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Hangzhou social security off-site birth reimbursement process

Legal subjectivity:

Generally, people who have paid the prescribed maternity insurance can enjoy normal maternity insurance if they give birth in different places. You need to go to the local social security bureau to get an application form for giving birth in different places, and prepare all materials and certificates according to the contents of the application form after approval. Declare within three months after the child is born. Several necessary documents: birth certificate, birth certificate, ID card, marriage certificate, diagnosis certificate and invoice during hospitalization. Conditions for reimbursement of maternity in different places: the insured person participates in maternity insurance according to regulations; The insured person has continuously paid maternity insurance premium 10 months or more. Information on reimbursement for childbirth in different places: medical insurance manual; Birth certificate; The baby's birth certificate; Hospitalization medical records; Diagnostic certificate; Detailed invoice of hospitalization expenses; Identity cards of both husband and wife. The reimbursement process of off-site birth: declaration-acceptance-review-payment. The social security Commissioner of the unit shall apply for reimbursement at the designated place with the required information, and truthfully fill in the medical expense reimbursement information registration form; The handling personnel shall accept the materials and examine whether the materials are complete and true; After the audit is correct, enter the information, sign and print the receipt; Within 0/5 working days after the declaration, the agency shall complete the audit and settlement of medical expenses; Transfer the reimbursement expenses to the passbook, UnionPay card or medical insurance personal account card provided by the insured through the bank; SMS informs the insured of the reimbursement expenses and the number of the expense bill. Extended data:

How much can the social security of different places be reimbursed? First, it is necessary to clearly understand whether the maternity social security in different places includes the reimbursement of maternity expenses, and some local maternity expenses are not covered by social security reimbursement. If a child is born in a different place within the scope of reimbursement, it is necessary to go through relevant procedures, and the expenses incurred can be reimbursed according to regulations after being approved by the local joint management office. The reimbursement ratio is directly consulted with the local social security management center, which varies from place to place. If the insured person is hospitalized in a different place, if it is an emergency, the individual will pay the medical expenses first. When leaving the hospital, I must bring my basic medical insurance certificate, my ID card, disease diagnosis certificate, discharge summary, official invoice of medical expenses and detailed list of medical expenses, and the record form of medical treatment in different places to the social security bureau (medical insurance unit) for reimbursement. Social security reimbursement is carried out in proportion, generally floating around 20-85%. The proportion and amount of reimbursement are related to their own examination and medication, medical level and other factors. For example, it is clear that Class A drugs can enjoy full coverage, Class C drugs need to bear all the costs, and Class B drugs will report 80% and bear 20% of the costs.