Yibin Maternity Insurance Reimbursement Standard 2023

The reimbursement standards for maternity insurance in Yibin in 2023 are as follows:

1. The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee of female employees shall be paid by the maternity insurance fund. Medical business expenses and medicine expenses (including self-funded drugs and nutritional drugs) exceeding the prescribed amount shall be borne by the employees themselves;

2. After the female workers are discharged from the hospital, the medical expenses of diseases caused by childbirth shall be paid by the maternity insurance fund, and the medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits. What are Yibin maternity insurance reimbursement hospitals?

3. Female employees shall enjoy maternity allowance according to law during maternity leave, which shall be paid by the maternity insurance fund according to the average monthly salary of employees in the previous year;

4. The maternity insurance policy emphasizes that if the maternity allowance is higher than my maternity leave salary standard, the employer may not deduct it; If the maternity allowance is lower than my maternity leave wage standard, the difference will be made up by the employer, that is to say, the maternity allowance will not be lower than the average wage standard of this unit. The monthly maternity allowance for female employees is RMB, and if the average monthly salary of the employer is RMB, the difference between RMB and RMB needs to be made up by the employer.

Yibin maternity insurance reimbursement conditions:

1, in line with national, provincial and municipal family planning policies;

2. When giving birth or carrying out family planning operation, the employer has participated in maternity insurance and paid the maternity insurance premium in full 12 months. Yibin city maternity allowance;

3, prenatal examination fees and production costs, the parties bring a marriage certificate, social security card (citizen card) and the family planning certificate issued by the street to the maternity insurance designated hospital direct credit card settlement;

4. To declare maternity allowance and one-time nutrition allowance, you need to fill in the maternity insurance benefits declaration form and affix the official seal of the unit, provide marriage certificate, one-child certificate (for children), discharge summary and other materials, and go through the declaration formalities at the obstetrics department of the municipal medical insurance center on the working day between 1- 10 every month. (Go through relevant formalities within one year after delivery)

To sum up, the maternity insurance fund compensates the unit in the form of maternity allowance.

Legal basis:

Article 56 of People's Republic of China (PRC) Social Insurance Law

Workers 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.