Can baby social security reimburse birth expenses?

1. Newborn medical insurance can be reimbursed, but it must be the expenses incurred during the hospitalization of newborns. If the newborn is not hospitalized due to illness, it cannot enjoy the corresponding reimbursement. You need to settle the hospitalization expenses first, and then go to the social security center for reimbursement after the newborn medical insurance card is processed.

2. How to reimburse newborn medical insurance?

1. After successful enrollment, the Social Security Bureau will make an exclusive social security card for children, and parents will collect it at the Social Security Bureau window 15 working days after successful payment.

2. After receiving the social security card, parents can take the social security card, the original medical invoice and other materials to the hospital where the child was born to re-settle, and then complete the reimbursement.

In order to get more newborns treated in time, the Human Resources and Social Security Bureau stipulates that newborns can be treated first within 3 months after birth, and then they can apply for medical insurance, and the expenses incurred in previous hospitalization can also be reimbursed. If a newborn mother or father participates in the local medical insurance for urban and rural residents, he can enjoy the medical insurance benefits for urban and rural residents in the year of birth as a mother or father with the identity certificate of the mother or father and the medical certificate of birth of the newborn.

Three. Information to be prepared for reimbursement

Including: insurance application form, hospitalization list and payment invoice, copy of birth medical certificate, copy of household registration book, list of doctor's orders stamped with the official seal of the hospital, etc.

Four. Proportion of reimbursement for children's medical insurance

For those who have insured children's medical insurance, it is very necessary to clearly understand the proportion of outpatient reimbursement of children's medical insurance, which is conducive to insurance reimbursement. The outpatient reimbursement of general children's medical insurance includes hospitalization reimbursement, outpatient special disease reimbursement and outpatient emergency reimbursement.

1, hospitalization reimbursement. Within one year, the first-class hospital (community health service center) will not set the deductible line for hospitalization medical expenses below 6.5438+0.8 million yuan, and will be reimbursed 65%; 300 yuan, the deductible line of the secondary hospital, reimbursed 60%; 500 yuan, the deductible line of tertiary hospital, will be reimbursed by 55%.

2, outpatient special disease reimbursement. The deductible line for outpatient special diseases within one year is 300 yuan, and the highest payment limit and reimbursement ratio are implemented according to the hospitalization reimbursement standard.

3. Emergency reimbursement. Within one year, the deductible line of emergency medical expenses in first-class hospitals (including community health service centers) is 800 yuan, with the maximum payment limit of 3000 yuan and 30% subsidy.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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

Article 53. Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, and employees shall not pay maternity insurance premiums.

Fifty-fourth, the employer has paid maternity insurance, its employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Article 55

Maternity medical expenses include the following contents:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.