Job Recruitment Website - Social security inquiry - Can medical insurance reimburse hospitalization expenses for children born by flexible employees in Xuzhou?
Can medical insurance reimburse hospitalization expenses for children born by flexible employees in Xuzhou?
If you participate in social security as a flexible employee, maternity expenses are generally not reimbursed. After all, the social security of flexible employment usually only requires the insured to pay endowment insurance and medical insurance, but there is no maternity insurance, unemployment insurance and work-related injury insurance, so naturally there is no maternity insurance to reimburse when giving birth to a child.
Of course, although maternity expenses cannot be reimbursed by social security as flexible employees, part of the medical expenses of children during hospitalization can still be reimbursed by medical insurance because the insured still pays medical insurance.
If you want to reimburse maternity expenses, you'd better pay employee social security. After all, residents' social security only needs to pay pension insurance and medical insurance. Or pay social security through affiliated units, so that maternity insurance can also be paid and maternity expenses can also be reimbursed.
However, we also need to note that it is useless to pay maternity insurance if you want to reimburse the maternity expenses. Generally, there are certain requirements for the payment time of the insured, such as continuous payment for more than 6 months and so on.
Extended data:
Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. It is undertaken by the government and implemented and managed by economic, administrative and legal means.
Social medical insurance consists of basic medical insurance and large medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.
Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. [1] is undertaken by the government and enforced and managed by economic, administrative and legal means.
Social medical insurance consists of basic medical insurance and large medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.
Special diseases
Designated medical institutions shall submit the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.
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