Current location - Plastic Surgery and Aesthetics Network - Plastic surgery and medical aesthetics - Proportion of reimbursement for caesarean section
Proportion of reimbursement for caesarean section
The reimbursement rate for caesarean section is 60%.

Indications of caesarean section include fetal growth in the abdomen, abnormal measurement of amniotic fluid and pelvis, and elderly women. Cesarean section is a way to give birth to a baby by cutting the mother's abdomen and uterus. Suitable for pelvic stenosis, abnormal fetal position, multiple births and other reasons. Caesarean section belongs to hospital delivery. According to the regulations of the new rural cooperative medical system, hospital delivery is a fixed reimbursement, and the reimbursement amount is fixed. In the absence of other abnormalities, cooperative medical care can be partially reimbursed. The reimbursement rate of county-level hospitals is about 60%. Information required for maternity insurance reimbursement:

1, ID card;

2. Marriage certificate;

3. Proof of family planning, such as birth permit;

4. Medical certificate of newborn birth, such as birth certificate;

5. Receipt of medical expenses;

6. Other relevant materials.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations. Article 24 The State shall establish and improve the new rural cooperative medical system, and the measures for the administration of the new rural cooperative medical system shall be formulated by the State Council. Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations. Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units, and the social insurance administrative department and the health administrative department shall establish a medical expenses settlement system in different places to facilitate the insured to enjoy the basic medical insurance benefits.