What is the reimbursement ratio of social security maternity insurance in Shenzhen?

The reimbursement rate of social security maternity insurance in Shenzhen is based on the average monthly salary of employees in the previous year, and it is paid in one lump sum according to a certain proportion. Generally, natural childbirth is reimbursed by 270%, dystocia by 320% and caesarean section by 420%.

1. What is the reimbursement ratio of social security maternity insurance in Shenzhen?

According to the relevant provisions of sick leave treatment and medical insurance treatment, the reimbursement rate of maternity insurance is based on the average monthly salary of employees in the previous year, and it is paid in one lump sum according to a certain proportion.

1. The maternity insurance fund compensates the unit in the form of maternity allowance. The compensation standard is: female workers who have been pregnant for more than 7 months (including 7 months) and delivered naturally or have been born prematurely for less than 7 months are entitled to 3 months of maternity allowance; In case of dystocia or cesarean section, the maternity allowance will be increased by half a month, and in case of multiple births, the maternity allowance will be increased by half a month for each additional baby; Those who have miscarried or induced labor for more than 3 months but less than 7 months are entitled to 1.5 months' maternity allowance, and those who have miscarried for pathological reasons within 3 months are entitled to 1 month's maternity allowance. Maternity allowance is based on the average monthly payment salary of maternity insurance for female employees before prenatal or family planning operation 12 months.

2. Maternity nutrition subsidies and perinatal health care subsidies. Female employees who meet the national regulations and enjoy maternity leave for more than 90 days (including 90 days) can enjoy maternity nutrition subsidies in 300 yuan and perinatal health care subsidies in 700 yuan.

3. One-time maternity allowance: female employees who take part in maternity insurance in our company are unemployed, and if they give birth in accordance with family planning regulations during the period of receiving unemployment insurance benefits, they can enjoy one-time maternity allowance: 2,400 yuan for miscarriage in 400 yuan, 4,000 yuan for dystocia multiple births, and 50% for male employees whose spouses are not included in maternity insurance and give birth to their first child in accordance with family planning regulations.

4. Maternity allowance shall be compensated by the unit, and my basic salary, bonus and welfare expenses shall be paid by the unit during the maternity leave of the insured female employees.

5, family planning operation fees, including due to the needs of family planning, the implementation of the placement (removal) of intrauterine devices, induced abortion, induced labor, skin burial, sterilization and recanalization surgery costs, included in the scope of maternity insurance fund settlement.

Second, what is the scope of non-reimbursement?

1, which does not meet the national and provincial basic medical insurance and maternity insurance drug list, diagnosis and treatment items, medical service facilities and related medical management regulations;

2. Expenses incurred due to medical accidents;

3, the cost of treatment of postpartum complications.

To sum up, women can generally take relevant materials for reimbursement after giving birth to 12 months. Because the payment base chosen when paying social security is different, the proportion of reimbursement is also different. The payment base is generally calculated according to the average salary of the previous year in this city.