How does NCMS reimburse the cost of having a baby?

First of all, judging from the current reimbursement situation of NCMS, giving birth to a child is reimbursed, but there are natural births and cesarean sections, there are reimbursement ratios of different medical institutions, and there are unplanned births and planned births, so this problem is not very good.

Reimbursement procedure: If you give birth to a child who is hospitalized in the county, you must go to the NCMS window of this hospital for the record after hospitalization, and after discharge, you must go to the NCMS window of this hospital for reimbursement with the hospitalization fee bill, discharge certificate, birth certificate (not in some places), cooperative medical certificate, and mother's ID card; If you are hospitalized outside the county, you must go through the referral procedures for hospitalization outside the county before or within 3 days after hospitalization, and go through the referral procedures at the referral office of the county NCMS department with the referral certificate of the transferred hospital or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the prospective birth certificate (some places do not) go through the referral procedures. The cooperative medical certificate, the mother's ID card, and the birth certificate (some places do not) go to the county NCMS department for reimbursement.

Reimbursement ratio: Smooth delivery is generally settled according to the fixed compensation, and the reimbursement of 300 yuan for general township medical institutions in inland cities, and about 450 yuan for county-level and out-of-county hospitals. Cesarean section is generally reimbursed according to the overall planning of serious diseases, which is related to the level of the medical institution where the patient is inpatient, the lower the level, the higher the reimbursement ratio, hospitalization in the county, about 1500, hospitalization outside the county will be lower!

Reimbursement is possible. In some areas, you can apply for it at the hospital's NCMS window, file it before giving birth, and get reimbursement directly after being discharged with the receipts, or you can go to the local social security bureau to handle it.

Legal analysis: The cost of giving birth to a baby can also be reimbursed by NCMS, which is generally divided into two reimbursement methods:

1.Fixed reimbursement. Reimbursement for natural delivery is generally 1,000 yuan, and caesarean section reimbursement is 2,300;

2.Prorated reimbursement. 45% of expenses below 6,000 and 65% of expenses above 6,000, and some areas may also pay nutrition fees.

Legal basis: Article 24 of the Social Insurance Law of the People's Republic of China: The State shall establish and improve a new type of rural cooperative medical system.

The management measures for the new type of rural cooperative medical care shall be stipulated by ***.

The regions are different, but the welfare benefits are similar, such as the welfare of giving birth, which is divided into new rural insurance and social security. If I purchased a new rural insurance plan, how will I be reimbursed after giving birth? This is a question that everyone needs to understand clearly, and below I have compiled the following content for you to answer, I hope it will be helpful to you.

1. How to reimburse for the birth of a child in the new rural insurance

1. Go to the NCMS window of the hospital for the record, and after discharge, go to the NCMS window of the hospital for reimbursement with the hospitalization fee bill, discharge certificate, birth certificate, social security card, and mother's ID card;

2. If you are hospitalized in a different place, you must go through the referral procedures for hospitalization in another place before or within 3 days after hospitalization, and go through the referral procedures at the referral office of the NCMS department with the referral certificate of the transferred hospital or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the prospective birth certificateand the prospective certificate to the county NCMS department for reimbursement.

2. How much can be reimbursed for the birth of a child in the new rural insurance

The medical expenses incurred by the insured persons participating in the new rural cooperative medical care for giving birth to children are generally reimbursed in the NCMS or subsidies are issued according to a certain fixed amount, and the standards are different from place to place, but the reimbursement ratio is not very high, 50%-60%.

The above is the new rural insurance to give birth to children related knowledge collation, I hope to help you, you do not have to worry about the new rural insurance child welfare or reimbursement issues, as long as you meet the conditions can be reimbursed, so that you can also reduce a certain amount of expenses for the family. If you have any further questions, you are welcome to consult a professional lawyer.

