Conditions for reimbursement of maternity insurance in Dalian

Reimbursement conditions 1, the employees of the enterprise who participated in the unit and fulfilled their payment obligations according to the regulations during childbirth or family planning surgery have paid maternity insurance premiums for them for a total of 3 months. 2, maternity or family planning surgery in line with the national family planning policy of workers. 3. The above conditions must be met at the same time. Reimbursement amount Dalian maternity insurance has four expenses, namely maternity medical expenses, maternity allowance (i.e. maternity leave salary), nursing allowance and abortion medical expenses. Note: Do not use the medical insurance card when paying the medical expenses related to childbirth in the hospital. Because medical insurance and maternity insurance are two different types of insurance, each has its own fund to pay the corresponding medical expenses, which are incompatible with each other. 1. Prenatal check-up fee for reproductive health care: unified as 800 yuan. In Jinzhou, Lushun and other four districts of Dalian, the reimbursement for natural childbirth is 2200 yuan, the reimbursement for dystocia including forceps introduction is 3000 yuan, and the reimbursement for cesarean section is 4000 yuan. The hospitalization expenses of subordinate counties and cities decreased 1000 yuan. Multiple births will be reimbursed to 500 yuan for each additional birth. 2. Nursing allowance/nursing leave The woman gave birth late and applied for the one-child certificate. The man has 15 days of nursing leave salary. Family planning for a second child, male workers do not enjoy nursing allowance. 3. Maternity allowance (i.e. maternity pay)/maternity leave details 4. Medical expenses for abortion/maternity leave details 5. Reimbursement amount of Dalian maternity insurance reimbursement materials 1, female medical insurance number 2. Three copies of the second-generation ID cards of female employees (A4 front and back). Birth medical certificate and 4 copies. Marriage certificate and 5 copies. Birth certificate and its copy. Honorary certificate and photocopy of the only child (unnecessary, maternity leave salary is 60 days less) (Note: 4 documents from No.3 to No.6 can be copied on a piece of A4 paper, and photocopies of 5 documents from No.2 to No.6 need to be cut to the original size) 7. Diagnostic certificate with official seal issued by the hospital where the baby was born. Details of medical payment issued by the hospital at the time of discharge (hospitalization cash receipt, discharge treatment details and discharge records, materials need to be stamped with the official seal of the hospital) 9. The original and photocopy of the birth medical certificate of the first child should be provided for the first marriage. The materials for male employees to apply for maternity allowance are medical insurance card, ID card, marriage certificate, birth certificate, birth certificate and honor certificate of only child (original and photocopy). Original and photocopy of medical insurance card, ID card, marriage certificate, birth certificate, diagnosis certificate, cash receipt of medical expenses, B-ultrasound list, medical record and discharge summary for female employees to reimburse planned abortion expenses. If there is no birth certificate, you can use the first pregnancy certificate issued by the family planning commission where the woman's household registration is located. Reimbursement process 1. After the maternity insurance benefits were examined and confirmed by the Work Injury Maternity Department of Dalian Medical Insurance Center, the maternity workers received their cards in the business department of Dalian Commercial Bank on the following month 1-25. Specific office location: the savings window on the second floor of Tianan Building, No.88 Zhongshan Road, Zhongshan District (next to Dashangmen Store). Tel: 82 186229, 82 186232. 2. To apply for a bank card, maternity workers will continue to provide their ID card, a copy of the ID card, and the Payment Form for Maternity Insurance for Enterprise Employees in Dalian; In addition: if it is on behalf of the consignee, it is also necessary to provide the consignee's ID card and a copy of the ID card. 3. If you fail to get your bank card within the specified time (1 to 25th of the following month) due to special reasons, please bring the above documents to the maternity insurance cashier window of the Finance Department of Dalian Medical Insurance Center on 1 1 to 12 of the following month (holidays postponed). If it is not collected within the time limit, Dalian Medical Insurance Center will cancel the bank card. Dalian maternity (nursing) allowance audit payment Dalian maternity medical expenses audit payment special reminder: "Dalian enterprise employees maternity insurance benefits payment form" is an important certificate to receive maternity insurance benefits, please keep it properly. The place and time of reimbursement and settlement time are from June/KLOC-0 to June 20th of each month. June 1 1 before birth or abortion, then settlement; After 1 October 1 1, the settlement shall be made before the following year1quarter. Institutions and institutions need to hold special receipts for social security funds. The review of reimbursement needs to be conducted at the birth window of the place where the applicant is registered. Dalian pulandian city Human Resources and Social Security Bureau Address: No.53, Section 1, Zhongxin Road, pulandian city, Dalian Tel: 041-83185622 wafangdian city Human Resources and Social Security Bureau, Dalian.