Hainan Production Inspection Expense Reimbursement Process

The original and photocopy of social security card/medical insurance card, ID card and other relevant documents are required for the reimbursement process of Hainan birth inspection. Combined with the examination and approval process of the medical insurance management department, you can apply for reimbursement after reviewing the relevant materials.

According to the detailed rules for the implementation of basic medical insurance in Hainan Province, pregnant women who participate in basic medical insurance in Hainan Province can enjoy the system of paying fees first and then reporting during pregnancy. The specific operation process is as follows: 1. Pregnant women carry the original and photocopy of social security card/medical insurance card, ID card and other relevant documents to the hospital to complete the examination; 2. The list of basic medical insurance for pregnant women paid first and then reported to the hospital; 3. Pregnant women will submit expense lists and other relevant materials (such as medical expense invoices, etc.). ) to the local medical insurance agency; 4 medical insurance agencies to review and confirm the scope and standards of reimbursement; 5 after the audit, the medical insurance agency shall reimburse the expenses that meet the requirements. It should be noted that when applying for reimbursement of Hainan birth check-up fees, pregnant women themselves need to provide the originals and copies of social security cards/medical insurance cards, ID cards and other relevant documents, and combine the approval process of medical insurance management departments to complete the reimbursement after reviewing relevant materials.

What expenses are not included in the reimbursement of Hainan production inspection expenses? According to the Detailed Rules for the Implementation of Basic Medical Insurance in Hainan Province, the basic medical insurance coverage for pregnant women in Hainan Province is limited to the expenses of prenatal examination during pregnancy. Excluded expenses include but are not limited to: medicine expenses, laboratory expenses, B-ultrasound expenses, treatment expenses, hospitalization expenses, etc.

The basic medical insurance system in Hainan province provides financial support for pregnant women, which can help them reduce their financial burden. When applying for reimbursement of Hainan maternity check-up fees, pregnant women need to provide the original and photocopy of social security card/medical insurance card, ID card and other relevant documents, and apply for reimbursement after completing the review of relevant materials in combination with the approval process of medical insurance management department. It should be noted that this system is limited to the cost of prenatal examination during pregnancy, and other expenses are not included.

Legal basis:

Article 54 of the Social Insurance Law of People's Republic of China (PRC) * * * 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. Maternity insurance benefits include maternity medical expenses and maternity allowance. Fifty-fifth maternity medical expenses include the following:

(1) Maternity medical expenses;

(two) family planning medical expenses;

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