Changsha maternity insurance payment how long can be reimbursed and reimbursement ratio

Maternity insurance is a social insurance system in which the state passes legislation to provide medical services, maternity allowances and maternity leave by the state and society in the event of temporary interruption of labor for women workers who are pregnant and give birth, and the state or society gives necessary economic compensation and medical care to workers who give birth. China's maternity insurance benefits mainly include two items. One is the maternity allowance, and the other is the maternity medical treatment. The Ministry of Human Resources and Social Security's Maternity Insurance Measures (Draft for Opinion) has been open for public consultation since November 20, 2012 for the public. The draft opinion is clear, maternity insurance treatment will no longer be limited to household registration, the unit does not pay maternity insurance must pay maternity fees.

Changsha maternity insurance reimbursement conditions

1, the employer for the employee cumulative contributions for more than 1 year, and continue to pay for their contributions;

2, in line with national and provincial population and family planning regulations.

Changsha Maternity Insurance reimbursement conditions for maternity expenses in other places:

The insured person has paid contributions for 10 consecutive months from the month following the month in which the contributions were made, and the insured person is still in the normal state of participation when applying for maternity allowance.

Participants can apply for the maternity allowance on Tuesdays at the health insurance management service centers in each district.

Changsha Maternity Insurance Reimbursement Materials

The declaration materials to be submitted by female workers who have given birth:

1, family planning certificate issued by the family planning department (the original and a copy);

2, the birth (death) of the baby issued by the medical department (the original and a copy);

3, the birth of a female worker, family planning surgery employee ID card (original and photocopy);

4, enterprise workers maternity medical card review and application form;

5, enterprise workers family planning surgery medical card application form;

6, enterprise workers maternity medical expenses reimbursement application form;

7, enterprise workers maternity insurance treatment approved settlement form;

8, enterprise workers maternity insurance out-of-town Application form for medical treatment;

9, maternity medical bills, cost lists, outpatient medical records, discharge summaries and other original information;

10, receipts.

Male employees whose spouses give birth need to submit materials:

1, family planning certificate issued by the family planning department (original and photocopy);

2, the medical department issued a certificate of birth (death) of the baby (original and photocopy);

3, the male employee's own identity card (original and photocopy);

Changsha Maternity Insurance The material for the reimbursement of foreign maternity expenses:

1. medical insurance manual;

2. birth certificate;

3. birth certificate of the baby;

4. copy of the first page of the hospitalization case (need to be stamped with the hospital chapter);

5. diagnostic certificates;

6. hospitalization expenses detailed invoices;

7. the husband and wife identity card.

Changsha maternity insurance reimbursement process

The fixed-point hospital expense reimbursement:

1, the insured person in the fixed-point hospital direct settlement reimbursement can be.

District Social Labor Insurance Office Maternity Insurance Window for:

1. female workers after pregnancy, miscarriage or family planning surgery, by the employer or street, town labor security service station staff to bring the declaration materials to the District Social Labor Insurance Office Maternity Insurance Window;

2. staff acceptance of the approval, the issuance of medical certificates;

3. maternity Within 30 days of maternity leave, the employer or the staff of the labor security service station in the street or town will bring the declaration materials to the Maternity Insurance Window of the District Social Labor Insurance Office for the settlement of the benefits;

4. The staff will pay the maternity medical fees and maternity allowance after accepting and approving the application.

Reimbursement of off-site or emergency medical expenses:

1. Participants make advance payment when they are discharged from the hospital

2. Carrying the required documents to Changsha Social Security Bureau or medical insurance bureaus of the districts to apply for reimbursement can be done.

Changsha maternity insurance reimbursement process:

1. The social security officer of the insured person's unit will be responsible for submitting the reimbursement information on Tuesdays;

2. Reporting in accordance with the policy;

3. Directly transferring money to the insured person's personal account card or Changsha bank account;

4. Any Changsha bank branch or any specialized bank Any branch of Changsha Bank or any branch of specialized banks to swipe or withdraw the card.