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How to reimburse Luzhou maternity insurance and how much can it be reimbursed?
How much can maternity insurance be reimbursed? How to reimburse maternity insurance? The following website Bian Xiao collected 20 16 Shenzhen maternity insurance reimbursement process guide for your reading and reference! How much can maternity insurance be reimbursed? According to the reimbursement standard of maternity insurance medical expenses in Shenzhen, the baby's birth certificate provided by prenatal examination will be paid 2000 yuan in one lump sum, and the rest will be reimbursed according to the prenatal examination items and expense standards stipulated by this Municipality, and the part exceeding 2000 yuan will not be paid; Single child 2700 yuan; Single-child dystocia (including cesarean section) 5200 yuan; On the basis of corresponding delivery standards, multiple births will increase by 1000 yuan for each additional child. The application for maternity allowance will be launched on March 15. As the maternity allowance system needs to match the information related to maternity medical expenses, the application for maternity allowance will be launched on March 15. Therefore, the employer is reminded that if maternity allowance is required, employees in need can be instructed to reimburse the expenses paid in advance, and the bookkeeping part does not need to be reimbursed. How to reimburse maternity insurance? In order to further simplify the reimbursement procedures and facilitate the insured, maternity insurance medical expenses reimbursement was fully implemented in our city from March 1 day. The insured person can apply for reimbursement at any social security institution convenient to him, regardless of his household registration or district. Information required for reimbursement of the insured's own maternity medical expenses: 1. Social security card (original inspection); 2. ID card (original inspection); 3 "Shenzhen maternity insurance medical expenses application form" (original); 4. The original charge receipt stamped with the official seal of the hospital (original); 5. Detailed list of medical expenses stamped with the official seal of the hospital (check the original and receive a copy); 6. Diagnostic certificate of medical institution (original and photocopy)/discharge summary (original and photocopy); (Note: The hospital must provide the discharge summary) 7. Bank account of the insured (original inspection, copy received); (1) For those who have already applied for a financial social security card, there is no need to provide a copy of the bank account, and the reimbursement expenses are directly credited to the bank account bound by their social security card; (2) If the financial and social security card has not been applied, a copy of the bank card or bank passbook of China Bank, Industrial and Commercial Bank of China, Agricultural Bank, China Construction Bank and China Merchants Bank shall be provided. 8. Medical certificate of baby's birth (original inspection, copy received)/certificate of baby's death (original inspection, copy received) (Note: you don't need to provide these materials if you apply for reimbursement of prenatal examination and delivery expenses, only you don't need to provide them if you apply for reimbursement of prenatal examination expenses); 9. Family planning certificate (original inspection, copy received) (application for reimbursement of prenatal examination and delivery expenses) (1) Shenzhen Family Planning Certificate is required; (2) Non-deep household registration can provide the "Family Planning Certificate" issued by the family planning department at the place of long-term residence or household registration, and provide the "Unit Distribution Certificate" issued by the insured unit; (3) cities that have cancelled the family planning certificate need to provide a certificate issued by the family planning department to prove that this birth is in line with the family planning policy. 10. distribution certificate of the insured unit (original) (note: provided by those who have no long-term household registration and cannot issue the family planning certificate of this municipality); 1 1. Customer's ID card (check the original and receive a copy). Information required for maternity medical expenses of the unemployed spouse of the insured: 1. Social Security Card of the Insured (Original Inspection): 2. Identity card of the insured (original inspection); 3. Identity card of the unemployed spouse of the insured (original inspection); 4 "Shenzhen maternity insurance medical expenses application form" (original); 5. Original charge receipt stamped with the official seal of the hospital (original); 6. Diagnostic certificate of medical institution (original inspection, copy received)/discharge summary (original inspection, copy received) (note: inpatients must provide discharge summary); 7. Eight copies of the detailed list of medical expenses stamped with the official seal of the hospital (original and photocopy). Marriage certificate (original and copy); 9 unemployment registration certificate (original and photocopy); (Note: Unemployed spouses without deep household registration should provide unemployment registration certificate issued by local labor department); 10. Bank account of the insured (check the original and receive a copy); (1) The bank account for reimbursement of maternity medical expenses of unemployed spouses requires the bank account of the insured; (2) If the insured has applied for a financial social security card, it is not necessary to provide a copy of the bank account, and the reimbursement expenses are directly credited to the bank account bound by his social security card; (3) If the financial and social security card has not been applied, a copy of the bank card or bank passbook of China Bank, Industrial and Commercial Bank, Agricultural Bank, China Construction Bank and China Merchants Bank shall be provided. 1 1. Medical certificate of baby's birth (original inspection, copy received)/certificate of baby's death (original inspection, copy received) (Note: only those who apply for reimbursement of prenatal examination and delivery expenses can not provide this information); 12. Family planning certificate (original inspection, copy received) (application for reimbursement of prenatal examination and delivery expenses); (1) The Family Planning Certificate provided by the unemployed spouse can be the Family Planning Certificate of Shenzhen City or the Family Planning Certificate of the domicile; (2) cities that have cancelled the family planning certificate need to provide a certificate issued by the family planning department to prove that this birth is in line with the family planning policy. 13. Application process of the client's ID card (original, copy) for reimbursement of maternity insurance medical expenses: 1. The insured person applying for reimbursement fills in the application form and prints it on the official website of the Municipal Social Insurance Fund Administration "Social Insurance Service Personal Website"; Or download the "Shenzhen maternity insurance medical expenses application form" to fill in; 2. Prepare the application materials, submit the application for 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. The staff of each branch shall review the reimbursement information provided by the insured and decide whether to accept it; If the information is incomplete, a notice of one-time supplementary materials shall be issued; 4 staff to sort out the accepted materials, according to the relevant provisions of the maternity insurance fund to pay after the audit. Processing time: 9: 00 am-65438+02: 00 pm:14: 00-18: 00 on weekdays. Questions and answers related to maternity insurance ① "The insured has participated in maternity insurance for a total of 12 months" mentioned in the conditions for enjoying maternity insurance benefits. Is it "continuous payment 12 months"? Answer: The cumulative participation in maternity insurance 12 months includes the continuous payment time and the time before and after the interruption of participation. ② Is there any difference between the maternity insurance benefits enjoyed by the second child and the first child? A: All the treatments for the first child and the second child in the policy are the same. ③ Can maternity allowance be reimbursed for 2014 production? What are the conditions? A: The Guangdong Provincial Maternity Insurance Regulations have been implemented since 20 15, and only those produced in or after 20 15 are suitable for this policy; 20 14 maternity is subject to the medical insurance measures of this municipality, and the overall planning fee does not include maternity allowance, so there is only maternity medical care and no maternity allowance. ④ May and July of 2016. Last year's salary was based on 20 15 or pushed forward by 12 months based on the production month? A: According to the Regulations on Maternity Insurance for Employees in Guangdong Province, the maternity allowance that employees should enjoy is calculated based on the average monthly salary of employees in the previous year when they gave birth; Therefore, in May and July of 20 16, the calculation of maternity insurance allowance is based on the average contribution salary of the employer in 20 15.
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