How to reimburse expenses for giving birth to a child?

We need to know whether the local social security includes the reimbursement of maternity expenses, and some local maternity expenses are not covered by social security reimbursement. Reimbursement ratio, directly consult the local social security management center. When leaving the hospital, you must bring the basic medical insurance certificate, personal identity card, disease diagnosis certificate, discharge summary table, official invoice of medical expenses and detailed list of medical expenses, and medical records from different places to the Social Security Bureau for reimbursement. Those who participate in employee social security shall be reimbursed by maternity insurance. Those who don't work in the employer, participate in residents' medical insurance, new rural cooperative medical system, etc., can enjoy reproductive medical treatment.

The process of childbirth reimbursement is as follows:

1. The medical insurance for giving birth to children is paid by the employer for the employees, and individuals do not need to pay any insurance premium. Accordingly, when applying for reimbursement of medical insurance for childbearing children, the employer or labor security service personnel should also declare on their behalf. Before pregnancy, abortion or family planning, the insured female employees need to report the situation to the relevant departments of the employer or the local labor and social security service department, and then bring the employee application materials to the medical insurance window of the local social insurance center to declare. Application materials include employee social insurance registration form, maternity insurance declaration summary form, etc.

2. The fertility department of the local social insurance center shall, after receiving the application and acceptance materials submitted by the employer or the labor security staff, review the front desk qualifications and materials as soon as possible. If approved, issue an acceptance receipt and a medical certificate; If it fails, an unacceptable receipt shall be issued;

3. If the receipt is received, the employer or the staff of the local labor and social security department will bring the relevant reimbursement materials to the medical insurance window of the local social insurance center for maternity insurance reimbursement within one month after the start of maternity leave for female employees. Reimbursement materials include family planning certificate, birth certificate, employee ID card, birth medical certificate, birth medical application form, medical fee application form, operation fee application form, maternity insurance treatment approval and settlement form, and female employees' medical bills, expense list, medical records and other original materials. The relevant staff of the social insurance center will re-examine the application materials and calculate the final reimbursement data;

4 local social insurance center maternity insurance window staff to review the reimbursement materials, and then calculate the medical insurance benefits to be paid to employees. If there is no objection, the social security center will transfer the maternity medical expenses and maternity allowance to the insured female employee account. After receiving the notice from the social insurance center, the insured female workers can inquire about the medical insurance benefits of giving birth to children.

To sum up, maternity expenses can be reimbursed by local social security institutions. Employees themselves or their units may apply for reimbursement to the above-mentioned institutions according to law, and submit the required materials such as family planning certificate, baby birth, death or abortion certificate issued by the local family planning department.

Legal basis:

"Trial Measures for Maternity Insurance for Enterprise Employees" Article 7

After a female worker gives birth or has an abortion, she shall go through the formalities at the local social insurance agency with the family planning certificate issued by the local family planning department and the certificate of birth, death or abortion of the baby, receive the maternity allowance and reimburse the maternity medical expenses.

"Trial Measures for Maternity Insurance for Enterprise Employees" Article 6

The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. The medical service fee and medicine fee (including self-funded medicine and nutritional medicine) exceeding the prescribed amount shall be borne by the employees themselves.

After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; 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.

"Trial Measures for Maternity Insurance for Enterprise Employees" Article 8

The maternity insurance fund is collected, paid and managed by the social insurance agency affiliated to the labor department.