Zhengzhou maternity insurance how to reimbursement flow chart

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Documents required for maternity insurance reimbursement:

1, ID card;

2, marriage certificate;

3, family planning certificates, such as birth certificates;

4, newborn birth medical certificates, such as birth certificates;

5, receipts for medical expenses;

6, other relevant information.

Note: Since the actual situation varies from province to city, the specific processing information is based on the local maternity insurance policy.

Maternity insurance reimbursement process: the employer or the employee himself can go to the social security organization with the required information for reimbursement. In some cities, the employer can only reimburse the employee on behalf of the employer. The specific reimbursement process is based on the local maternity insurance policy.

Maternity insurance reimbursement standard: the amount of maternity insurance reimbursement is based on the local policy, for example, Dongguan cesarean section a one-time payment of 3,500 yuan, a one-time payment of 2,000 yuan through the birth canal delivery.

Maternity insurance reimbursement rate

270% for a normal birth

320% for a difficult birth

420% for a cesarean section

Note: The reimbursement rate is based on the average monthly salary of the workers of the previous year in the place where you live, and is paid as a lump sum in accordance with a certain percentage.

Maternity insurance reimbursement period

Maternity insurance needs to be purchased for 12 consecutive months and reimbursed within 18 months of the baby's birth, while the reimbursement needs to be insured. Maternity insurance is a typical local policy, the provisions vary from place to place, there are 10 months, there are 6 months or even lower. Therefore, the local social security center should prevail.

Maternity insurance reimbursement coverage

I. The Maternity Insurance Fund compensates units in the form of maternity allowance. Compensation standards are: female workers more than 7 months of pregnancy (including 7 months) or delivery or less than 7 months of pregnancy premature birth, enjoy three months of maternity allowance; difficult labor and cesarean section surgery, an additional half a month of maternity allowance; multiple births, each additional baby, an additional half a month of maternity allowance; 3 months (including 3 months) or more, less than 7 months of pregnancy miscarriage, induced abortion, enjoy one and a half months of maternity allowance; the gestation of 3 months (including 3 months) or more, less than 7 months of miscarriage, induced abortion, enjoy one and a half months of maternity allowance; the gestation of 3 months (including 3 months) or more, less than 7 months of abortion, induced abortion, enjoy one and a half months of maternity allowance. If a woman worker has a miscarriage or induced miscarriage during the third month of pregnancy (up to and including the third month), or during the seventh month or less, she is entitled to one and a half months of maternity allowance. The maternity allowance is based on the average monthly maternity insurance contribution salary of the 12 months prior to the prenatal period or family planning surgery of the female worker.

II. Maternity Nutritional Allowance and Perinatal Health Care Allowance, any female worker who is eligible to enjoy maternity leave of 90 days (or more) as stipulated by the State shall be entitled to a maternity nutritional allowance of 300 yuan and a perinatal health care allowance of 700 yuan.

Third, one-time maternity subsidy, the original unit to participate in maternity insurance female workers who are unemployed, during the period of receiving unemployment insurance benefits, in line with the provisions of the family planning to give birth to a one-time maternity subsidy: 400 yuan for miscarriage, 2,400 yuan for a normal birth, difficult births and multiple births of 4,000 yuan; to participate in the maternity insurance for the male employees, whose spouses are not included in the scope of maternity insurance, in line with the provisions of the family planning to give birth to the first child, can enjoy a one-time subsidy. When a male employee who is enrolled in maternity insurance and whose spouse is not covered by maternity insurance and is in compliance with family planning regulations gives birth to his first child, he is entitled to a one-time maternity allowance of 50%.

Fourth, the maternity allowance is compensated to the unit, and the basic salary, bonuses and welfare expenses of the insured female workers are paid by the unit during their maternity leave.

V. Family planning surgical expenses, including expenses incurred for the placement (removal) of intrauterine devices, abortion, induced abortion, dermatoplasty, sterilizations and reversal surgeries due to the need for family planning, are included in the scope of the maternity insurance fund's settlement.