Taking Beijing as an example
When employees participating in maternity insurance incur medical expenses for maternity insurance, they should present their social security cards (or the vouchers of newly issued or replacement social security cards) and the Beijing Maternity Service Certificate (or the Maternity Service Contact Form for Foreigners Coming to Beijing (for Maternity Insurance)) to seek medical treatment. (or "Beijing Maternity Service Contact Sheet for Foreigners Coming to Beijing (for Maternity Insurance)") for medical treatment.
Medical expenses related to childbirth incurred on an outpatient basis will be paid in cash by the individual first, without the need to use the social security card to settle the bill, and the details of the medical expenses for maternity insurance, prescriptions, original receipts, and relevant certificates will be kept in a safe place. Medical expenses that are required to be paid by the maternity insurance fund are summarized by the employer and filled out in the appropriate form, and declared to the medical insurance center of the contributing district or county where the maternity insurance is taken out from the 1st to the 20th of each month.
Expenses related to hospitalization are recorded by the hospital in accordance with the relevant provisions of maternity insurance, and do not need to be manually reimbursed to the medical insurance center. Manual reimbursement can only be applied for in cases such as blacklisting on admission to the hospital or emergency admission without a "social security card" or "proof of new issuance and replacement" of social security cards
I. Beijing Maternity Insurance Reimbursement Instructions
(1) Medical expenses for childbirth
1. Medical expenses for prenatal checkups
2. Medical expenses for childbirth
(2) Medical expenses for family planning
Medical expenses incurred by employees for family planning, placing (removing) intrauterine devices, abortion, induced abortion, sterilizations, and reconstructive surgeries.
The materials to be submitted for the declaration of maternity insurance medical expenses
(1) The materials to be submitted for the declaration of medical expenses for prenatal checkups
1. The Summary Sheet of Declaration and Settlement of Beijing Maternity Reimbursement of Manually Reimbursed Medical Expenses (manually filled out, one copy, with a seal; received at the district health insurance center or downloaded from the Internet)
2. The Declaration Form of Manual Reimbursement of Medical Expenses for Beijing Maternity Insurance (manually filled out, one copy, with a seal; received at the district health insurance center or downloaded from the Internet). Declaration Form for Manual Reimbursement of Medical Expenses" (manually filled out in duplicate, stamped; available at district health insurance centers or downloaded online)
3, original bills
4, the bottom side of the special prescription for Beijing health insurance
5, detailed list of examinations and treatments
6, copy of medical diagnostic certificates (the number of weeks of pregnancy is required)
7, Beijing Municipality A copy of "Beijing Maternity Service Certificate" or "Beijing Maternity Service Contact Sheet for Foreigners Coming to Beijing (for Maternity Insurance)
8, a copy of the baby's birth certificate (or death, induced (abortion) certificate)
9, a copy of the marriage certificate
(2) Materials required to be submitted when declaring the medical expenses of childbirth
1, "Beijing Maternity Insurance Manual Reimbursement Summary Sheet Expense Declaration and Settlement Summary Sheet" (manually filled out, one copy, stamped; available at the district health insurance center or downloaded online)
2, "Beijing Maternity Insurance Manual Reimbursement of Medical Expenses Declaration Form" (manually filled out, two copies, stamped; available at the district health insurance center or downloaded online)
3, original receipts
4, detailed list of medical expenses
5, proof of full settlement of accounts at the hospital
5, proof of full settlement of accounts at the hospital
6, proof of the payment of medical expenses at the hospital
7 5, Proof of full settlement of the hospital bill
6, Description of the organization
7, Copy of medical diagnosis certificate (with the number of weeks of pregnancy)
8, Copy of Beijing Maternity Service Certificate or Beijing Maternity Service Contact Form for Foreigners Coming to Beijing (for Maternity Insurance)
9, Copy of the baby's birth certificate (or certificate of death or induced (aborted) abortion)
10, a copy of the marriage certificate
(3) Materials to be submitted when declaring medical expenses for family planning
1, Beijing Maternity Insurance Manual Reimbursement of Medical Expenses Manual Reimbursement of Medical Expenses Declaration and Settlement Summary Sheet (filled out manually, one copy, stamped; available at the district health insurance centers or downloaded from the Internet)
2, Beijing Maternity Insurance Manual Reimbursement of Medical Expenses Declaration Form (Manual Reimbursement of Medical Expenses) (manual) Manual Reimbursement Declaration Form for Beijing Maternity Insurance Expenses (manually filled out in duplicate with seal; available at district health insurance centers or downloaded online)
3, original receipts
4, detailed list of medical expenses
5, detailed list of examinations and treatments
6, medical diagnostic certificates (photocopies)
7, certificates of conformity with the policy on family planning from the units (with seal or personnel and labor certificates)
7, certificates of conformity with the policy on family planning from the units ( stamped with the official seal or personnel and labor seal)
Third, notes
1. Employees enjoying maternity insurance benefits should comply with the relevant provisions of the state and the family planning of the state, unmarried employees are not entitled to maternity reimbursement;
2. The costs of prenatal checkups are declared in one lump-sum after the birth of the child, and the deadline for declaring the costs is January 20 of the following year;
3, The employer shall summarize the materials related to the maternity reimbursement expenses of the insured persons in a timely manner and arrange them in the order of the time when the expenses are incurred, and bind them in the order of submitting the materials and then declare them to the Medical Insurance Center of Haidian District;
4. Holders of foreign maternity service certificates are required to go to the birth control department of the street in the place where they reside in the city to exchange for the "Contact Sheet on Maternity Service for Beijing Migrants Coming to Beijing (Special for Maternity Insurance)";
5、Acquired abortion, incomplete abortion, complete abortion, purging, preeclampsia (birth control, pregnancy status, etc. are not considered basic medical care, social security to see the first diagnosis of the prescription) does not belong to the scope of maternity insurance, the current cost of the application in accordance with the cost of basic medical care; before the relevant outpatient examination fees for prenatal checkups in accordance with the maternity insurance declaration;
6、Because there is no one to take care of the Beijing, the need to birth birth delivery outside of the hospitalization expenses are reimbursed by the unit If you need to go abroad to give birth because there is no one to take care of you in Beijing, the hospitalization expenses will be reimbursed by the unit by issuing a detailed explanation of the situation
7. When declaring the expenses of childbirth abroad, you need to provide the certificate of the level of the hospital where you have received the care issued by the local health insurance department;
8. The various forms for maternity reimbursement should be filled out completely, with no empty entries and with the accurate amount of the expenses
9. Declaration and Settlement Summary Sheet";
10. "Item Category" of "Declaration Form"
Total amount of western medicine fee: western medicine
Total amount of Chinese medicine fee: Chinese patent medicine, Chinese herbal medicine
Total amount of examination fee: routine examination, CT, NMR, ultrasound, radiology
Treatment fee: treatment fee, medical fee, medical fee, medical fee, medical fee for the birth of a child, etc.
There is no need to fill in the "Beijing Maternity Insurance Manual Reimbursement Medical Expense Summary Sheet". Total amount of treatment: treatment, surgery, blood transfusion, oxygen, delivery, anesthesia
Total amount of laboratory fees: laboratory fees
Total amount of materials: materials
Total amount of other: other, bed, heating, bedside manner, nursing care, medical fees
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