Can medical insurance for urban and rural residents be used for pregnancy?

Medical insurance for urban residents can be reimbursed for giving birth to children. The cost of giving birth includes the hospitalization fee for normal delivery and the cost of family planning operation. The medical expenses of hospital delivery are directly settled online through social security cards. The hospitalization expenses of pregnant women are generally reimbursed according to the relevant proportion.

What is the payment standard of critical illness insurance?

In an insurance year, the maximum payment limit of the overall fund is 30 thousand yuan. However, the compensation standard for serious illness insurance is 50% for reimbursement below RMB 6,543.8+0,000 (including RMB 6,543.8+0,000); 1 20,000 yuan (including 20,000 yuan) is partially reimbursed by 55%; 20,000 to 50,000 yuan (including 50,000 yuan) will be reimbursed by 60%.

The reimbursement of hospitalization expenses for children born by residents shall be handled according to the following procedures:

I or my family members bring my birth certificate, marriage certificate, diagnosis certificate and ID card to the medical unit of the Social Security Bureau to declare, and if they are hospitalized in China Hospital within the validity period of their medical insurance benefits and conform to the family planning policy, they can declare;

If you are not hospitalized within the scope, you need to review whether you meet the hospitalization conditions outside the county. If you meet them, you can declare;

After meeting the declaration conditions, the medical unit of the Social Security Bureau will receive the residents' hospitalization declaration form, which will take effect after being signed and sealed by the local community.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 28 of the Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 56

Workers 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. The maximum reimbursement amount of medical insurance for urban residents is generally 30 thousand yuan.