How much is the reimbursement for rural cooperative medical care for giving birth

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, and the reimbursement is about 1500 for hospitalization in the county, and the hospitalization outside the county will be lower. The reimbursement threshold for caesarean section NCMS is 2,000 yuan; 2,000 yuan 7,000 medical expenses, reimbursed at 45%; Medical expenses 7000 are partially reimbursed at 65%.

Maternity medical expenses include the following:

1) Medical expenses for childbirth;

2) Medical expenses for family planning;

3) Other project expenses as provided for by laws and regulations.

Employees who have any of the following circumstances may enjoy maternity allowance in accordance with national regulations:

1) Female employees are entitled to maternity leave when they give birth;

2) Take leave for family planning surgery;

3) Other circumstances provided for by laws and regulations.

The maternity allowance shall be calculated and paid according to the average monthly salary of the employee in the previous year.

Reimbursement conditions for giving birth to a child.

1.If you give birth to a child within the validity period of NCMS, you can only reimburse if you have a child within one year of insurance, if you are insured last year and not insured this year, then you will not be reimbursed for giving birth to a child this year;

2.The whole family on the household registration book has done it, and only after giving birth can it be reimbursed;

3.Must have a birth permit.

Legal basis

Article 53 of the Social Insurance Law of the People's Republic of China Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with the provisions of the State, and employees shall not pay maternity insurance premiums.

Article 54 Where an employer has already paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; The unemployed spouse of an employee shall be entitled to maternity medical expenses in accordance with the provisions of the state. The required funds are paid out of maternity insurance**.

Maternity insurance benefits include maternity medical expenses and maternity allowances.

The rules of each region are different for how much money can be reimbursed for a child born in NCMS. The reimbursement ratio of NCMS for giving birth is the reimbursement ratio of NCMS for caesarean section: the reimbursement threshold is 2,000 yuan; If the medical expenses of 2,000 yuan are less than or equal to 7,000, 45% of the medical expenses will be reimbursed, and 7,000 will be reimbursed at 65%.

Reimbursement ratio of NCMS: For those who are hospitalized in township-level designated medical institutions, a fixed subsidy of 300 yuan will be implemented within the price limit; Those who are hospitalized in designated medical institutions at or above the county level will receive a fixed subsidy of 450 yuan for NCMS.

Social Insurance Law of the People's Republic of China

Article 28.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations. Article 29.

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Hello dear, of course this is okay, but the proportion of this reimbursement is relatively small, and you need to pay in advance, after you give birth, take the invoice and list to the medical insurance department next to the hospital and then report separately [heart].

Up to 60% reimbursement [heart].

If you want to have a baby, the first thing to look at is whether it is a natural birth or a cesarean section. If the pregnant woman is in good health and is more suitable for natural delivery, the whole cost may be between 1000 and 2000, and about 50% can be reimbursed. But if the physical condition of the pregnant woman is not suitable for natural delivery and requires cesarean section, ** is about 8000 10000.

The reimbursement cost is about 30%, and the specific decision is based on the drug used and the specific **. For details, you can consult the local hospital, and the level of county-level hospitals and city-level hospitals may vary.

If so, if you have a child, if you use NCMS to reimburse these expenses, his reimbursement ratio should be between 70% and 80%, first of all, it depends on whether the hospital gives you the various drugs used in medical insurance? For example, some medicines are not allowed to be reimbursed, and you can only pay for this yourself.

It depends on your rural medical cooperation, the cooperative payment should be reimbursed about 70%, if it is a poor area, the relative report is relatively low, and the medical conditions in each place are different, so it is not certain

Childbirth now requires hospitalization, and rural cooperative medical care can be reimbursed on a pro-rata basis.

In different rural areas, different medical institutions will have different reimbursement ratios, so it is recommended that you consult the local rural cooperative medical office. The choice of natural delivery is generally reimbursed 400 yuan, planed caesarean section is 600 yuan, and some rural areas are according to the proportion of commercial insurance to give birth to the cost, in the village clinic that pays social security hospitalization ** birth reimbursement is the largest, choose natural delivery around 80%, go to the county and city hospitals generally to apply for a referral certificate procedures, the proportion of reimbursement is %, the starting line is relatively increased to. If you come to a non-designated medical institution without a referral certificate, you will not be reimbursed.

The proportion of medical insurance reimbursement for childbirth will vary depending on the type of insurance you buy.

1.For example, if you buy the insurance of the new rural cooperative cooperative system in the countryside, the proportion of reimbursement is different, and the reimbursement cost is about more than 1,000 yuan for natural delivery and 3,000 to 4,000 yuan for cesarean section.

2.If you buy medical insurance for urban workers or urban residents, the reimbursement ratio will be higher, about 70%.

3.If you buy maternity insurance, the probability of reimbursement will be higher, and most of them can be reimbursed.

If the insured person who participates in the NCMS gives birth to a child, the maternity expenses can be reimbursed in the medical insurance. For the insured personnel of the agricultural cooperative system, the birth expenses of giving birth to children can be reimbursed in the medical insurance.

Rural cooperative medical care for giving birth to a child is not a reimbursement but a maternity subsidy, with a fixed amount of 1,000 yuan, which can vary from place to place, and you can consult the medical insurance center of the insured place in detail.

How much can I get reimbursed for my child's rural cooperative medical care? This should be based on different situations and different regions, and the proportion of provinces and cities that implement and develop the economy will be a little higher, and the proportion of poor areas will be relatively lower, depending on the actual situation.

Rural medical insurance for giving birth to children can be reported about 25%, and the cost of giving birth to children is not much, very low, and most of them are self-paying

Cooperative medical insurance should be able to reimburse about 70%. You can use the ratio, that is, you can quote at least 2,000 yuan or more.

This time, the medical insurance for urban and rural residents can't be much, right?

Legal analysis: (1) Reimbursement ratio of NCMS for smooth delivery: For medical treatment in township-level designated hospitals, a fixed subsidy of 300 yuan can generally be provided; When seeking medical treatment in designated hospitals at the county level and above, a general fixed subsidy of 450 yuan is provided.

Legal basis: Regulations of the People's Republic of China on Basic Medical Insurance for Urban Employees

Article 7 The basic medical insurance premiums shall be paid jointly by the employer and the employee. Among them, the employer shall pay 5-7 of the total monthly salary of the employee, and the rate of basic medical insurance premium paid by the employee shall not be less than 2 of the total monthly salary of the employee.

Article 8 The amount of monthly wages paid by employees shall be determined according to their actual total wages, but shall not be less than 60 of the average monthly wages of employees in the previous year in the city, county or autonomous county where they are located.

Article 9 The part of the total monthly salary of the employee who exceeds the average monthly salary of the employee in the city, county or autonomous county of the previous year is more than 300 shall not pay the basic medical insurance premium, nor shall it be used as the basis for approving the quota of the personal account.

Article 10 Within 30 days after obtaining a business license or being approved for establishment, an employer must register with the social insurance agency for basic medical insurance. When there is a change in the registration items or the obligation to pay is terminated in accordance with law, the modification or cancellation of registration shall be handled in a timely manner. The social insurance agency shall promptly notify the collection authority of the registration situation.

The employer shall, within 10 days after completing the registration procedures for basic medical insurance, register with the collection authority for the payment of basic medical insurance premiums in accordance with the relevant regulations.

Article 11 The amount of basic medical insurance premiums that employers and employees shall pay shall be declared by the employer to the collection authority on a monthly basis, and shall be approved by the collection authority.