Can Tianjin maternity insurance be used in Beijing?

Those who are insured in Tianjin and give birth in other places and meet the reimbursement conditions can enjoy maternity insurance reimbursement.

Reimbursement conditions

Employees who enjoy maternity insurance benefits shall meet the following conditions:

(a) the employer shall participate in maternity insurance in accordance with the provisions and pay maternity insurance premiums in full monthly;

(two) the birth or implementation of family planning surgery in line with the provisions of the state and the city's family planning.

Reimbursement materials

1. Original and photocopy of medical insurance certificate for insured employees.

2. "Pregnancy Diagnosis Certificate" issued by designated medical institutions (stamped with the special seal for diagnosis certificate of medical institutions and special seal for maternity insurance).

3 pregnancy test sheet (stamped with the special seal for maternity insurance of medical institutions).

4 in line with the national family planning policy, provide the original and copy of the "birth service certificate" issued by the district and street family planning departments.

5. Original and photocopy of the agent's ID card.

Conditions for online reimbursement of maternity insurance for employees in Tianjin

Medical expenses for prenatal examination: the insured has registered for pregnancy.

Maternity medical expenses: maternity medical expenses for female employees who have registered pregnancy and participated in maternity insurance during childbirth.

Family planning operation fee: the insured has registered pregnancy, and the female employees who participate in maternity insurance have family planning operation fee during their childbirth.

Handling materials

Social security card.

Treatment process

Medical expenses for prenatal examination:

As long as the insured person carries the social security card to the hospital for an examination after pregnancy registration, the expenses incurred can be directly settled online.

Maternity medical expenses and family planning operation expenses:

The insured person only pays the expenses that the individual should bear, and other hospitalization expenses are settled by the social security center and designated hospitals.

Reimbursement conditions of maternity insurance for Tianjin residents

Medical expenses for prenatal examination: the insured has registered for medical treatment.

Maternity medical expenses: the insured person has registered to benefit, and the maternity medical expenses of residents who participated in maternity insurance during childbirth.

Cost of family planning operation: the insured person has registered for medical treatment, and the cost of family planning operation for residents who participated in maternity insurance during childbirth.

Handling materials

Medical expenses for prenatal examination:

1. Copy of my social security card;

2 prenatal medical bills and details.

Maternity medical expenses:

1. Copy of my social security card;

Two copies of medical diagnosis certificate, birth medical certificate and discharge record;

3 maternity medical bills and details.

Family planning operation fee:

1. Copy of my social security card;

2. Medical diagnosis certificate;

3. Medical bills and details of family planning operation;

4. If the recanalization operation is implemented after sterilization, a copy of the certificate issued by the county family planning department in line with the family planning policy shall be provided.

note:

① If the social security card has not been received or handled, a copy of the ID card shall be provided;

(2) A copy of the agent's ID card is required for agent reimbursement;

(3) The diagnosis certificate shall be stamped with the special seal for diagnosis certificate, and the discharge record shall be stamped with the special seal for medical record management.

Treatment process

first step

Be audited.

Urban and rural residents who are insured by family or administrative village organizations declare and pay medical expenses at their community workstations or township (street) labor service centers;

Second step

Payment of expenses.

The medical insurance agency will transfer the amount payable to the bank account of the resident social security card on a monthly basis.

Note: If the social security card has not been obtained, a settlement account shall be opened at the same time when the declaration procedures for medical expenses paid in advance are handled.

Prepaid reimbursement conditions for college students' maternity in Tianjin

Medical expenses for prenatal examination: the insured has registered for medical treatment.

Maternity medical expenses: the insured person has registered to benefit, and the maternity medical expenses of residents who participated in maternity insurance during childbirth.

Cost of family planning operation: the insured person has registered for medical treatment, and the cost of family planning operation for residents who participated in maternity insurance during childbirth.

Handling materials

Medical expenses for prenatal examination:

1. Copy of my social security card;

2 prenatal medical bills and details.

Maternity medical expenses:

1. Copy of my social security card;

Two copies of medical diagnosis certificate, birth medical certificate and discharge record;

3 maternity medical bills and details.

Family planning operation fee:

1. Copy of my social security card;

2. Medical diagnosis certificate;

3. Medical bills and details of family planning operation;

4. If the recanalization operation is implemented after sterilization, a copy of the certificate issued by the county family planning department in line with the family planning policy shall be provided.

note:

① If the social security card has not been received or handled, a copy of the ID card shall be provided;

(2) A copy of the agent's ID card is required for agent reimbursement;

(3) The diagnosis certificate shall be stamped with the special seal for diagnosis certificate, and the discharge record shall be stamped with the special seal for medical record management.

Treatment process

first step

Be audited.

Students who participate in the enrollment organized by colleges and universities should report the medical expenses paid in advance to the local student medical insurance service center or school, and the student medical insurance service center or school is responsible for uniformly collecting certificates and related materials, inputting information to the local social security sub-center and submitting application materials.

Second step

Payment of expenses.

The medical insurance agency will transfer the payable amount to the student social security card bank account on a monthly basis.

Note: If the social security card has not been obtained, a settlement account shall be opened at the same time when the declaration procedures for medical expenses paid in advance are handled.