How much can maternity medical insurance be reimbursed?

The proportion of maternity expenses that can be reimbursed by medical insurance is as follows:

1. Maternity insurance: more than 75% will be reimbursed.

2. Rural new rural cooperative medical system: natural delivery 1000 yuan, cesarean section 3000-4000 yuan.

3. Medical insurance for urban workers: 45% for reimbursement, 65% for more than 7,000 yuan.

4. Medical insurance for urban residents: 45% for reimbursement, 65% for more than 7,000 yuan.

5. The reimbursement rate of medical insurance hospitalization expenses: 90% for urban workers 1 level hospitals, 80% for level 2 hospitals and 70% for level 3 hospitals; 65% of urban residents; 27% of cooperative medical care 1 grade hospitals, 50% of grade 2 hospitals and 60-70% of grade 3 hospitals.

Medical insurance reimbursement process for childbirth:

1. The applicant applies on the official platform of social security insurance management;

2. Submit relevant medical expense vouchers, maternity service certificates and other materials;

3. The social security agency shall review the submitted materials;

4. After approval, the expenses shall be reimbursed according to relevant regulations;

5. If the audit fails, the materials shall be completed and resubmitted according to the notification requirements;

6. The social security agency shall re-examine the corrected materials;

7. After approval, the expenses shall be settled and paid.

To sum up, the proportion of expenses and reimbursement process for maternity who can enjoy medical insurance reimbursement are different. According to different types of medical insurance, the reimbursement rate ranges from 45% to more than 75%.

Legal basis:

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

Article 54

The employer has paid maternity insurance, and its employees 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.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Article 55

Maternity medical expenses include the following contents:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.