Can maternity insurance be reimbursed for hospitalization during pregnancy?

Maternity insurance during pregnancy can be reimbursed.

Maternity insurance reimbursement includes the following contents:

1, maternity medical expenses, medical expenses incurred by female employees during pregnancy, childbirth or termination of pregnancy;

2. Maternity allowance. Female employees enjoy maternity allowance during maternity leave. Maternity allowance is based on the average monthly salary of employees in the last year as a whole, and is calculated and paid in accordance with the provisions of maternity leave. If the maternity allowance is lower than my salary standard, it shall be supplemented by the employer;

3, one-time maternity nutrition subsidies, according to a certain proportion of the average monthly salary of employees in the overall planning area. The specific proportion is determined by the people's government of the overall planning area;

4, the cost of family planning operation, including the medical expenses incurred by workers for placing or taking out intrauterine devices, abortion, induced labor, sterilization, recanalization;

5. The holiday allowance for male employees, and the nursing holiday allowance enjoyed by the insured male employees according to the regulations, shall be calculated and paid according to the stipulated holiday time based on the average monthly salary of employees in the last year as a whole.

The process of maternity insurance is as follows:

1. Before enjoying the maternity allowance, the company needs to apply for maternity insurance for you, and it needs to prepare three forms, namely, the summary of the application for basic pension, work injury and maternity insurance for enterprise employees, the social security registration form, and the increase or decrease of pension, work and maternity insurance personnel. These three forms are compiled by enterprises;

2, by the unit with the three forms to the social labor insurance department to declare, the labor insurance department accepted, the two forms will be returned after the seal;

3, wait until next month, the unit can pay the maternity insurance premium to the new employees normally, which should be paid by the tax department;

4. Handling medical certificates: After pregnancy, the employer will bring relevant materials to the social labor insurance department for handling;

5. After giving birth to a child, the female employee shall submit materials to the social labor insurance department for insurance payment before the maternity leave exceeds 30 days (pay attention to the time, it will be more troublesome to handle it after the deadline);

6. The materials of insurance payment mainly include: maternity information, identity certificate information, birth certificate, hospital diagnosis certificate, medical settlement list, etc.

7, to be audited, according to the application form of maternity insurance for employees of urban enterprises;

8. After being approved by the social labor insurance department, you can bring relevant documents to the social security department to receive maternity insurance reimbursement.

To sum up, hospitalization can be reimbursed in maternity insurance, provided that you need to participate in maternity insurance. After leaving the hospital, the inpatient department will issue a list of expenses after checking out, take this list and the materials copied in the ward to the medical insurance center, and receive a phone call from the medical insurance center. After getting the bill, they will go to the inpatient department to check out again, deduct the reimbursement from the original hospitalization deposit and return it to the inpatients together with the balance of hospitalization expenses, and the hospitalization reimbursement will end here.

Legal basis:

Article 56 of People's Republic of China (PRC) Social Insurance Law

Workers in any of the following circumstances can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.