Why is social security hospitalization insurance not reimbursed?

The reasons why social security hospitalization insurance is not reimbursed are as follows:

1, the hospitalization medical insurance for miscarriage prevention cannot be reimbursed, and its expenses are reimbursed in maternity insurance;

2. The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. Medical service fees and medicines exceeding the prescribed limits, including self-funded medicines and nutritional medicines, shall be borne by employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund, and the medical expenses for other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions of sick leave treatment and medical insurance treatment;

3. After a female worker gives birth or miscarries, she shall go through the formalities at the local social insurance agency with the family planning certificate issued by the local family planning department and the baby's birth, death or miscarriage certificate, and receive maternity allowance and reimbursement of maternity medical expenses.

legal ground

"Trial Measures for Maternity Insurance for Enterprise Employees"

Article 6 The maternity check-up fee, delivery fee, operation fee, hospitalization fee and medicine fee of female employees shall be paid by the maternity insurance fund. Medical service fees and medicines exceeding the prescribed limits, including self-funded medicines and nutritional medicines, shall be borne by employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund, and the medical expenses for other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits. Article 7 After giving birth or having an abortion, a female worker shall go through the formalities at the local social insurance agency with the family planning certificate issued by the local family planning department and the certificate of birth, death or abortion of the baby, receive the maternity allowance and reimburse the maternity medical expenses. Article 8 The social insurance agency affiliated to the labor department is responsible for raising, paying and managing the maternity insurance fund. The maternity insurance fund shall be deposited in the special account of the maternity insurance fund opened by the social insurance agency in the bank. Banks should bear interest at the interest rate of individual savings deposits of urban and rural residents in the same period, and the interest earned will be transferred to the maternity insurance fund. Ninth social insurance agencies can withdraw management fees from the maternity insurance fund, which can be used for personnel expenses, office expenses and other business expenses required for handling maternity insurance. Management fee standards, according to the staffing situation of local social insurance institutions, are proposed by the labor department, audited by the financial department and reported to the local people's government for approval. The extraction ratio of management fees shall not exceed 2% of the maternity insurance fund. Maternity insurance funds and management fees are not taxed or charged.