How many caesarean sections can Guangzhou Social Security reimburse?

How much can Guangzhou maternity insurance report?

Guangzhou maternity insurance mainly includes family planning operation expenses and maternity medical expenses:

Family planning operation fee: the operation fee incurred by the insured workers in the designated medical institutions of maternity insurance or basic medical insurance in this city and approved to carry out family planning operations in different places in China.

Maternity medical expenses:

First, the insured workers for emergency (including childbirth, obstetric diseases, abortion) in non-selected hospitals belonging to the scope of maternity insurance payment of medical expenses;

B, approved in the territory of different birth or termination of pregnancy medical expenses;

C medical expenses incurred due to obstetric complications during maternity leave;

D other medical expenses that meet the requirements of maternity insurance;

E, prenatal examination fees.

Guangzhou maternity insurance reimbursement standard for common fertility operations;

1. Vaginal delivery: 3,450 yuan for the first-level hospital (2,600 yuan for hospitalization and 850 yuan for prenatal examination), 3,900 yuan for the second-level hospital (2,950 yuan for hospitalization and 950 yuan for prenatal examination) and 4,400 yuan for the third-level hospital (3,300 yuan for hospitalization and prenatal examination 1 100 yuan).

2. Cesarean section: 4950 yuan for the first-level hospital (hospitalization 4 100 yuan in 850 yuan), 5500 yuan for the second-level hospital (hospitalization 4,550 yuan in 950 yuan) and 6550 yuan for the third-level hospital (hospitalization 5,450 yuan, prenatal examination1kloc-0/00 yuan).

Maternity medical expenses:

Including medical expenses for fertility and family planning operations.

1. Maternity medical expenses: refers to the medical expenses incurred by female employees during pregnancy and childbirth, including prenatal examination expenses, termination of pregnancy expenses, delivery expenses, operation expenses, hospitalization expenses, medicine expenses, and pregnancy complications and complications diagnosis and treatment expenses. Prenatal check-up items shall be implemented in accordance with the Notice of guangdong provincial department of human resources and social security on the Prenatal Check-up Items of Maternity Insurance for Employees (Guangdong People's Social Regulations No.6). Prenatal check-up items are divided into routine items and reference items, and designated medical institutions can determine the check-up items and check-up times according to obstetric industry norms and the actual needs of the insured during pregnancy.

2. Medical expenses of family planning operation: including medical expenses incurred by workers in placing or taking out intrauterine devices, tubal ligation or recanalization, induced abortion, induced labor, etc.

In addition, maternity insurance, but also need to pay maternity allowance (that is, wages during maternity leave)

The calculation and publicity are: the average monthly salary of employees in the previous year ÷30× the specified number of vacation days.