Can Xiangyang urban residents' medical insurance reimburse maternity insurance?

No, only by paying maternity insurance can maternity insurance be reimbursed, and those who pay medical insurance for urban residents can only enjoy outpatient and inpatient medical treatment.

According to Article 15 of the Measures for the Municipal Overall Implementation of Work-related Injury Insurance and Maternity Insurance in Xiangyang City, the fund budget of work-related injury and maternity insurance includes: fund income budget and fund expenditure budget. Fund income mainly includes work-related injury, maternity insurance premium income, interest income, financial subsidy income, transfer income, higher-level subsidy income, lower-level solution income and other income; Fund expenditures mainly include work-related injuries, maternity insurance benefits, labor ability appraisal fees, medical expenses, transfer fees, subsidies to subordinates, superior expenditures and other expenditures.

According to the "Trial Measures for the Management of Basic Medical Insurance for Urban and Rural Residents in Xiangyang City", Chapter III Hospitalization Medical Insurance Treatment

Article 7 The settlement year of medical insurance expenses for urban and rural residents is 10 month/kloc-0 day to February/kloc-0 day.

Article 8 The medical insurance benefits for urban and rural residents shall be implemented in accordance with the Catalogue of Medicines for Urban Workers' Basic Medical Insurance and Work Injury Insurance in Hubei Province, the Scope of Diagnosis and Treatment Projects for Urban Workers' Basic Medical Insurance in Xiangfan City and the Scope of Medical Service Facilities and Payment Standards for Urban Workers' Basic Medical Insurance in Xiangfan City, among which the medical insurance benefits for people over the age of 18 who are insured according to the first-class payment standards shall be implemented in accordance with the Catalogue of Class A Medicines.

Ninth urban and rural insured residents can choose designated medical institutions for hospitalization due to illness, and the hospitalization expenses that meet the requirements of basic medical insurance are directly settled in designated medical institutions. At the time of settlement, the expenses borne by the individual shall be directly settled with the designated medical institution by the insured, and the rest shall be settled with the designated medical institution by the medical insurance agency.

Tenth urban and rural insured residents hospitalized in community health service institutions, first-class medical institutions and Huimin medical institutions Qifubiaozhun is 100 yuan; Two designated medical institutions Qifubiaozhun for 300 yuan; The qifubiaozhun for the first-class comprehensive medical institutions is 700 yuan, and the qifubiaozhun for other third-class medical institutions is 550 yuan. After referral, hospitalized in designated medical institutions outside the city, Qifubiaozhun 700 yuan.

A class of insured residents hospitalized in township hospitals, Qifubiaozhun for 50 yuan.

Two kinds of insured residents in a settlement year more than two times to the hospital at the same level, Qifubiaozhun halved; If a person who belongs to the "three noes" (no ability to work, no source of income, no provider or maintenance obligor) is hospitalized in Huimin medical institution, there is no deductible.

The outpatient and hospitalization expenses of the critically ill patients transferred after outpatient rescue can be combined and settled.

Article 11 When the insured residents with Class I financing standard are hospitalized in designated hospitals, if the medical expenses above Qifubiaozhun and below the maximum payment limit of the overall fund meet the requirements, the overall fund of township hospitals will pay 75% and the individual will pay 25%; Community health service institutions, first-class medical institutions and Huimin medical institutions form a unified fund to pay 60%, and individuals pay 40%; Two medical institutions to pay 50% of the overall fund, the individual pays 50%; Third-level medical institutions pay 40% from the overall fund and 60% from individuals; For medical treatment in different places, 40% of the hospitalization medical expenses that meet the reimbursement conditions shall be paid by the overall fund and 60% by individuals.

When the insured residents with the second-class financing standard are hospitalized in designated hospitals, if the medical expenses above Qifubiaozhun and below the maximum payment limit meet the requirements, the township hospitals, community health service institutions, first-class medical institutions and Huimin medical institutions will be paid 75% by the overall fund and 25% by individuals; Two medical institutions to pay 60% of the overall fund, the individual pays 40%; Three medical institutions to pay 50% of the overall fund, the individual pays 50%. For medical treatment in different places, 50% of the hospitalization expenses that meet the reimbursement conditions shall be paid by the overall fund.

Twelfth in a settlement year, the maximum amount of medical expenses paid by the inpatient and outpatient serious illness pooling fund is 40 thousand yuan for the insured with the first payment standard and 80 thousand yuan for the insured with the second payment standard.

Chapter IV Outpatient Medical Insurance Benefits

Thirteenth a class of insured persons to implement outpatient family account mode. Outpatient treatment fees are included in the outpatient family account (bookkeeping) according to the standard of 20 yuan per person per year, and the outpatient fixed-point management is implemented. Family account Fund will only be used for medical treatment in the medical institution you choose. In a settlement year, the maximum amount of reimbursement for medical expenses of general outpatient clinics for each household is the total amount of outpatient family account, and the balance at the end of the year can be carried forward to the next year. The annual balance shall not offset the fees payable by individuals in the next year.

Fourteenth two types of insured persons from the basic medical insurance fund in accordance with the standard of 30 yuan per person per year to extract outpatient co-ordination fund, used to solve the outpatient treatment of urban residents. In a settlement year, the outpatient medical expenses incurred by the insured in the selected hospital in accordance with the provisions of the scope of medical insurance payment, the cumulative amount of which exceeds that of 50 yuan and is less than that of 400 yuan, will be reimbursed by the outpatient pooling fund by 40%, and the cumulative amount of which is less than that of 50 yuan and more than that of 400 yuan will be paid by individuals.

Fifteenth urban and rural residents basic medical insurance participants suffering from malignant tumor, chronic renal failure (uremia), anti-rejection treatment after organ transplantation, aplastic anemia, hemophilia, systemic lupus erythematosus, can enjoy serious illness outpatient medical treatment. The declaration, quota standard and management measures of outpatient medical treatment for serious illness are the same as those of basic medical insurance for urban workers. Among them, in a settlement year, the expenses that meet the requirements within the limit shall be paid by the first-class insured person as a whole and 50% by the individual; The second type of insured pays 60% from the overall fund and 40% from the individual.

The monthly quota for outpatient serious illness treatment is: malignant tumor 300 yuan; Chronic renal failure (uremia) hemodialysis 3650 yuan (including 500 yuan), peritoneal dialysis 5000 yuan; Aplastic anemia 300 yuan; Hemophilia 200 yuan; 200 yuan of systemic lupus erythematosus; Anti-rejection therapy after organ transplantation depends on the condition. At the same time, for two or more serious outpatient diseases, the monthly quota standard is based on the disease quota with higher quota. For each additional disease, the monthly quota will be increased by 100 yuan, with the maximum not exceeding 500 yuan.