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What is the reimbursement process of maternity insurance?
birth insurance reimbursement process
1, after a female worker is pregnant, has an abortion or has a family planning operation, the employing unit or the staff of the street or town labor security service station will bring the application materials to the maternity insurance window of the district social labor insurance for handling;
2, the staff to accept the examination and approval, issued a medical certificate;
3. Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance agency for treatment settlement;
4, workers accept the examination and approval, pay maternity medical expenses and maternity allowance.
maternity insurance
Maternity insurance is a social insurance system in which the state and society provide timely living security and material assistance to professional women when they temporarily stop working due to maternity through legislation.
Maternity insurance is a kind of social insurance, and it is a social policy that the state provides living security and material assistance to pregnant women through legislation. Its purpose is to help working women recover their working ability and return to work by providing them with maternity allowance, medical services and maternity leave. Maternity insurance benefits in China mainly include two items. First, maternity allowance is used to protect the basic needs of female employees during maternity leave; The second is maternity medical care, which is used to ensure the basic medical care needs of female employees during pregnancy, childbirth and birth control surgery.
The object of maternity insurance is mainly female employees, so the people who enjoy the treatment are relatively narrow. With the social progress and economic development, some areas allow spouses to take certain holidays to take care of their wives and pay holiday wages after female employees give birth; In some areas, financial assistance is provided to spouses of male employees.
Insured employees who meet the following conditions can enjoy maternity insurance benefits as required: (1) those who meet the requirements of national, provincial and municipal family planning policies; (2) When giving birth or carrying out family planning operation, the employer has participated in maternity insurance and paid the maternity insurance premium in full 12 months. (3) Prenatal check-up fee and production fee, the parties bring marriage certificate, social security card (citizen card) and family planning certificate issued by the street to the designated maternity insurance hospital for direct credit card settlement. (4) To declare maternity allowance and one-time nutrition allowance, you need to fill in the maternity insurance benefits declaration form and affix the official seal of the unit, provide marriage certificate, one-child certificate (for children), discharge summary and other materials, and go through the declaration formalities at the obstetrics department of the municipal medical insurance center on the working day between 1- 10 every month. (Go through relevant formalities within one year after delivery)
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