Beijing Maternity Insurance Reimbursement Standard

1. Maternity insurance reimbursement includes medical expenses and family planning procedures. Different regions have different regulations on reimbursement ratio. Generally, women's maternity insurance can be reported 75%, and men's maternity insurance can be reported 50%, which can only be reported to one party;

2. The standard of maternity allowance is generally the average monthly salary of employees in the previous year? 30? The prescribed number of holiday days;

3. One-time maternity allowance: 2,400 yuan for miscarriage in 400 yuan, 4,000 yuan for natural delivery, and 4,000 yuan for multiple births in dystocia, which is only enjoyed by the woman's maternity insurance.

Ps: The reimbursement level of maternity insurance is subject to the local social security policy, and the length of maternity leave is also affected by the management system of the employer.

Legal basis: Notice of Beijing Municipality on Relevant Issues Concerning the Adjustment of Maternity Insurance Policy for Employees in this Municipality.

Payment items and standards of medical expenses for maternity insurance for employees in Beijing

The first is to raise the payment standard of some medical expenses.

(a) in line with family planning regulations, the mid-term fixed payment standard for induced labor needs to be terminated due to maternal and child reasons. The third-level hospital will increase from 2,400 yuan to 2,800 yuan, the second-level hospital will increase from 2,300 yuan to 2,700 yuan, and the first-level hospital will increase from 2 100 yuan to 2,500 yuan.

(2) The fixed payment standard for natural childbirth: the third-level hospital will be raised from 2,000 yuan to 3,000 yuan, the second-level hospital will be raised from 1.900 yuan to 2,900 yuan, and the first-level hospital will be raised from 1.800 yuan to 2,700 yuan.

(3) The payment standard of manual intervention delivery quota: the third-level hospital will be raised from 2 100 yuan to 3,300 yuan, the second-level hospital will be raised from 2,000 yuan to 3,200 yuan, and the first-level hospital will be raised from 1900 yuan to 3,000 yuan.

Two, according to the project to adjust the payment standard and payment scope of some medical expenses.

(a) cesarean section combined with the implementation of a quota standard, 4400 yuan for tertiary hospitals, 4200 yuan for secondary hospitals and 3800 yuan for primary hospitals.

(two) when the amount of bleeding in hospital delivery is more than 500ml or the platelet count is less than 80,000 /mm3, the payment shall be adjusted according to the project.

Three, increase the payment standard of some medical expenses and the scope of payment according to the project.

(a) the insured workers before the implementation of family planning surgery, outpatient related inspection fees, according to the 300 yuan quota standard payment. If the actual expenditure is higher than the quota standard, it shall be paid according to the quota standard; If it is lower than the limit standard, it shall be paid according to the actual expenditure.

(two) increase puerperal infection items according to the scope of payment during hospital delivery.