How to reimburse the hospitalization expenses of maternity insurance

Maternity medical expenses reimbursement process:

1. The applicant applies on the official platform of social security insurance management;

2. Submit materials, including hospitalization notice, expense settlement invoice, expense settlement list and discharge certificate; , turn out the first page of hospital medical records, the original and photocopy of ID card, the original and photocopy of marriage certificate, the original and photocopy of birth medical certificate, and the original and photocopy of birth medical certificate;

3. Material review;

4, according to the relevant provisions of family planning to pay.

Maternity insurance reimbursement scope:

1, maternity medical expenses. The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. Medical business expenses and medicine expenses (including self-funded drugs and nutritional drugs) exceeding the prescribed amount shall be borne by the employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; The medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions of sick leave treatment and medical insurance treatment;

2. Maternity allowance. Female employees shall enjoy maternity allowance according to law during maternity leave, which shall be calculated and paid by maternity insurance fund according to the average monthly salary of employees in the previous year.

Legal basis: Article 54 of the Social Insurance Law of People's Republic of China (PRC).

The employer has paid maternity insurance, and its employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Article 55

Maternity medical expenses include the following contents:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.