Job Recruitment Website - Social security inquiry - Can I be reimbursed for not paying social security and having a baby?
Can I be reimbursed for not paying social security and having a baby?
As one of the five insurances, maternity insurance has a low proportion of compensation, but a large amount of reimbursement. Now the cost of having children is higher and the production cost is very high. Maternity insurance needs to be paid continuously for more than 1 year before it can be reimbursed, and then it can enjoy maternity reimbursement and receive maternity allowance. If the mother fails to pay maternity insurance, she can also reimburse the related expenses.
1. Spouse has paid social security. If the maternal spouse has paid social security in the work unit and paid it continuously for more than 1 year before the maternity reimbursement, the maternal can still enjoy the reimbursement of maternity medical expenses. At present, maternity medical expenses are reimbursed for 3,000 yuan for natural delivery, 4,000 yuan for caesarean section and 3,300 yuan for dystocia. In addition, the cost of prenatal examination can also be reimbursed to 500 yuan. If the maternity does not pay maternity insurance, it depends on whether the spouse has paid it, and eligible women can apply for reimbursement.
2. Flexible employment has paid social security. If the parturient is a flexible employee and has paid social security, although the flexible employee can only pay medical insurance and old-age insurance, but not maternity, work injury and unemployment, he can also apply for reimbursement of maternity medical expenses as long as he participates in medical insurance 1 year or more, up to 2000 yuan.
3. Medical insurance for urban and rural residents. China's medical security system is very perfect. Pregnant women who pay medical insurance for urban and rural residents can also enjoy reimbursement of maternity medical expenses, up to 1.300 yuan.
Legal basis:
Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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