New policy of maternity insurance in 2023

1. Participate in the insurance

1. Resident medical insurance: It is limited to the normal insurance objects of the annual insurance for urban and rural residents in Yueyang City, county, and districts.

2. employee medical insurance: limited to the employees of Yueyang City, county, and district employees to pay the target of medical maternity insurance every year.

2. Employee medical insurance reporting process, instructions

Yueyang’s employee medical insurance reported at the window 10 of the hospital hospital for hospitalization, and other employee medical insurance personnel reported it in the local medical insurance bureau or the government affairs hall.

1. Breeding and hospitalization: After three months of pregnancy, bring your ID card or social security card, quasi -birth certificate, and B -ultrasound.

2. Untimidation and miscarriage: ID card or social security card, quasi -student certificate, hospitalization certificate, and disease certificate B -ultrasound report.

3. Upper ring: ID card or social security card report.

4. Circle: ID card or social security card, disease certificate B -ultrasound single report.

5. Bringing ring pregnancy (outpatient): ID card or social security card, disease certificate B -ultrasound single report.

6. Bringing ring pregnancy (hospitalization): ID card or social security card, hospitalization certificate, and disease proof of B -ultrasound.

3. Reimbursement policy

1. Checkpiece

Resident medical insurance: There is no need to report it. Doctors will open the diagnosis and treatment items and then bring the original valid ID card original/social security card/medical insurance electronic voucher.(Except for consumables and drugs, the maximum reimbursement of outpatient inspection costs is 600 yuan).

Employee medical insurance: need to be reported. After reporting, you can directly reimburse the window 7 of the hospital for hospitalization and settlement center in our hospital; (reimbursement according to the proportion of medical insurance projects;Pay the personal payment part.

2. Maternity hospitalization

Residents’ medical insurance: The maximum subsidy standard for maternity production is 2,000 yuan; the maximum subsidy standard for fertility cesarean production is 3,000 yuan.

Employee medical insurance: The maximum subsidy standard for maternity production is 2800 yuan; the maximum subsidy standard for fertility cesarean production is 4,200 yuan; cesarean section must perform corresponding payment standards in accordance with the condition of various diseases.

3. Ordinary hospitalization

Resident medical insurance: The general hospitalization pay line is 1200 yuan; the proportion of reimbursement is 65%.

Employee medical insurance: The general hospitalization paying line is 1100 yuan; the proportion of reimbursement is 85%; 87%of retirees.

Fourth, consultation phone number

Yueyang Maternal and Child Health Hospital Medical Insurance Department 0730-8600551

Source: service number of Yueyang Maternal and Child Health Hospital

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