth in a designated hospital, hospitalization expenses, medicine expenses, surgery expenses and so on. During her stay in hospital, she can basically reimburse as much as she spends. The standard of receiving maternity allowance is paid according to the average monthly salary of employees in the previous year.