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How is the medical insurance for Beijing's elderly childbearing reimbursed?

How is the medical insurance for Beijing's elderly childbearing reimbursed?

Beijing's elderly maternity insurance refers to a medical insurance policy launched by Beijing for elderly pregnant women. According to relevant regulations, elderly pregnant women can enjoy national and local financial subsidies, and a certain proportion of maternity medical expenses can be reimbursed. Next, we will introduce the reimbursement process and precautions of Beijing's elderly maternity medical insurance in detail from four aspects.

 How is the medical insurance for Beijing's elderly childbearing reimbursed?

Eligibility for medical insurance reimbursement

First of all, elderly pregnant women need to meet the requirements of Beijing for elderly childbearing, that is, women must be over 35 years old. Secondly, pregnant women need to be registered in Beijing or hold a Beijing ID card, otherwise they cannot apply for Beijing elderly maternity insurance. In addition, pregnant women also need to provide relevant certification documents issued by the hospital, such as medical records of gynecology and obstetrics, B-ultrasound examination reports and relevant identity documents of medical institutions.

After the above materials are prepared, pregnant women can go to the Beijing Municipal Social Security Bureau or the local district/county social security bureau to apply for medical insurance reimbursement qualification certification for elderly childbearing. During the application process, pregnant women need to fill in relevant application forms and provide true and effective personal information. The Social Security Bureau will review relevant materials after receiving the application, which is generally completed within 5 working days.

Select the designated hospital visit

Older pregnant women need to choose a designated hospital for prenatal examination and delivery when enjoying Beijing's elderly maternity insurance policy. The hospitals designated by Beijing include the Third Hospital of Peking University, Beijing Chaoyang Hospital affiliated to Capital Medical University, and the General Hospital of the Chinese People's Liberation Army. When visiting the hospital, pregnant women should submit relevant medical insurance information to the hospital in advance, such as medical insurance card and hospitalization pre settlement. The hospital will settle the expenses according to the specified proportion, and the expenses that meet the reimbursement conditions will be processed by the medical insurance.

Apply for maternity medical insurance reimbursement

After discharge, the puerpera shall apply for reimbursement of maternity medical insurance to the hospital. Pregnant women need to collect and submit a series of relevant medical expense vouchers, including outpatient invoices, examination receipts, surgery expense lists, hospitalization invoices and medical records. These vouchers need to be true and effective, and accurately reflect the medical expenses incurred by pregnant women. At the same time, the pregnant woman's name, social security card number, medical insurance reimbursement proportion and other information should be indicated on the expense voucher.

After collecting relevant vouchers, pregnant women can go to the medical insurance window of the social security bureau or the district/county social security bureau where they are located to submit an application for reimbursement. After reviewing and verifying the authenticity of the vouchers, the Social Security Bureau will handle the reimbursement procedures. Generally, the reimbursement of pregnant women will be transferred to their personal bank account within a few working days.

Summary

The reimbursement process of Beijing's elderly maternity medical insurance is relatively simple, which can be divided into three steps: processing medical insurance reimbursement qualification, selecting a designated hospital for medical treatment, and applying for maternity medical insurance reimbursement. Older pregnant women need to meet the corresponding conditions to enjoy medical insurance benefits, select a designated hospital for prenatal examination and delivery, and timely submit relevant expense vouchers for reimbursement after discharge. I hope this article will be helpful to solve the problem of medical insurance reimbursement for the elderly in Beijing.

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