Hefei maternity insurance reimbursement standard 2022

The highest reimbursement standard for prenatal examination is 800 yuan, with 3,000 yuan for natural delivery and voluntary caesarean section, and 5,000 yuan for caesarean section. Hefei maternity insurance reimbursement is disproportionate, but there is the highest reimbursement standard! If the medical expenses exceed this standard, they can only be reimbursed according to this standard. If it does not exceed this standard, it will be reimbursed according to the actual medical expenses. The standard of maternity allowance in Hefei is calculated and paid according to the average monthly salary of employees in the previous year, which is automatically calculated and paid by the system. Including necessary examination fee, delivery fee, operation fee, medicine fee and hospitalization fee (including bed fee, nursing fee, anesthesia fee, treatment fee and material fee necessary for basic medical treatment). Including the expenses incurred by workers in placing (taking out) IUD, abortion, induced labor, sterilization and recanalization due to family planning. Expenses for complications during maternity leave, current complications of childbirth and current complications of family planning operation.

Legal basis: Article 25 of the Population and Family Planning Law of the People's Republic of China. Couples who have children in accordance with laws and regulations can get extended maternity leave or other welfare benefits.

Article 7 of the "Special Provisions on Labor Protection of Female Employees" allows female employees to enjoy 98 days of maternity leave, including 15 days before delivery; In case of dystocia, maternity leave shall be increased 15 days; For multiple births, the maternity leave can be increased by 1 5 days for each additional child. Female employees who miscarry less than 4 months after pregnancy are entitled to 15 days maternity leave; Abortion after 4 months of pregnancy is entitled to 42 days of maternity leave.

People's Republic of China (PRC) social insurance law

Fifty-third employees should participate in maternity insurance, the employer should pay maternity insurance premiums in accordance with state regulations, and employees do not pay maternity insurance premiums.

Fifty-fourth employers have paid maternity insurance premiums, and their employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowance.

Fifty-fifth maternity medical expenses include the following:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.

Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.