Where is Shenzhen maternity insurance reimbursed?

The following is the answer to how much the Shenzhen Maternity Insurance will reimburse. Since March this year, a group of maternity insurance participants will be insured 1 year. You can apply for reimbursement of medical expenses paid in advance online. According to the statistics of Shenzhen Social Security Bureau, by the end of 20 16, 10,000 people in Shenzhen had been included in maternity insurance. After the "comprehensive two children", the burden on enterprises was reduced. "Our organization has been paying maternity insurance for female employees. Before the female colleague took maternity leave, we were also fully paid, which led to the labor cost of the enterprise exceeding the budget. " Ms. Huang, the person in charge of an enterprise, said that the government pays maternity allowance for enterprises and bears maternity expenses for enterprises and employees. "This news is great." It is understood that Shenzhen has not established a separate maternity insurance system before. In 2003, maternity medical insurance was established in the basic medical insurance system. Until 20 15, maternity insurance was implemented as a separate insurance. 2065438+In March 2005, according to the Regulations of Guangdong Province on Maternity Insurance for Employees, all employers and their employees in Shenzhen participated in maternity insurance. The new maternity insurance policy clearly stipulates that employers are obliged to participate in maternity insurance for employees, and the maternity allowance has been increased. Luo, director of "New Media Women", said that after the implementation of the "two-child policy", the burden of employing people in enterprises became heavier. In order to avoid maternity allowance, some small and medium-sized enterprises even refuse to admit female employees or less. According to her understanding, some enterprises have a large proportion of female employees, and the total amount of maternity insurance undertaken by enterprises is relatively large. "Maternity allowance can reduce the burden on enterprises and reduce the concerns of recruiting female employees." It is reported that after the introduction of the new maternity insurance policy, this is the first time that Shenzhen has issued maternity allowance. If you need to apply for maternity allowance, the employer can log in to the "online service hall" to apply and confirm that the maternity allowance has been paid in advance. The system will automatically match the maternity allowance application according to the data. After the matching is successful, the staff will accept, settle and distribute the maternity allowance online, and the employer does not need to go to the social security agency or submit any other information. Huang Xianfeng, spokesman of Shenzhen Social Security Bureau, stressed that the higher the base for enterprises to pay social security, the higher the maternity allowance they can receive. The amount of subsidy depends on the average insurance payment base of the insured unit. "For example, if an enterprise wants to apply for maternity allowance in March, the average social security contribution base paid by the enterprise for employees in 20 15 is 5,000 yuan per month. The number of days for employees to enjoy maternity allowance is calculated according to the legal number of days for maternity insurance in Guangdong Province. Assuming that female employee A enjoys maternity allowance for 98 days, the maternity allowance that the enterprise can receive is: the average social security payment base is 5000 yuan ÷ 30 days per month × 98 days on holidays = maternity allowance is 16333 yuan ". The whole process of online processing, the whole city operation "maternity allowance is collected by the employer in a unified way, and the whole process is settled online, without the need for employees to handle it themselves", Huang Xianfeng said, "But employees must first complete the reimbursement of maternity medical expenses and leave corresponding matching information in the database, so as to make matching comparison when issuing allowances". Huang Xianfeng said that the employer filed an application for maternity allowance on the website of the Social Security Bureau and checked the specific items related to the maternity expenses of employees in the form. The corresponding holiday days and allowance standards for each project are different. The system matches the medical information left by employees from the medical database, and finally forms a summary table, which is sent directly to the enterprise. "Employees who have no bookkeeping in Shenzhen must first reimburse the relevant medical expenses before they can be included in the maternity allowance. If you make an appointment at a designated medical institution in Shenzhen, the system can automatically complete the search and matching. " Huang Xianfeng added that if the information is asymmetric due to special reasons, it is necessary to provide the paper materials of the insured person to the window for processing. It is understood that all maternity insurance businesses will break the past principle of territorial management, regardless of jurisdiction, and cover the whole process. Enterprises and insured persons can apply in the social security window regardless of the place of insurance or household registration. Calculation method for enterprises to receive maternity allowance The average social security payment base is 5000 yuan ÷ 30 days × 98 days holiday per month = maternity allowance 16333 yuan. For example, an enterprise will apply for maternity allowance in March, and the average social security payment base paid by the enterprise for employees in 20 15 is 5000 yuan per month. The number of days employees enjoy maternity allowance is calculated according to the legal days of maternity insurance in Guangdong Province. Assuming that the number of days that female employee A enjoys maternity allowance is 98 days, the maternity allowance that the enterprise can receive is: maternity insurance has been insured 1 year, and now she can apply for maternity medical reimbursement. From March, 2065,438+06, those who have been insured for maternity insurance for 65,438+0 years can start to apply for reimbursement of maternity medical expenses. Shenzhen Social Security Bureau has applied for medical expenses. Maternity insurance medical expenses incurred outside Shenzhen are reimbursed according to the project, such as a one-time payment of 2,000 yuan for prenatal examination, 2,700 yuan for singleton delivery, and 5,200 yuan for singleton dystocia including cesarean section. In the reimbursement procedure, maternity insurance reimbursement has adopted a more transparent and concise procedure. The insured can apply and print the application form through the official website of Shenzhen Social Insurance Fund Administration "Social Insurance Personal Service Website", and then select the nearest social security agency to apply for reimbursement with the application form and related materials. Compared with the tedious experience of filling out forms in the past, we only need to check the items when applying for reimbursement in the future, "reducing the errors caused by human input". The reimbursement fee will be paid to the social security financial card of the insured. The staff of the Social Security Bureau reminded the public that in the future, all the money in and out of Shenzhen's social security department must pass the social security financial card, and appealed to the insured who did not apply for it as soon as possible.

