Can Guangzhou maternity insurance be reimbursed in different places?

Can Guangzhou maternity insurance be reimbursed in different places?

Can Guangzhou maternity insurance be reimbursed in different places? After delivery, the reimbursement procedures for maternity medical expenses are relatively simple. The unit manager or himself can prepare the required information and submit it to the social security agency for reimbursement. Can Guangzhou maternity insurance be reimbursed in different places?

Can Guangzhou maternity insurance be reimbursed in different places 1 Guangzhou maternity insurance can be reimbursed in different places.

Off-site reimbursement conditions

Maternity medical expenses incurred by employees seeking medical treatment in designated medical institutions in the insured places or in networked medical institutions in different places in Guangdong Province shall be settled directly with designated medical institutions by medical security agencies according to regulations.

note:

If the maternity medical expenses of employees cannot be directly settled, the maternity medical expenses shall be paid by the employees in advance, and within 3 years from the next day after delivery, termination of pregnancy or family planning operation, they shall apply to the medical security agency of the insured place for reimbursement or one-time maternity medical expenses subsidy, and the specific payment standard shall be stipulated by the prefecture-level listing.

Measures for reimbursement of maternity insurance outside Guangzhou Province

Method 1: If the insured person gives birth in a different place outside Guangzhou, he can go through the prenatal examination at the front desk of the medical institution for medical confirmation, and fill in "Giving birth in xx District (County), xx City, xx Province" in the remarks column;

Method 2: Prenatal examination and medical confirmation are carried out at the front desk of medical institutions, and medical insurance procedures in different places are also handled.

For example:

The insured Ms. Li needs to have a check-up in Guangzhou A Hospital and give birth in X Hospital in X City, Jiangxi Province. Then, when Ms. Li Can went through the medical confirmation formalities at the front desk of the hospital, she filled in the place of medical treatment in the application form, and the medical institution uploaded the information to the medical insurance center for processing.

Or Ms. Li Can also went to A Hospital for medical confirmation, and at the same time went to other places for medical treatment, and chose X City in Jiangxi Province as the place for medical treatment. After the treatment was completed, Ms. Li Can went through the reimbursement procedures for delivery expenses within the specified time after delivery.

Can Guangzhou maternity insurance be reimbursed in different places? 2 Guangzhou maternity insurance reimbursement conditions:

1. The employer has paid more than 1 year (excluding 1 year) for employees and continues to pay;

2, in line with national and provincial population and family planning laws and regulations;

3. Those who meet the reimbursement period of maternity insurance, that is, within 1 year after childbirth or termination of pregnancy, will not be accepted by social insurance institutions.

Maternity insurance reimbursement scope:

The reimbursement scope of maternity insurance mainly includes family planning operation expenses and maternity medical expenses. Details are as follows:

Family planning operation fee:

Insured workers in the city maternity insurance or basic medical insurance designated medical institutions, approved the implementation of family planning operations in different places in China.

The cost of surgery.

Maternity medical expenses:

1, medical expenses within the scope of maternity insurance incurred by insured employees in non-selected hospitals due to emergency (including childbirth, obstetric diseases and abortion);

2, approved in different places within the territory of birth or termination of pregnancy medical expenses;

3. Medical expenses incurred due to obstetric complications during maternity leave;

4 other medical expenses that meet the requirements of maternity insurance.

Can Guangzhou maternity insurance be reimbursed in different places? 3 Guangzhou maternity medical expenses reimbursement materials are as follows:

1. Application Form for Maternity Insurance Benefits of Guangzhou Employees (download blank form);

2. The special receipt for medical expenses printed by the financial department or the invoice printed by the tax department (stamped with the special seal for charging business of medical institutions);

3. Detailed summary of medical expenses (including project name, drug dosage form and dosage, specifications, project unit price, etc.). ); Stamped with the special seal for medical record management or business of medical institution);

4. Outpatient clinic should provide corresponding outpatient medical records, and keep a copy after the original verification; A discharge summary should be provided and stamped with the official seal or business seal of the medical institution.

5. If the unemployed spouse of the male worker fails to apply for medical confirmation, he/she shall also provide:

(1) marriage certificate (if you are registered to get married in this city, you can enjoy the information * * *, if you can't find it, check the original);

(2) Personal commitment of the unemployed spouse of male employees who did not participate in the basic medical insurance for employees or the basic medical insurance for urban and rural residents and enjoyed the relevant treatment (written commitment was made on the Guangzhou Maternity Insurance Application Form).

6. Medical insurance electronic certificate or valid identity documents or social security cards (if both the insured husband and wife are foreign nationals, valid passports or Hong Kong, Macao and Taiwan passes for both husband and wife can be provided, and a copy will be kept after the original verification);

7. Entrusting others: you need to provide a power of attorney (the content of entrustment can be stated in the application form), the client's social medical insurance certificate (social security card or medical insurance card) or ID card, and the client's ID card; Unit manager: provide the letter of introduction from the unit (just add the entrusted opinion in the unit/individual opinion column of the application form) and the ID card of the manager.

Note: the unit has written to Guangzhou Medical Insurance Center to explain that if the business is handled by the agent for a long time, it is only necessary to show the ID card of the agent when handling the business of the insured person of the unit.