Who knows what are the conditions for reimbursement of maternity insurance in Zaozhuang

1, the maternity insurance fund in the form of maternity allowance to the unit to be compensated

Compensation standards are: female workers with a pregnancy of 7 months (including 7 months) or more than a normal birth delivery or less than 7 months gestation of premature birth, enjoy a 3-month maternity allowance; difficult labor and implementation of cesarean section surgery, an increase of half a month of maternity allowance, the multiparous birth, each additional baby, an increase of half a month. The maternity allowance shall be increased by half a month in case of multiple births, and for each additional child, the maternity allowance shall be increased by half a month; in case of miscarriage or induced abortion during pregnancy of more than three months and less than seven months, the maternity allowance shall be increased by one and a half months, and in case of miscarriage due to pathologic reasons during pregnancy of less than three months, the maternity allowance shall be increased by one month.

The maternity allowance is based on the average monthly paid wages for maternity insurance for the 12 months prior to the prenatal or family planning surgery of the female worker.

2. Maternity Nutritional Allowance and Perinatal Health Care Allowance

Any female worker who is eligible to enjoy maternity leave of 90 days or more as stipulated by the State is entitled to a maternity nutritional allowance of 300 yuan and a perinatal health care allowance of 700 yuan.

3. One-time Maternity Subsidy

Women workers who were originally covered by maternity insurance in their organizations are entitled to a one-time maternity subsidy when they become unemployed and give birth to a child in accordance with family planning regulations during the period when they are receiving unemployment insurance benefits.

One-time maternity subsidies: 400 yuan for miscarriage, 2,400 yuan for a normal birth, and 4,000 yuan for difficult births and multiple births. For male workers who have participated in maternity insurance and whose spouses are not included in the maternity insurance coverage, they are entitled to a 50% one-time maternity subsidy when they give birth to their first child in compliance with the provisions of the family planning regulations.

4. Maternity allowance for employees

The maternity allowance is compensated to the unit, and the basic salary, bonus and welfare expenses of the insured female employee are paid by the unit during her maternity leave.

5. Family Planning Surgical Expenses

Including expenses incurred for the placement (removal) of intrauterine devices, abortion, induced abortion, dermatoplasty, sterilizations, and reversal surgeries due to the need for family planning are included in the scope of the Maternity Insurance Fund's settlement.

Reimbursement conditions

Employees enjoying maternity insurance benefits shall meet the following conditions:

1. The employer has made contributions for the employee for more than one year and continues to make contributions for him/her;

2. Compliance with the national and provincial population and family planning regulations.

Reimbursement materials

1, the original and copy of the identity card of the person entitled to treatment;

2, the original and copy of the identity card of the person acting on behalf of the person;

3, the original of the original of the special receipts or invoices for medical expenses stamped with the financial seal of the medical institution printed by the financial and taxation department;

4, the amount and date of medical expenses in accordance with the receipts (invoices) The original list of details;

5, stamped with the seal of the medical institution of the original diagnosis of the disease;

6, stamped with the seal of the medical institution of the discharge summary or outpatient medical records of the original and a copy of;

7, family planning service card or by the city's family planning department provided by the original and a copy of the relevant certificates;

8., the original birth certificate of the baby and a copy;

9, the original birth certificate of the infant and a copy;

9.

9., the insured employees who have received the "Medical Confirmation Certificate" also need to provide the "Medical Confirmation Certificate" original;

10 , the original and copy of the social security card of the person entitled to treatment.

If you do not receive or activate the social security card, you must provide a bank (Bank of China, Industrial and Commercial Bank of China, Agricultural Bank of China, China Construction Bank) passbook or debit card with name and account number on the card face or by the card-issuing bank's card number against the original and a copy of the certificate;

11, in the non-selected health care institutions in the event of an emergency, resuscitation of childbirth or abortion insured workers are also required to provide a medical emergency approved by the social security agency;

11, in the non-selected medical institutions, rescue delivery or abortion insured workers are also required to provide a medical emergency approved by the social security agency. Certificate of emergency treatment and rescue approved by the social security agency;

12. Other documents required by the social security agency.

Procedure

1, female workers after pregnancy, miscarriage or family planning surgery, by the employer or the streets, towns, labor security service station staff to bring the declaration materials to the district social labor insurance office of the maternity insurance window;

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

3, maternity of female workers full 30 days of maternity leave by the The employer or the staff of the street or town labor security service station will bring the declaration materials to the maternity insurance window of the district social labor insurance office for the settlement of the treatment;

4. After the staff accepts and approves the application, the staff will pay the maternity medical fee and maternity allowance.

Processing time limit and address

Processing time limit: 15 working days

Processing address:

Zaozhuang Municipal Social Security Bureau

Address: No. 2621 Guangming Avenue, Zaozhuang City, Zaozhuang City, Shandong Province, P.R.C. Tel: 0632-3314268

Shizhong District Social Security Bureau

Address: No. 440, Zhenxing Road (N). Tel: 0632-3083026

Social Security Bureau of Xuecheng District

Address: Guangming Avenue Tel: 0632-3060970

Social Security Bureau of Shanting District

Address: No.6, Xinyuan North Road

Social Security Bureau of Yicheng District

Address: No.25, Tanshan Middle Road, Yicheng District Tel: 0632-7711819

Taierzhuang District Social Security Bureau

Address: Kangning Road, Taierzhuang District Tel: 0632-6618359

Tengzhou City Social Security Bureau

Address: No. 1066, College Middle Road, Tengzhou City Tel: 0632-5514811