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Tianjin Maternity Insurance Reimbursement Standard 2023

Workers who meet the relevant provisions of family planning during their childbearing period can enjoy maternity insurance reimbursement. What is the reimbursement process of Tianjin maternity insurance? What are its conditions? Maternity insurance reimbursement requires female employees to register with the maternity insurance management center within 10 days of pregnancy and bring relevant materials to the maternity insurance management center after discharge. The following is information about Tianjin maternity insurance reimbursement process, Tianjin maternity insurance reimbursement conditions and so on.

Tianjin maternity insurance reimbursement materials

First, maternity expenses reimbursement materials

1, fill in the application form.

2. Marriage certificate

3. One-child certificate

4, discharge records

5, medication list

6. All invoices

1 prenatal examination fee

1) Registration fee receipt (stamp of maternity insurance);

2) Outpatient receipt "social security report" for verification (maternity insurance seal);

3) Details of outpatient expense mechanism.

Two outpatient medical bills

1) Registration fee receipt (stamp of maternity insurance);

2) Outpatient receipt "social security report" for verification (maternity insurance seal);

3) Outpatient expenses are itemized by machine;

4) outpatient family planning operation certificate;

5) prescription bottom couplet;

6) Copy of inspection report;

7) Copy of outpatient medical records.

3. Tickets for hospitalization medical expenses

1) Verification of Social Security Report for hospitalization medical expenses (maternity insurance stamp);

2) List of hospitalization expenses;

3) proof of maternal hospitalization operation, proof of family planning operation after hospitalization, and proof of diagnosis of complications of family planning operation;

4) Discharge summary (copy of discharge record, stamped with special seal of medical record department).

Second, the maternity allowance reimbursement materials

1, a copy of the baby's birth certificate;

2. A copy of the one-child certificate;

3. Operation Certificate (indicating the name of operation);

4. Discharge summary (copy of discharge record);

Reimbursement conditions of Tianjin maternity insurance

1. Female employees have paid maternity insurance for more than one year;

2. Male employees whose spouses have paid maternity insurance for more than one year during their childbirth, and their spouses must be rural hukou or people receiving unemployment insurance benefits;

3. The related reimbursement conforms to the relevant provisions of family planning.

Tianjin maternity insurance reimbursement standard

1, natural childbirth 1800 yuan;

2. Manual intervention in delivery 1900 yuan;

3, caesarean section without other surgery 3600 yuan;

4, caesarean section combined with hysteromyomectomy, ovarian cyst resection, hysterectomy, appendectomy 3800 yuan;

5, induced labor 1000 yuan;

6, high-risk induced abortion 600 yuan;

7. Abortion of 260 yuan;

8. Operation of placing (taking out) IUD 150 yuan;

9, female worker sterilization 1000 yuan;

10, male workers were sterilized in 600 yuan.

1 1, the pregnancy is insufficient 12 weeks, and the limit of prenatal examination fee is 100 yuan;

12, the limit of prenatal examination fee for termination of pregnancy was reduced from 12 weeks to less than 16 weeks 300 yuan;

13, the limit of prenatal examination fee for termination of pregnancy is from 16 weeks to less than 28 weeks, 500 yuan;

14, limit of prenatal examination fee for termination of pregnancy or delivery of 28 weeks, 800 yuan.

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