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Pregnancy check at your own expense or medical insurance card?

Legal analysis:

Pregnancy examination is not within the scope of serious illness as a whole, and it needs to be paid by maternity insurance after self-payment. The simple explanation is that all the examination fees during your pregnancy are paid in cash, and the liquid medicine is not reimbursed; The expenses during hospitalization can be discharged directly according to maternity insurance; After the production is completed, we will handle prenatal examination, maternity allowance and other matters together. There is essentially no difference between self-funded inspection and medical insurance card. If the amount in the medical insurance card is directly taken from the medical insurance card, if there is no amount, the invoice will have the medical insurance manual number, and you can submit an expense account with the invoice. The cost of birth check-up can be reimbursed in maternity insurance, but only if it is not paid by medical insurance card. If you pay with medical insurance, maternity insurance will not be reported. Social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, account capital expenditure and consumption are stored and recorded. Medical insurance card is a multifunctional bank debit card, which is undertaken by a local designated agent bank.

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Legal basis:

"Notice on Printing and Distributing the Interim Measures for the Administration of Designated Medical Institutions of Basic Medical Insurance for Urban Employees" Article 11 The social insurance agency shall sign an agreement with the designated medical institutions, including the service population, service scope, service content, service quality, medical expense settlement method, medical expense payment standard, medical expense audit control, etc., to clarify the responsibilities, rights and obligations of both parties. The validity period of the agreement is generally 1 year. If either party violates the agreement, the other party has the right to terminate the agreement, but it must notify the other party and the insured three months in advance and report to the administrative department of labor and social security in the overall planning area for the record.

Derivative problem:

Can I still reimburse my medical insurance card for my medical examination?

You can't use a medical insurance card for birth check-up. The coverage of basic medical insurance for enterprise employees is mainly the medical expenses incurred due to illness treatment. Obstetrics and Gynecology check-ups in hospitals are not covered by the basic medical insurance for enterprise employees, and the balance of personal account funds in social security cards can only cover the self-paid part of medical expenses within the scope of medical insurance. Maternity check-up fees for pregnant women should be included in the scope of payment of maternity insurance benefits. At present, the medical subsidy for maternity insurance is paid in a fixed amount when applying for maternity insurance benefits.