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With the continuous development of social economy, in real life, we will encounter a variety of situations, especially when we encounter situations in the process of reimbursement of medical insurance, which makes us feel very confused. I believe that many friends should have encountered such a situation in real life, that is, during pregnancy, the fetus is suddenly stillborn, can medical insurance be reimbursed at this time? It's very confusing.
In fact, it is difficult to reimburse medical insurance in this case, because of the relevant policies and relevant laws and regulations.
There is no such provision.
First of all, we have to understand this problem, that is, when we are pregnant, if such a situation really happens, then it is difficult to reimburse medical insurance, because most areas will not directly include such special circumstances into medical insurance, so when we have this situation, we cannot reimburse medical insurance, of course, the policy is different in each place, but at least there is no policy to reimburse medical insurance for this situation.
However, there is a special circumstance, and that is if this happens to us, in maternity insurance.
There is such a reimbursement method, but in real life, few people will buy relevant maternity insurance, so there is no way to solve this problem through relevant insurance, so we can obviously know that when we have this special situation, we can not reimburse medical insurance.
If you really want to be reimbursed, then you can also ask the relevant local staff to ask if there is such a policy in this place.
To sum up, we can obviously know that there will be no reimbursement for medical insurance for this situation during pregnancy, so these things are something we must understand, but we can buy relevant medical insurance to protect our legitimate rights and interests, and through this commercial medical insurance, we can ensure that our pregnancy is safer to a large extent.
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It should be possible to apply for medical insurance. You go to the hospital first, and then go to the front desk of the hospital and ask how to go to the medical insurance, and they are more clear.
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You can apply for medical insurance. You need to bring the relevant formalities and the hospitalization voucher and payment slip issued by the hospital, and then go to the local authorities for reimbursement.
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It should not work, you can consult the medical insurance department for the specific situation, or you can ask the local hospital. If you can do it, just bring your medical insurance card, ID card and relevant certificates.
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OK. At this time, you must also go to the hospital to receive some **, and then you must keep these vouchers and go to the medical insurance department for reimbursement.
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Legal analysis: medical insurance can be reimbursed for stillbirths, and if the mother is a general medical insurance for urban and rural residents, then it can be reimbursed according to the details of the expenses related to the birth of a stillbirth. In addition, if the mother has paid maternity insurance, then she can be reimbursed according to the maternity insurance.
However, it is necessary to do a good job of filing in advance and keep the relevant procedures and materials.
Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China in accordance with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with national regulations from the basic medical insurance **.
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Summary. Stillborn hospitalization can be reimbursed if it meets the following three conditions.
Stillborn hospitalization can be reimbursed if it meets the following three conditions.
It can be reimbursed, but the following three conditions need to be met: 1. Participate in the insurance on time in the place of insurance and within the treatment period; 2. Collect and activate the social security card at the place of insurance; 3. Filing for medical treatment in other places in the insured place. Legal basis:
Social Insurance Law of the People's Republic of China Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. The part of the personal contributions required by the salesmen, the disabled who have lost the ability to work, the elderly blind and minors over the age of 60 from low-income families, etc., shall be subsidized by **.
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Summary. If the mother is a general medical insurance for urban and rural residents, then it can be reimbursed according to the details of the expenses related to the birth of a stillbirth. If the mother has paid maternity insurance, then she can be reimbursed according to the maternity insurance.
However, it is necessary to do a good job of filing in advance and keep the relevant procedures and materials.
If the mother is an urban and rural resident, then you can reimburse the details of the expenses related to the birth of the stillborn child. If the mother has paid the maternity insurance, then she can be reimbursed according to the maternity insurance. However, it is necessary to do a good job of filing in advance and keep the relevant procedures and materials.
I did the preparation of the birth in my hometown, but my medical insurance card was in Wuzhou, and the stillbirth hospitalization was also in Wuzhou.
Can I be reimbursed in Wuzhou?
Hello dear, can be reimbursed.
The problem is that the hospital said that you have to go back to your hometown to report?
Hello dear, subject to local hospitals Some hospitals are not eligible for reimbursement of medical insurance in other places.
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Legal Analysis: It is possible to reimburse liquids, but the following three strip burial fibrillation parts need to be met:
1. Participate in the insurance on time in the place of insurance and within the period of enjoyment of benefits;
2. Collect and activate the social security card at the place of insurance;
3. Filing for medical treatment in other places in the insured place.
Legal basis: Social Insurance Law of the People's Republic of China Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy.
Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.
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Legal Analysis: Yes. According to the current medical insurance policy, the birth of a stillborn baby is an induction of labor, and the hospital will reimburse the sudden miscarriage before 16 weeks.
Legal basis: Social Insurance Law of the People's Republic of China Article 30 The following medical expenses are not included in the scope of payment of basic medical treatment
1) It should be paid out of work-related injury insurance**;
2) It shall be borne by a third party;
3) It should be borne by public health;
4) Seeking medical treatment outside the country.
The medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or cannot determine the third party, the basic medical insurance stool shack insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.
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