Caesarean section reimbursement

Legal analysis: If you use employee medical insurance to reimburse, you can basically reimburse about 60% to 80% of the expenses. However, maternity insurance is included in the social security handled by employees, so maternity insurance is basically used for reimbursement, and if female employees give birth, maternity insurance can generally be reimbursed for more than 75%. If residents' medical insurance is used, 300 yuan will be given a fixed subsidy in the designated hospitals at the township level; In the designated hospitals at or above the county level, 450 yuan will be given a fixed subsidy. However, if it is a caesarean section, the general medical expenses can only be reimbursed if it exceeds 2,000, and between 2,000 and 7,000, it can be reimbursed by 45%; The part exceeding 7000 can be reimbursed by 65%. Maternity insurance benefits in China mainly include two items. One is maternity allowance, and the other is maternity medical care. Its purpose is to help working women recover their working ability and return to work by providing them with maternity allowance, medical services and maternity leave.

Workers should go to the designated medical institutions of maternity insurance for pregnancy diagnosis within 10 weeks after pregnancy, and issue a pregnancy diagnosis certificate. Within 10 days after the diagnosis, the insured workers stationed in different places for a long time should go through the registration formalities at the social security sub-center within 20 days after the pregnancy diagnosis in the local designated medical institutions.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Fifty-third employees should participate in maternity insurance, the employer should pay maternity insurance premiums in accordance with state regulations, and employees do not pay maternity insurance premiums.

Fifty-fourth employers have paid maternity insurance premiums, and their employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Fifty-fifth maternity medical expenses include the following:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.

Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.