Abortion reimbursement maternity insurance reimbursement process

Employees of the unit shall participate in maternity insurance for three months as required and pay maternity insurance premiums in full and on time; Flexible employees who have paid in full and on time for one year can enjoy maternity insurance benefits. After abortion and ectopic pregnancy, you can go through relevant procedures with relevant procedures. When a pregnant mother gives birth in hospital, she should first submit the original and photocopy of the social security card and the family planning service certificate to the designated hospital, and the designated hospital will review the relevant birth certificate, and immediately settle the maternity medical expenses by swiping the card without going to the medical insurance center for manual reimbursement.

The abortion reimbursement process of maternity insurance is as follows:

1 Before the abortion operation, 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 handling.

The staff will issue a medical certificate after accepting the approval. Within 30 days after maternity leave, the employer or the staff of the street and 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.

After accepting the examination and approval, the staff will pay maternity medical expenses and maternity allowance. Among them, all expenses will be credited to the pregnant mother's social security card financial account at the end of the next month after discharge settlement.

Generally speaking, people can participate in maternity insurance. The second kind of people can take medical insurance, and finally the allowance is directly paid to the unit account. Among them, when a pregnant mother gives birth in hospital, she should first submit the original and photocopy of the social security card and the family planning service certificate to the designated hospital, and the designated hospital will review the relevant birth certificate and immediately swipe the card to settle the maternity medical expenses, without having to go to the medical insurance center for manual reimbursement.

Reimbursement standard of abortion and maternity insurance

1, reimbursement standard of maternity allowance

Maternity allowance is calculated according to the payment base of the month when female employees give birth divided by 30 and multiplied by the number of days of maternity leave.

2. Maternity insurance has accumulated for one year.

Enjoy treatment in accordance with the relevant provisions of family planning.

3, maternity allowance payment standard

Birth (abortion) month, the unit unified payment of wages, according to the provisions of the holiday calculation and payment.

Abortion and maternity insurance reimbursement materials

1, medical expense declaration form;

2. My ID card or social medical security card;

3. I have a bank card with UnionPay logo;

4. My medical record book;

5. Original production cost;

6. Detailed list of expenses;

7. discharge summary.

Reimbursement conditions of abortion and maternity insurance

1, the employee has paid maternity insurance for more than one year;

2. The employer pays maternity insurance premiums in full for the employees;

3, in line with the relevant provisions of family planning.

legal ground

Article 56 of the Social Insurance Law of People's Republic of China (PRC) shall enjoy maternity allowance in accordance with the provisions of the state in any of the following circumstances:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.