NCMS does not reimburse the cost of having a child. Here's why:

1. Because the new type of rural cooperative medical care is only reimbursed for the expenses incurred by "due to illness";

2. Expenses incurred in family planning surgery, pre-pregnancy examination and childbirth cannot be reimbursed;

However, maternity insurance can reimburse maternity expenses, and maternity insurance is a social insurance system in which the State and society provide medical services, maternity allowances and maternity leave by the State and society when pregnant and childbirth women workers temporarily interrupt their work. A social insurance system in which the state or society provides necessary economic compensation and medical care to employees who give birth. 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.

The new type of rural cooperative medical care refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported, voluntarily participated by farmers, raised by individuals, collectives and multiple parties, and is mainly based on the overall planning of serious diseases. It raises funds in the form of individual payment, collective support and funding.

Legal basisArticle 23 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 the provisions of the state.

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.

Article 24.

The State shall establish and improve a new type of rural cooperative medical system.

The management measures for the new type of rural cooperative medical care shall be stipulated by ***.

NCMS children can be reimbursed. 1. Go to the NCMS window of the hospital for the record, and after discharge, go to the NCMS window of the hospital for reimbursement with the hospitalization fee bill, discharge certificate, birth certificate, social security card, and mother's ID card; 2. If you are hospitalized in a different place, you must go through the referral procedures for hospitalization in another place before or within 3 days after hospitalization, and go through the referral procedures at the referral office of the NCMS department with the referral certificate of the transferred hospital or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the prospective birth certificateand the prospective certificate to the county NCMS department for reimbursement.

How to reimburse NCMS for non-local hospitalization?

1. If you have a child within the validity period of NCMS, you can only be reimbursed if you have a child within one year of insurance.

2. Must have a birth permit.

The reimbursement for the birth of a child is different from place to place, and you can call your local social security bureau service** or 12333 for consultation.

The cost of giving birth to a child is a one-time subsidy, and the amount of the subsidy varies depending on whether it is a natural birth or a caesarean section.

The NCMS reimbursement policy stipulates that maternity medical expenses for normal childbirth or termination of pregnancy more than 28 weeks of pregnancy can be reimbursed.

No, most schools have insurance, so you can report to the insurance company.

First of all, judging from the current reimbursement situation of NCMS across the country, giving birth to a child is reimbursed, but there are natural births and cesarean sections, reimbursement ratios of different medical institutions, and unplanned births and planned births, so this question is not easy to answer.

Reimbursement procedure: If you give birth to a child who is hospitalized in the county, you must go to the NCMS window of this hospital for the record after hospitalization, and after discharge, you must go to the NCMS window of this hospital for reimbursement with the hospitalization fee bill, discharge certificate, birth certificate (not in some places), cooperative medical certificate, and mother's ID card; If you are hospitalized outside the county, you must go through the referral procedures for hospitalization outside the county before or within 3 days after hospitalization, and go through the referral procedures at the referral office of the county NCMS department with the referral certificate of the transferred hospital or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the prospective birth certificate (some places do not) go through the referral procedures. The cooperative medical certificate, the mother's ID card, and the birth certificate (some places do not) go to the county NCMS department for reimbursement.

Reimbursement ratio: Smooth delivery is generally settled according to the fixed compensation, and the reimbursement of 300 yuan for general township medical institutions in inland cities, and about 450 yuan for county-level and out-of-county hospitals. Cesarean section is generally reimbursed according to the overall planning of serious diseases, which is related to the level of the medical institution where the patient is inpatient, the lower the level, the higher the reimbursement ratio, hospitalization in the county, about 1500, hospitalization outside the county will be lower!

NCMS children can be reimbursed. 1. Go to the NCMS window of the hospital for the record, and after discharge, go to the NCMS window of the hospital for reimbursement with the hospitalization fee bill, discharge certificate, birth certificate, social security card, and mother's ID card; 2. If you are hospitalized in a different place, you must go through the referral procedures for hospitalization in another place before or within 3 days after hospitalization, and go through the referral procedures at the referral office of the NCMS department with the referral certificate of the transferred hospital or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the prospective birth certificateand the prospective certificate to the county NCMS department for reimbursement.