Wuhan Maternity Insurance Reimbursement Standard 2022

The reimbursement standard of maternity insurance in Wuhan should be analyzed in detail, because different levels of hospitals have different reimbursement standards. Taking natural childbirth as an example, the reimbursement standard for surgical expenses ranges from 2,500 yuan to 2,000 yuan. For outpatient induced abortion, the reimbursement standard for tertiary hospitals is 600 yuan, and that for primary hospitals is 450 yuan.

What is the reimbursement standard of maternity insurance in Wuhan?

1, prenatal examination. Payment standards are: level III hospital 5 15 yuan, level II hospital 5 15 yuan, and level I hospital 5 15 yuan.

2. Natural childbirth. The payment standard is: 2500 yuan for tertiary hospital, 2200 yuan for secondary hospital and 2000 yuan for primary hospital.

3. Help with delivery. The payment standard is: 2800 yuan for tertiary hospital, 2400 yuan for secondary hospital and 2 100 yuan for primary hospital.

4. caesarean section. Payment standard: 3,900 yuan for tertiary hospital, 3 100 yuan for secondary hospital and 2,600 yuan for primary hospital.

5. Midterm induced labor to terminate pregnancy. Payment standard: 2000 yuan for tertiary hospital, secondary hospital 1700 yuan and primary hospital 1400 yuan.

6. Hospital induced abortion. Payment standard: level III hospital 1500 yuan, level II hospital 1200 yuan, level I hospital 1000 yuan.

7. Outpatient induced abortion. Payment standards are: tertiary hospital 600 yuan, secondary hospital 500 yuan, and primary hospital 450 yuan.

What are the reimbursement conditions for maternity insurance in Wuhan?

Employees who enjoy maternity insurance benefits shall meet the following conditions:

1, the employer continues to pay for employees;

2, the employer for employees to pay for more than one year;

3. The employer continues to pay fees during the maternity period;

4, in line with national family planning standards and relevant regulations.

What is the reimbursement process of maternity insurance?

1, after a female worker is pregnant, has an abortion or has a family planning operation, the employing unit or the staff of the street or town labor security service station will bring the application materials to the maternity insurance window of the district social labor insurance for handling;

2, the staff to accept the examination and approval, issued a medical certificate;

3. Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance agency for treatment settlement;

4, workers accept the examination and approval, pay maternity medical expenses and maternity allowance.

There are many items that can be reimbursed by maternity insurance, including examination fees, operation fees, hospitalization fees and medicine fees. As a patient, we must keep all these original documents issued by the hospital. After submitting the relevant materials to the social security agency, the staff of the social security agency will reimburse them according to law.

Legal basis:

Article 54 of the Social Insurance Law: If the employer has paid maternity insurance premiums, its employees shall 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. "