I would like to ask if maternity insurance and urban resident medical insurance can be reimbursed to

No, you can only choose one.

Maternity insurance benefits application or payment standards:

1.Maternity living allowance.

Within 90 days after giving birth or terminating pregnancy, the employee or his/her written representative shall apply for a one-time application at the maternity insurance agency with the prescribed materials.

2.Prenatal check-up fees.

The full amount shall be paid in advance by the individual employee, and within 90 days after the birth or termination of pregnancy, the employee or his/her written representative shall apply for a one-time application at the maternity insurance agency with the prescribed materials.

3.Medical expenses incurred in outpatient (emergency) clinics, non-local and non-maternity insurance agreement service institutions.

The outpatient (emergency) medical expenses incurred by the insured employees in childbirth, termination of pregnancy and complications, family planning surgery, etc., or medical expenses incurred in remote places and non-maternity insurance agreement service institutions, shall be paid in full by the individual first, and the relevant vouchers shall be properly kept. Within 90 days after the end of the operation or **, the maternity employee or his/her written representative shall apply for a one-time application with the prescribed materials to the maternity insurance agency.

4.Hospitalization for childbirth, termination of pregnancy and ** complications.

The part of the hospitalization medical expenses that should be paid by the individual shall be settled directly by the employee and the hospital, and the part that should be paid by the employee shall be settled by the maternity insurance agency and the agreement service agency.

No, maternity insurance and medical insurance are two different types of insurance, and medical insurance is a compensation insurance, which means that compensation is based on the actual medical expenses, and if you are compensated elsewhere, you have to deduct the corresponding expenses. As for maternity insurance, you can take a look at the general introduction below.

Maternity insurance refers to the insurance in which the medical expenses incurred by the insured due to pregnancy and childbirth for examination, fetal protection, medical treatment, and midwifery, as well as the salary income during childbirth, are borne and paid by the insurance institution according to the agreed conditions. There are two main types of maternity insurance benefits: one is maternity allowance, and the other is maternity medical treatment.

Compared with other insurances, maternity insurance is somewhat different in terms of reimbursement conditions, and the insured must meet the following points at the same time to be eligible for reimbursement:

1.There is no violation of national, provincial and municipal family planning policies.

2.The insured person has participated in social security for more than 6 months (including this number) before the birth or ** surgery (subject to the date of delivery or discharge of the fetus), and it is a continuous 6 months.

For example, Beijing has to pay for 9 consecutive months, and Guangzhou has to pay for 1 year.

3.Other conditions required by the local social security bureau.

On the basis of meeting the above conditions, the specific maternity insurance benefits for female employees and male employees are different.

For female employees, they can enjoy not only maternity medical treatment, but also maternity allowance. However, for a male employee, if his spouse is a female employee, he is only entitled to 15 days of paid paternity leave; If his wife is not yet employed, she is also entitled to maternity medical reimbursement benefits.

Maternity insurance is an integral part of social security, and if you want to know more about social security, you can check out this articleWhat is the use of social security? How high is the "income" of social security? Why do you have to pay social security? 》Hope!

Summary. Resident health insurance does not reimburse the cost of having a child. The cost of giving birth to a child is covered by maternity insurance, which is covered by employee social insurance.

Resident social security only covers pension and medical insurance, not maternity insurance, so it cannot reimburse the cost of giving birth. Of course, if it is a caesarean section surgery or medical expenses, it can be reimbursed through medical insurance.

Resident health insurance does not reimburse the cost of having a child. The cost of giving birth to a child falls within the scope of early reimbursement of maternity insurance, while maternity insurance belongs to the category of employee social security. Resident social security only includes pension and medical insurance, and does not include maternity insurance, so it cannot reimburse the cost of giving birth.

Of course, if it is a caesarean section surgery or medical expenses, it can be reimbursed through medical insurance.

How do employees pay maternity insurance?

Can urban and rural residents pay maternity insurance?

The employees and units all pay the insurance, and there is maternity insurance in the five insurances.

If the wife does not have a unit and the husband has a unit, can the maternity insurance be reported?

No, you can't. Does your wife not participate in urban and rural medical insurance, and if she participates in hospitalization, she will be reimbursed.

You can go to the local social security bureau or call **12333 to inquire about the manual consultation.

Summary. If you pay the medical insurance for urban and rural residents and give birth, you can be reimbursed for maternity medical expenses. As long as the female residents participate in the urban residents' medical insurance, during the period of enjoying the medical insurance benefits, the maternity medical expenses incurred in line with the provisions of family planning shall be included in the scope of payment of basic medical insurance**, and the standard shall be paid in a fixed amount.

If you pay the medical insurance for urban and rural residents and give birth to a child, you can be reimbursed for the medical expenses of basic source maternity. As long as the female residents who have participated in the urban residents' medical insurance, during the period of enjoying the medical insurance benefits, the expenses incurred in line with the provisions of family planning medical treatment shall be included in the payment scope of the basic medical insurance**, and the standard shall be paid in a fixed amount.

