Reimbursement conditions
In line with the provisions of the family planning policy, the insured workers who have given birth, abortion, induced labor or family planning operations in the designated medical (service) institutions of maternity insurance can enjoy maternity medical expenses subsidies and maternity living subsidies (maternity wages). New insured units and new employees of insured units can enjoy maternity medical expenses subsidies from the second month after handling maternity insurance procedures; You can enjoy maternity allowance after paying 10 months continuously.
Those who participate in flexible employment medical insurance will enjoy maternity medical expenses subsidies from the next month after payment.
Reimbursement standard
Maternity medical expenses shall be subject to fixed subsidies, and the specific standards are as follows:
(1) Abortion and induced labor
1. If the pregnancy is less than 3 months (12 weeks) and there is abortion (including spontaneous abortion, induced abortion and drug abortion), the per capita subsidy standard for maternity medical expenses is 300 yuan.
2. For those who are pregnant for more than 3 months (12 weeks) and less than 7 months (28 weeks), the per capita subsidy standard for maternity medical expenses is 600 yuan.
(2) Pregnancy and childbirth
1. For normal delivery, the per capita subsidy standard for maternity medical expenses is 2300 yuan (including prenatal examination fee).
2 dystocia and cesarean section, maternity medical expenses per capita subsidy standard is 3200 yuan (including prenatal examination fees). Dystocia includes breech traction, forceps delivery and fetal head suction.
3 multiple births, each additional baby, maternity medical expenses per capita subsidies to increase 300 yuan.
(3) performing other operations during cesarean section.
If there are other operations during cesarean section, such as uterine fibroids and ovarian tumors. , maternity medical expenses per capita subsidies were increased in 500 yuan.
Treatment conditions
1. Urban enterprises, institutions, state organs, social organizations, private non-enterprise units and their employees.
2. Flexible employees who participate in medical insurance shall enjoy the maternity medical expenses subsidy treatment stipulated in maternity insurance from September 1 day, 2009 during the medical insurance treatment period.
3. 10, from 2065438+65438 00+ 1, if the participants in the basic medical insurance for urban residents meet the family planning policy during the treatment period, the hospitalization expenses incurred due to childbirth will be included in the overall payment scope of the medical insurance for urban residents.