How much can the new rural cooperative medical system reimburse?

The new rural cooperative medical system maternity reimbursement amount is as follows:

1, reimbursement ratio of new rural cooperative medical system for cesarean section: reimbursement deductible line is 2000 yuan; 2,000 yuan and 7,000 yuan will be reimbursed at 65%.

2. The proportion of reimbursement for natural childbirth of the new rural cooperative medical system: those who are hospitalized in designated medical institutions at the township level will be given a fixed subsidy in 300 yuan within the price limit; Hospitalized in designated medical institutions at or above the county level, and the new rural cooperative medical system is in 450 yuan.

Maternity reimbursement conditions of the new rural cooperative medical system:

1. conforms to the family planning policy;

2. Participated in the new rural cooperative medical insurance;

3. Hospitalization and delivery in medical institutions that have obtained the Practice License for Maternal and Child Health Technical Services;

4 natural childbirth, you can enjoy normal natural childbirth free of charge in township medical and health institutions;

5. For caesarean section, the reimbursement threshold is 2,000 yuan, 45% for the part from 2,000 yuan to 7,000 yuan, and 65% for the part exceeding 7,000 yuan;

6. For natural childbirth, 300 yuan will be given a fixed subsidy within the hospitalization price limit of designated medical institutions at the township level, and 450 yuan New Rural Cooperative Medical System will be given a fixed subsidy for hospitalization in designated medical institutions at or above the county level;

7. When handling reimbursement procedures, you need to provide hospitalization documents, discharge certificates, birth certificates, social security cards, mother ID cards and other related materials;

8. Referral procedures are required for hospitalization in different places, and necessary materials such as corresponding referral certificates are provided.

To sum up, the maternity reimbursement amount of the new rural cooperative medical system is different according to different situations. For caesarean section, the reimbursement threshold is 2000 yuan, 45% of medical expenses between 2000 yuan and 7000 yuan, and 65% of those over 7000 yuan. Natural childbirth, hospitalization in township-level designated medical institutions can enjoy the fixed subsidy within the price limit of 300 yuan, and hospitalization in designated medical institutions at or above the county level can enjoy the fixed subsidy of the new rural cooperative medical system in 450 yuan. In addition, the maternity reimbursement conditions of the new rural cooperative medical system include meeting the family planning policy, participating in the new rural cooperative medical system, and giving birth in a medical institution that has obtained the practice license of maternal and child health technical services. Relevant materials are required for reimbursement procedures, and referral procedures are required for hospitalization in different places, and corresponding certificates and materials are required.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.