Dongguan Social Security Maternity Insurance Reimbursement Process

1. If the insured person has participated in maternity insurance in the local area for a total of 1 year, and the employer pays the maternity insurance premium in full and on time during the period of enjoying maternity insurance benefits, the employer shall apply to the social insurance agency for the payment of maternity allowance from 1 year after the insured person gives birth or implements family planning surgery. 2, the insured to participate in the local maternity insurance cumulative payment is insufficient 1 year, the employer shall 1 year after the cumulative payment 12 months, to the social insurance agencies to apply for maternity allowance. 3. During the period of enjoying maternity leave or family planning operation leave according to regulations, if the employer stops paying maternity insurance premiums and fails to pay maternity leave wages due to objective reasons such as revocation of business license, order to close or cancel, the insured can apply to the social insurance agency for maternity allowance after the maternity leave or family planning operation leave ends 1 year. Units or individuals that meet one of the above conditions may apply for reimbursement of maternity insurance. However, the specific policies for maternity insurance are different in each region, and everyone needs to reimburse maternity insurance according to the local general standards.

Legal objectivity:

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.