How much maternity medical insurance can be reimbursed by caesarean section?

10000 yuan How much can medical insurance for caesarean section be reported?

Medical insurance generally refers to medical insurance, which can be divided into basic medical insurance for urban residents and basic medical insurance for employees according to different types of policyholders. Under normal circumstances, the reimbursement rate of basic medical insurance for urban residents is slightly lower than that of basic medical insurance for employees. For more information, please refer to the following instructions:

I. Reimbursement expenses of basic medical insurance for urban residents

1. The deductible line for reimbursement of basic medical insurance for urban residents is 2000 yuan, whether it is a natural delivery or a caesarean section, that is to say, the expense exceeds 2000 yuan.

2. If the medical expenses incurred during childbirth exceed 2,000 yuan but are less than 7,000 yuan, they shall be reimbursed according to the proportion of 45%.

3. If the medical expenses incurred during childbirth exceed 7,000 yuan, they shall be reimbursed according to 65%. If the cost of caesarean section 10000 yuan, you can reimburse 6500 yuan according to the proportion of 65%, and only need to pay 3500 yuan.

Two, employee basic medical insurance reimbursement expenses

1. The proportion of employees' basic medical insurance reimbursement for production medical expenses is usually between 60% and 80%.

2. Employees can also enjoy maternity insurance, mainly including maternity medical insurance and maternity allowance. Generally, the reimbursement rate of maternity medical insurance is above 75%, that is, after the caesarean section cost of 1 10,000 yuan is reimbursed through maternity insurance, they only need to pay about 2,500 yuan.

In addition, female workers can also enjoy maternity allowance. At present, those who have participated in maternity insurance are paid monthly by the unit according to the average monthly salary of employees in the previous year, and then allocated to the employer by the medical security agency according to regulations.