Legal objectivity:

Maternityinsurance is a social insurance system that the state and society provide medical services, maternity allowance and maternity leave when pregnant and childbirth female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers. Maternity insurance is a social insurance system stipulated by national legislation, which provides timely material assistance by the state and society when the labor force is temporarily interrupted due to maternity. Maternity insurance is a social policy that the state provides economic and material assistance to maternity workers through social insurance legislation. Its purpose is to provide maternity allowance, maternity leave and medical services for female workers, to ensure their basic economic income and medical care when they temporarily lose their working ability due to childbirth, and to help female workers recover their working ability and return to work, thus reflecting the support and care given to women by the state and society in this special period. Non-on-the-job employees who participate in comprehensive medical insurance or hospitalization medical insurance can participate in maternity medical insurance and enjoy the same maternity medical insurance benefits as on-the-job employees. First, maternity leave. Refers to the rest time provided by national laws and regulations for employees during childbirth. Specifically, it refers to the holidays enjoyed by female employees before and after childbirth. The main function of maternity leave is to enable female workers to have a proper rest during childbirth, gradually recover their physical strength, and the baby can be carefully cared for and nursed by the mother. Before the 1980s, China set the holiday for pregnancy, childbirth and postnatal care for babies at 56 days. 1988 promulgated the Provisions on Labor Protection of Female Workers, which greatly revised the original provisions. At present, the legal normal maternity leave is 90 days, including prenatal leave 15 days and postpartum leave of 75 days. In case of dystocia, maternity leave shall be increased 15 days. For multiple births, the maternity leave will be increased by 15 days for each additional baby. Maternity leave for abortion is divided into four months. If the abortion is less than four months, maternity leave of 15-30 days shall be granted according to the certificate of the medical department; The maternity leave for abortion for more than 4 months is 42 days. Many areas have also adopted the policy of rewarding employees who marry late and have children late, and the holiday has been extended to 180 days. During maternity leave, the employer will pay the salary and attendance bonus as usual, and the original welfare benefits will not be affected. (Editor's note of local treasure: The salary payment standard during maternity leave varies from unit to unit. The maternity leave salary of well-paid units is the same as before vacation, and some units only pay basic salary without bonuses and other benefits. Second, medical services. Reproductive medical service refers to the medical care and necessary hospitalization provided by hospitals, licensed doctors or qualified midwives to the wives of professional women and male workers during pregnancy, childbirth and postpartum. Maternity medical service is one of the benefits of maternity insurance. Maternity insurance in different countries provides different medical services for pregnant women, and the corresponding service scope is generally formulated according to the economic strength of the country and the affordability of social insurance funds. Most countries provide medical care and treatment for female workers from pregnancy to postpartum. China's maternity insurance medical services mainly include examination, delivery, surgery, hospitalization, medicine and family planning surgery expenses. The decision on amending the Measures of Shenzhen Municipality on Social Medical Insurance stipulates: Article 13 Maternity medical insurance is applicable to those who have participated in comprehensive medical insurance and hospitalization medical insurance and have not reached the statutory retirement age. Twenty-third to participate in the comprehensive medical insurance, the maternity medical insurance premium paid by 0.5% of the base of the comprehensive medical insurance payment; To participate in hospitalization medical insurance, maternity medical insurance premiums shall be paid monthly at 0.2% of the average monthly salary of employees in the previous year; On-the-job personnel shall be paid by the employer, individual contributions shall be paid by myself, and other personnel shall pay according to their payment channels. Non-local permanent residents who hold the Shenzhen Residence Permit 16 years old, have not reached the statutory retirement age, and are not attending school can apply for comprehensive medical insurance, and pay medical insurance premiums on a monthly basis according to the average monthly salary of employees in this city in the previous year, of which the basic medical insurance premium is paid at 7.8% of the base payment, the local supplementary medical insurance premium is paid at 0.2% of the base payment, and the maternity medical insurance premium is paid at 0.5% of the base payment; After paying medical insurance premiums in full and on time, the medical expenses incurred in the designated medical institutions and retail pharmacies in this city can enjoy comprehensive medical insurance and maternity medical insurance benefits.