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The "New Rural Cooperative Medical Insurance" and "Maternity Insurance and Medical Insurance" cannot be reimbursed together, but can only be reimbursed for one type.

The "New Rural Cooperative Medical System", the full name of the new rural cooperative medical care, refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported, and supported by farmers, who voluntarily participate in the rocks and shout to add, and who are raised by individuals, collectives and multiple parties, and who are mainly based on the overall planning of serious diseases.

NCMS is a medical security system created by Chinese farmers themselves, which has played an important role in ensuring that farmers have access to basic health services and alleviating the poverty caused by illness and the return to poverty due to illness. The reimbursement scope of NCMS generally includes three parts: outpatient compensation, hospitalization compensation and serious illness compensation.

The reimbursement scope of the new rural cooperative medical care is:

During the overall planning period, the drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing expenses and other parts that meet the reimbursement scope of urban employee medical insurance (i.e., effective medical expenses) incurred by the participants in the designated hospital due to illness are incurred.

The new type of rural cooperative medical care** payment establishes a minimum payment standard and a maximum payment limit. Hospitalization expenses below the hospital's annual payment standard shall be paid by the individual. If the minimum payment standard is reached during the same pooling period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively.

Hospitalization expenses exceeding the minimum payment standard shall be calculated in stages and reimbursed cumulatively, with a maximum limit for cumulative reimbursement per person per year.

Medical insurance refers to the basic medical insurance premiums that should be paid in full and on time by the employer and the individual employee in accordance with the principle of compulsory social insurance through national legislation. If you do not pay in full and on time, regardless of your personal account, the basic medical insurance coordinator will not pay your medical expenses.

Medical insurance is a type of insurance that compensates for the medical expenses incurred by the sickness. Social insurance is a social insurance in which an employee is provided with necessary medical services or material assistance by the society or enterprise when he or she is sick, injured or gives birth. For example, China's publicly-funded medical care and labor insurance medical care.

The medical expenses of Chinese employees are jointly borne by the state, units and individuals, so as to reduce the burden on enterprises and avoid waste. In the event of an insurance liability event, it is necessary to pay the insurance premium on a pro-rata basis.

Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave by the state and society when the labor of women workers who are pregnant or give birth in the rough field is temporarily interrupted, and the state or society provides necessary economic compensation and medical care to the employees who give birth.

Maternity insurance is a social insurance system that stipulates through national legislation that the state and society will provide timely material assistance to workers when their labor force is temporarily interrupted due to the birth of children. There are two main types of maternity insurance benefits in China. The first is the maternity allowance, and the second is the maternity medical treatment.

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

Summary. Maternity insurance and medical insurance cannot be reported at the same time.

Maternity insurance can be reported for more than 10,000 yuan, and medical insurance can only be reported for a few thousand. Maternity insurance must bring all the materials such as hospitalization in the hospital, as well as the relevant materials of the maternity record form to the local medical insurance center for reimbursement. The medical insurance is when you are hospitalized, activate the medical insurance card for the record, and you can report directly when you are discharged.

Note: The materials must be complete, otherwise the medical insurance center will not handle it.

Can urban residents' medical insurance and maternity insurance be reimbursed at the same time?

Maternity insurance and medical insurance cannot be reported at the same time. Maternity insurance can be reported for more than 10,000 yuan, and medical insurance can only be reported for a few thousand. Maternity insurance must bring all the materials such as hospitalization in the hospital, as well as the relevant materials of the maternity record form to the local medical insurance center for reimbursement.

The medical insurance is when you are hospitalized, activate the medical insurance card for the record, and you can report directly when you are discharged. Note: The material must be Qi Ji Yuquan, otherwise the medical insurance center will not do pure front slippery.

Hope it helps.

Medical insurance for urban residents does not reimburse maternity. Generally speaking, the reimbursement of medical expenses for childbirth belongs to the reimbursement scope of maternity insurance, and only on the premise of participating in social medical insurance, and participating in the birth medical insurance, can enjoy medical insurance reimbursement treatment. Maternity insurance is a compulsory insurance, which is paid by the unit where the employee belongs, and is a social policy for the protection of the rights and interests of female employees by national legislation.

Legal basis

Article 23 of the Full Text of the Social Insurance Law of the People's Republic of China Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with national regulations. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Urban residents' medical insurance can be reimbursed for giving birth, but the premise is that the annual medical insurance can be reimbursed, taking Guangpai Ming'an City as an example.

The medical expenses incurred by insured urban and rural residents due to hospital delivery shall be included in the payment of urban and rural residents' medical insurance**, and shall be reimbursed according to the facts and settled by the limit.

Specific standards: 1,000 yuan for smooth delivery; cesarean section and dystocia, 2,500 yuan; In the case of multiple births, an additional 500 yuan will be added for each additional child. Medical expenses arising from complications or complications caused by hospital delivery shall be paid according to the reimbursement standards for inpatient medical expenses for urban and rural residents.