The scope and standard of reimbursement of maternity insurance for male employees

The reimbursement standards for maternity insurance for male employees are divided into five situations, as follows:

1. Cesarean section delivery/cesarean section abortion after 7 months of pregnancy: 3,000 yuan;

2. Delivery/abortion after 7 months of pregnancy: 2,000 yuan;

3. Delivery/abortion after pregnancy for more than 3 months but less than 7 months: 1 1,000 yuan;

4. Abortion within 3 months of pregnancy: 300 yuan;

5. Every extra baby born in multiple births: increase 400 yuan.

1. What is the reimbursement standard for maternity insurance for male employees?

Maternity insurance medical expenses reimbursement standard:

1. Cesarean section delivery/cesarean section abortion after 7 months of pregnancy: 3,000 yuan;

2. Delivery/abortion after 7 months of pregnancy: 2,000 yuan;

3. Delivery/abortion after pregnancy for more than 3 months but less than 7 months: 1 1,000 yuan;

4. Abortion within 3 months of pregnancy: 300 yuan;

5. Every extra baby born in multiple births: increase 400 yuan.

Second, the reimbursement conditions

1, the insured person participates in Chengdu maternity insurance as required;

2. Pay maternity insurance premium in full 12 months;

3, in line with national, provincial and municipal family planning policies;

4. Reimbursement is still in the state of insurance payment.

In detail, whether you pay by yourself or the company, you can enjoy maternity insurance only after you have paid for maternity or family planning surgery for ten months (the time limit varies from place to place, please consult the local social security agency for details). The man should conform to the national family planning policy and statutory fertility conditions. Specifically, it means that it must conform to the national family planning policy and meet the statutory fertility conditions. If the man is under the legal age of marriage, he can't enjoy this maternity insurance. In the maternity insurance designated medical institutions to give birth or implement family planning surgery, maternity insurance reimbursement must be carried out under the premise of participating in social insurance. Those who have given birth in accordance with the family planning regulations shall provide the following materials for reimbursement: marriage certificate, birth certificate, medical certificate of newborn birth, discharge record, hospitalization invoice, medical insurance IC card and male employee ID card. Require the woman not to be included in the maternity insurance. The last requirement must be that your spouse has not participated in maternity insurance, which means that the woman's unit has not paid maternity insurance for your spouse. If the woman's unit also insured her for maternity insurance, then your spouse needs to apply for reimbursement of maternity insurance, rather than reimbursement or subsidy through the man's maternity insurance.

Third, the reimbursement process

1. The man shall fill in and provide the approval form for maternity insurance benefits in duplicate.

2. The man also needs to provide ID card, original invoice of hospitalization expenses, discharge certificate, birth index, baby birth certificate, marriage certificate and personal bank account information.

3. Finally, go to the city or district social security agency where the man's social security relationship is located to go through the formalities of receiving a one-time maternity allowance.

The formulation of maternity insurance reimbursement standard is the standard set for different security items in maternity insurance, which generally includes maternity allowance, maternity medical expenses and expenses incurred by employees due to family planning surgery. Not only women, but also eligible men can get the reimbursement amount ranging from 300 yuan to 3,000 yuan according to the standard.

legal ground

People's Republic of China (PRC) social insurance law

Fifty-fourth employers have paid maternity insurance premiums, and their 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.

Fifty-third employees should participate in maternity insurance, the employer should pay maternity insurance premiums in accordance with state regulations, and employees do not pay maternity insurance premiums.