How much can I get reimbursed for an off-site birth?

The amount of expenses reimbursed for off-site maternity varies depending on the region and the status of insurance participation. In Dongguan City, Guangdong Province, for example, the specific standards are as follows:

For participants who have completed 12 months and have gone through the procedure of confirming their maternity medical treatment, the reimbursement will be capped at 60% of the actual settlement of the expenses if the delivery takes place at a non-scheduled medical institution in the city or at a medical institution outside the city. This means that social security will bear 60 percent of some of the medical costs.

However, the reimbursement policy will be adjusted if the enrollment period is less than 12 months or if the 12-month period has been completed but no confirmation of maternity insurance medical treatment has been made. In such cases, the reimbursement ceiling will drop to 50 percent of the settlement standard, regardless of whether the delivery takes place in a non-scheduled or out-of-town medical institution. This means that participants who do not fulfill the conditions may only be reimbursed a smaller amount of medical expenses.

The documents required for reimbursement include the hospitalization invoice from the hospital in the foreign location, a diagnostic certificate, a discharge summary, the child's birth medical certificate and the participant's ID card or social security card. Once you have all these documents ready, you can visit the social security department in Dongguan City to apply for reimbursement.

In short, the rate and conditions of reimbursement for off-site births in Dongguan City depend on the specific situation of the insured person, so make sure you follow the prescribed process and the required documents to get the maximum reimbursement support.