Proportion of reimbursement for maternity insurance in different places in Beijing

Proportion of reimbursement for maternity insurance in different places in Beijing

1. What is the reimbursement ratio of Beijing maternity insurance in different places?

What is the reimbursement rate of medical insurance in different places? The reimbursement rate is 88% for the threshold fee above 3,000 yuan, 90% for 3,000-5,000 yuan, 92% for 5,000-10000 yuan, and 95% for the maximum payment limit above10000 yuan, including 80% for Class B drugs and 70% for expensive drugs, special inspections and inspections. The reimbursement rate of tertiary hospitals is 55%; The reimbursement rate of secondary hospitals is 65%; The reimbursement rate of first-class hospitals is 75%.

2. When will the maternity insurance reimbursement arrive?

Within 90 days from the date of birth, the applicant shall report to the agency to which the insured belongs with the information required for reimbursement. The general maternity allowance will be paid to the unit account in the middle and late of the second month of the reporting month, and then paid to the individual account by the unit.

Third, how to reimburse maternity insurance in different places, do you need to file in advance?

1. If you want to give birth in a foreign hospital, you need to go to the local social security center to give birth in a different place. If a child is born in a different place after approval, the maternity insurance benefits enjoyed (including maternity medical expenses subsidies and maternity allowances) will not be affected.

2. The medical expenses for delivery in different places shall be paid in advance by myself. After delivery, the unit shall report to the local medical insurance service management center for examination and approval with the Application Form for Off-site Delivery, inpatient medical records, diagnosis certificate, medical expense invoice, fee list, reimbursement form and family planning service certificate (photocopy).