Job Recruitment Website - Social security inquiry - What procedures does abortion require to reimburse medical insurance?
What procedures does abortion require to reimburse medical insurance?
1. Original fee receipt (original 1 copy);
II. Detailed list of expenses (original 1 copy);
III. Identity card of the insured (copy 1, original inspection); If entrusting others to act as agents, the ID card of the agent shall be provided (1 copy, with the original inspection);
IV. The social security card of the insured (copy 1, original inspection);
5. Bank passbook or bank card of the insured (copy 1, original inspection).
Off-site reimbursement
1, social security card;
2. Valid identity documents such as ID cards;
3. Original vouchers of medical expenses;
4. Expense summary list;
5. Medical insurance for medical treatment in different places;
6. Other required information.
Abortion reimbursement can be reported in two parts.
(a), fill in the "fertility handbook reimbursement form" to take the medical insurance part, in two cases:
1. If you have maternity insurance, you should submit your social security card or blueprint when you are hospitalized and pay the hospitalization deposit in advance. When you leave the hospital, the expenses collected by medical insurance will be collected directly by medical insurance, and individuals only need to pay the expenses they need to pay. Generally, induced abortion only reimburses the operation fee.
2. I have maternity insurance, and I didn't submit the blueprint and social security card when I was hospitalized. After I need to pay all the expenses in advance, the company will go to Social Security to reimburse the expenses manually. Only the expenses of family planning surgery can be reimbursed, and other outpatient expenses cannot be reimbursed, so I can only report to 960 yuan at most.
(two), with the relevant documents to fill in the birth form one or two to apply for maternity allowance.
The following are the payment dates:
1, maternity leave for female employees who are pregnant 12 weeks (including abortion) is 15 days;
2,/kloc-more than 0/2 weeks, 16 weeks (inclusive) abortion maternity leave is 30 days;
3. The maternity leave for abortion within 28 weeks (including 16 weeks) is 42 days;
4. If the pregnancy is terminated for more than 28 weeks, you can enjoy normal maternity leave for 90 days. The calculation formula of maternity allowance is: payment base in the month of childbirth /30* maternity leave days.
Abortion medical insurance or rural cooperative reimbursement needs to provide:
1, hukou book
2. ID card
3. Medical security
4, the unit certificate
5, the hospital diagnosis
6. List of drugs.
What information do you need for abortion social security reimbursement?
(a) Reimbursement of materials required for abortion and maternity insurance
1. Medical diagnosis certificate (original+copy);
2. Marriage certificate (original+copy);
3. Information registration form for persons applying for maternity allowance (in duplicate).
Procedures for reimbursement of abortion and maternity insurance
Due to the reimbursement of maternity insurance, the employer shall apply for maternity allowance at the local social security agency with the above materials. If it is handled by an individual, please follow the following process:
1. Before the abortion, the employer or the staff of the street or town labor security service station shall handle the application materials at the maternity insurance window of the district social labor insurance agency;
2. After accepting the examination and approval, the staff will issue 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. After the staff accepts the examination and approval, they pay maternity medical expenses and maternity allowance.
Legal basis:
"People's Republic of China (PRC) social insurance law" thirtieth the following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
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