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How to reimburse the employee's medical insurance pregnancy test fee?

I. reimbursement process

1. Let the insured person bring his ID card, medical insurance card and list of pregnancy examination expenses to the settlement window of the designated hospital for direct reimbursement.

2. After the staff reimbursement materials are reviewed, the reimbursement expenses will be transferred to the designated account according to the agreed matters, which also means that the reimbursement is completed.

Second, what can be reimbursed for pregnancy test expenses?

Pregnancy examination fees can be reimbursed for routine items and future reference items. As long as you meet this range, you can enjoy maternity reimbursement.

Routine items include urine routine, blood routine, prenatal examination, blood type, blood sugar, syphilis serological test, liver function, renal function, hepatitis B surface antigen, HIV screening, B-ultrasound, fetal heart monitoring and electrocardiogram.

Items for future reference include anti-D titer test (RH negative), vaginal secretion test, hemoglobin electrophoresis test, cervical exfoliative cytology test, thyroid function screening, cervical secretion Neisseria gonorrhoeae test, hepatitis C antibody test, serological screening of aneuploid mothers in the second trimester (15-20 weeks), and cervical secretion chlamydia trachomatis test.

Three, maternity insurance medical expenses reimbursement materials:

1. Check the original ID card (Hong Kong, Macao and Taiwan personnel provide passes and foreigners provide passports);

2. Original receipt of hospital charges (special receipt for medical expenses printed by the financial department or original invoice printed by the tax department) (if electronic invoices are provided, you need to download and fill in the Commitment on Reimbursement with Electronic Bills);

3. Original list of expenses (prenatal examination/hospital delivery);

4. The original discharge summary/discharge record (prenatal examination expense reimbursement/hospital delivery expense);

5. Check the original bank account of the insured (the financial social security card has been processed, and the default bank account; If not, provide my local bank account);

6. The original receipt of the commitment letter for maternity reimbursement (the proof materials that cannot be obtained through data sharing or other materials shall be filled in by myself).

legal ground

People's Republic of China (PRC) social insurance law

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.