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Shenzhen social security reimbursement standard for giving birth to children
What is the social security reimbursement rate for giving birth to children in Shenzhen? Guangdong's family planning regulations stipulate that couples who have their first and second children need to register for birth. When giving birth with drums in designated medical institutions, the reimbursement with social security card can reach 100%. What is the social security reimbursement standard for giving birth to children in Shenzhen? This article will give you a detailed introduction.
Social security reimbursement for giving birth to children in Shenzhen
Reimbursement standard of one-child maternity insurance in Shenzhen
1, a one-time payment of RMB 2,000 will be made for the baby's birth certificate provided by the prenatal examination, and the rest will be reimbursed according to the prenatal examination items and expense standards stipulated by Shenzhen, and the part exceeding RMB 2,000 will not be paid;
2, singleton, dystocia (including cesarean section) can be reimbursed 2700 yuan, 5200 yuan respectively;
3, multiple births, on the basis of the corresponding delivery standards, each additional child is increased by 1000 yuan.
4. Medical expenses incurred in family planning operations such as placing and removing intrauterine devices and fallopian tube recanalization can be reimbursed from 36 yuan to 2400 yuan.
Reimbursement standard of Shenzhen two-child maternity insurance
1. Natural delivery: RMB2,200 for tertiary hospitals, RMB2,000 for secondary hospitals, and RMB1,000 for primary hospitals 1800 yuan.
2. Manual intervention in delivery: 2800 yuan for tertiary hospitals, 2600 yuan for secondary hospitals and 2400 yuan for primary hospitals.
3. Cesarean section: 5,000 yuan for tertiary hospitals, 4,500 yuan for secondary hospitals and 4,000 yuan for primary hospitals. For each multiple birth, the 600 yuan will be increased on the basis of the above delivery methods.
3. Prenatal check-up allowance: 500 yuan for termination of pregnancy for more than 3 months and less than 7 months, and 800 yuan for termination of pregnancy and delivery for more than 7 months. 300 yuan for outpatient induced abortion, 400 yuan for outpatient drug abortion and 1.500 yuan for induced labor.
4, outpatient placement (removal) of intrauterine device subsidies 200 yuan.
5. Sterilization subsidy for female employees 1 1,000 yuan, for male employees 600 yuan.
6. The recanalization subsidy is 3,000 yuan. The insured workers' outpatient abortion is also placed (removed) and the IUD is subsidized to 360 yuan.
Conditions for reimbursement of maternity insurance in Shenzhen
1, in line with the national family planning policy or family planning operation;
2, the unit in accordance with the provisions for employees to participate in maternity insurance and continuous full payment for more than one year.
Shenzhen maternity insurance reimbursement application materials
I. Basic information
1, original charge receipt (original)
2. Detailed list of expenses (original)
3, the insured social security card (copy 1, the original inspection)
4. When entrusting others to act as agents, you must provide the insured's ID card (copy 1, the original inspection) and the agent's ID card (copy 1, the original inspection).
5. Bank passbook or bank card of the insured (copy 1, original inspection) (ICBC, CCB, ABC and BOC).
Second, supplementary information
1. Family planning certificate (original 1), certificate of insured unit, maternity manual or outpatient medical records of pregnancy test (copy 1, original test), marriage certificate (copy 1, original test) and birth medical certificate (copy/kloc-0)
2. Reimbursement of medical expenses for childbirth in hospitals outside the city shall be based on the family planning certificate (original 1), the certificate of the insured unit, the maternal handbook or the medical records of the pregnancy check-up clinic (copy 1, the original), the marriage certificate (copy 1, the original) and the birth medical certificate (copy 1, the original).
3. Supplementary information shall be provided for the reimbursement of medical expenses for family planning operation outside the city: marriage certificate (1 copy, original test), birth control operation certificate (1 copy, original test), outpatient medical records (1 copy, original test), family planning certificate (only fallopian tube recanalization or vas deferens) and hospitalization medical records (hospitalization medical records are required).
Shenzhen maternity insurance reimbursement process
1. When the insured applies for maternity insurance reimbursement, he/she needs to fill in and print the application form on the official website of Shenzhen Social Insurance Fund Administration "Social Insurance Service Personal Website"; Or download the "Shenzhen maternity insurance medical expenses application form" to fill in;
2. After the application materials are fully prepared, submit the application for review and reimbursement to the nearest social security branch or management station, and the social security agency will examine and approve the reimbursement according to the regulations.
3, branch staff to review the reimbursement data provided by the insured, and decide whether to accept; If the information is incomplete, a notice of one-time supplementary materials shall be issued;
4, the staff to sort out the accepted materials, according to the relevant provisions of the maternity insurance fund payment after the audit.
I'm here to sort out the information about these problems, hoping to help you. The laws in China are gradually improving, and we look forward to helping more people.
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