How many months does Foshan maternity insurance have to pay to be reimbursed?

Reimbursement conditions of maternity insurance: Only those who have paid social security 12 months continuously (the interruption is not more than 3 months, which is considered as continuous) and still paid social security 1 month before delivery can be reimbursed 100% of the national standard.

Foshan maternity insurance reimbursement does not need to last 12 months. Insured persons who have paid basic medical insurance premiums for less than 6 months in a row cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for less than 6 months 12 months, it will be paid at 30% of the quota standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it will be paid at 100% of the fixed standard.

Maternity insurance benefits and expenses reimbursement procedures:

Application conditions: Only when the insured meets the following conditions can he enjoy the reimbursement of maternity medical expenses:

(1) conforms to the national, provincial and municipal family planning policies (excluding remedial measures for unplanned pregnancy);

(2) The insured has continuously paid the basic medical insurance premium for more than 6 months (inclusive) on the date of production (subject to the date of birth of the fetus or newborn), and paid the medical insurance premium on time 1 month before delivery. Insured persons who have paid basic medical insurance premiums for less than 6 months in a row cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for less than 6 months 12 months, it will be paid at 30% of the quota standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it will be paid at 100% of the fixed standard.

How to reimburse maternity insurance for less than one year?

Yes, if the insured is pregnant or has family planning operation during maternity insurance, but the accumulated payment is less than 1 year, the insured should apply for reimbursement within 1 year after the accumulated payment is over 12 months. In addition, the following two situations can also be used as sporadic expenses to participate in maternity insurance reimbursement:

1. The insured's emergency treatment in non-selected medical institutions, approved medical treatment in different places and other maternity medical expenses that meet the requirements;

2. If the insured person has participated in maternity insurance in this city for a total of 1 year, and fails to go through the medical confirmation procedures or seek medical treatment according to the regulations, he shall apply for a one-time maternity medical expense subsidy within 1 year after childbirth, abortion and family planning surgery;

3. If the insured person is pregnant or performs family planning operation during the maternity insurance period in this city, but the accumulated payment is less than 1 year, he shall apply for reimbursement within 1 year after the accumulated payment is over 12 months.

legal ground

Social insurance law

Article 53

Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, and employees shall not pay maternity insurance premiums.

Article 54

The employer has paid maternity insurance, and its 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.