Tianjin Maternity Insurance Reimbursement Process

Tianjin maternity insurance reimbursement process 1. Pregnant registered employees shall go to the designated medical institutions of Tianjin maternity insurance for pregnancy diagnosis and issue pregnancy certificates within 10 weeks of pregnancy, and register at the maternity insurance management center on 10 days. 2. Submitting materials Employees shall submit medical insurance certificates, pregnancy diagnosis certificates, pregnancy test sheets, birth certificates and other materials to the maternity insurance management center. 3. On the day of birth, employees registered in the hospital need to register in the hospital. During the period of hospitalization, employees should submit relevant materials to the maternity insurance management center for childbirth or termination of pregnancy, abortion and induced labor. 4. After the reimbursement materials are submitted to the maternity insurance management center, the maternity insurance reimbursement can be carried out after the materials are approved.

Legal objectivity:

Maternityinsurance is a social insurance system that the state and society provide medical services, maternity allowance and maternity leave when pregnant and childbirth female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers. Maternity insurance benefits in China mainly include two items. One is maternity allowance, and the other is maternity medical care. The Measures for Maternity Insurance in Ministry of Human Resources and Social Security (Draft for Comment) has been open to the public for comments since 2012165438+10. The opinion draft makes it clear that maternity insurance benefits will no longer be limited to household registration, and units that do not pay maternity insurance must pay maternity fees. Tianjin maternity insurance reimbursement process: 1. Materials to be submitted for reimbursement of maternity expenses in Tianjin: 1, application form 2, marriage certificate 3, one-child certificate 4, discharge record 5, medication list 6 and all invoices 7. The medical insurance center's application report for permission to leave Nanjing to give birth needs to be provided separately: if the spouse of a male employee gives birth, if the spouse is a rural hukou, the unemployed person needs to provide an employment registration certificate. Materials to be submitted for medical expenses reimbursement of family planning operations such as IUD placement (removal), abortion, induced labor, childbirth, recanalization, etc.: 1, marriage certificate 2, medical record 3, double prescription 4, invoice. All copies of the above materials should be printed on A4 paper. After the above materials are prepared, submit them to the Medical Maternity Treatment Audit Department (Social Security Bureau) for reimbursement of 3,000 yuan for natural childbirth and artificial midwifery. The limit of prenatal examination fee for female employees who are less than 12 weeks pregnant is raised from 100 yuan to 400 yuan; /kloc-the limit of prenatal examination fee for pregnant women who are less than 0/2 weeks old 16 weeks old is raised from 300 yuan to 600 yuan; /kloc-the limit of prenatal examination fee for termination of pregnancy from 0/6 weeks to less than 28 weeks is increased from 500 yuan to 800 yuan; After 28 weeks, the limit of prenatal examination fee for termination of pregnancy or delivery was increased from 800 yuan to 1 100 yuan. 2, improve the natural delivery, artificial intervention delivery quota payment standard. Increase the fixed payment standard for natural childbirth from 1800 yuan to 3,000 yuan; Manual intervention in delivery increased from 1900 yuan to 3 100 yuan. 3. Improve the payment standard of induced labor quota. Increase the payment standard of induced labor quota from 1.000 yuan to secondary hospitals 1.300 yuan and tertiary hospitals 1.600 yuan. 4. Improve the fixed payment standard for IUD placement (removal). The fixed payment standard for placing (taking out) IUD has been raised from 150 yuan to 200 yuan, and the payment standard for replacing IUD has been raised from 225 yuan to 325 yuan, which means that the reimbursement for prenatal examination and natural delivery has been raised, natural delivery has been raised to 3,000 yuan, while caesarean section has remained unchanged at 3,600 yuan. It seems to be to encourage natural delivery.