Job Recruitment Website - Social security inquiry - Can medical insurance reimburse the cost of having children?
Can medical insurance reimburse the cost of having children?
Under what circumstances can the insured not enjoy the medical insurance benefits of giving birth to children?
The following cannot enjoy maternity medical insurance benefits: unplanned birth or unmarried birth; Termination of pregnancy due to sex selection of fetus; Termination of pregnancy due to suicide, self-mutilation, fighting, alcoholism, drug abuse, other injuries, other illegal acts and medical accidents and traffic accidents for which I am not primarily responsible; Medical treatment, nursing, health care, etc. Involving babies; Childbirth services outside medical insurance coverage.
Reminder: Insured persons who have serious complications and complications due to pregnancy, delivery, abortion and induced labor operations, meet the hospitalization criteria and go through the hospitalization examination and approval procedures for transferring children's medical insurance to basic medical insurance, are included in the payment scope of basic medical insurance, enjoy basic medical insurance, and do not enjoy children's medical insurance.
The medical expenses incurred by the insured during pregnancy check-up, prenatal check-up, delivery, abortion or family planning operation in the designated medical (service) institutions shall be paid by the individual first, and after the medical termination or delivery, the designated medical (service) institutions shall offset the medical expenses paid by the insured according to the subsidy standard stipulated in the Detailed Rules.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.
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