Job Recruitment Website - Social security inquiry - Social security does not have maternity insurance to give birth to a child can be reimbursed how much

Social security does not have maternity insurance to give birth to a child can be reimbursed how much

Legal subjective:

First of all, it should be clear that only participated in the social security of the maternity insurance, will enjoy the reimbursement policy of maternity expenses, if only have pension insurance, medical insurance is not. The maternity insurance generally includes: maternity medical treatment, maternity allowance, family planning medical treatment three. Maternity medical treatment: examination fee, delivery fee, operation fee, medicine fee, etc. during pregnancy and delivery. Maternity allowance = Maternity allowance base x number of days of maternity leave. Normally, you will be reimbursed in one lump sum when the mother returns to the company after her maternity leave. Of course, there are also companies that will pay it out month by month. Maternity medical expenses include medical examination fees, delivery fees, operation fees, hospitalization fees and medicine fees incurred by female workers due to pregnancy and childbirth. There are different reimbursement rates for cesarean section and normal delivery according to different levels of hospitals: 1. Medical expenses for natural delivery: RMB 1,900 for Level 3 hospitals, RMB 1,800 for Level 2 hospitals and RMB 1,700 for Level 1 hospitals. 2、Medical fees for artificially intervened delivery: RMB 2,100 for third-level hospitals, RMB 2,000 for second-level hospitals, and RMB 1,900 for first-level hospitals. 3、Medical fees for cesarean section without other surgeries: RMB 3,800 for third-level hospitals, RMB 3,700 for second-level hospitals, and RMB 3,500 for first-level hospitals. 4、Medical fee for cesarean section with other surgeries: RMB 4,000 for third-level hospitals, RMB 3,900 for second-level hospitals, and RMB 3,600 for first-level hospitals. The contribution rate is different from place to place, so the specific reimbursement rate is also different, it is recommended that the local social security department to consult the detailed reimbursement rate.

Legal Objective:

Article 28 of the Social Insurance Law of the People's Republic of China*** and the State of China, medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those of emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations. Article 30 of the Social Insurance Law of the People's Republic of China The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund (1) those which should be paid from the industrial injury insurance fund; (2) those which should be borne by a third person; (3) those which should be borne by public **** health; (4) those who seek medical treatment outside the country. If the medical expenses should be borne by a third party in accordance with the law, and the third party does not pay or the third party cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover from the third party after the first payment.