I come from Dalian. Can maternity insurance be reimbursed if it needs to be returned again?

Conditions for reimbursement of maternity insurance in Dalian

A large number of people are not particularly clear about the reimbursement conditions of Dalian maternity insurance. How to calculate the maternity insurance for the first ten months of production? What is the basis?

In terms of maternity insurance, for those who have had abortion, dystocia, multiple births and premature births, please see the following links. Although it is Shanghai's policy, there are similarities everywhere.

It may be that there are differences in policies between Shanghai and Nanjing, and the company will never manage this reimbursement, which is directly linked to pregnant women by medical insurance.

During the hospitalization period, all items within the scope of medical insurance shall be paid by medical insurance as a whole. Of course, self-funded projects (such as advanced wards, self-funded drugs, etc.) still have to be borne by themselves.

After having a good baby, I went to the medical insurance bureau to apply for maternity allowance. The medical insurance bureau gave me 3000 social security, and then gave me three months' income from the payment base.

Half a month later, multiple births for half a month.

If the average wage income in the previous year is greater than the upper limit of the social security payment base, then social security will only pay the part of the payment base, and the rest will be paid by the company.

For example, someone's average wage income in the last year is 10000, and the social security base is capped at 7392.

Then the monthly income paid by social security is 7392, and the rest 10000-7392=2608 is paid by the company.

In fact, there are two key points:

1, full payment before childbirth 1 year.

2. The social security payment base is declared normally.

Conditions for reimbursement of maternity insurance in Dalian There are two payment methods and payment standards for maternity allowance: First, in areas where maternity insurance is co-ordinated, the payment standard is paid according to the average monthly salary of employees in the previous year, and the period is not less than 90 days; Second, in areas where maternity insurance does not implement social co-ordination, maternity allowance is paid by enterprises or units. The standard is the basic salary and price subsidy for female employees before childbirth, and the term is generally 90 days. In some areas, professional women who marry late and have children late are encouraged to extend the period of maternity allowance appropriately. Other regions give one-time subsidies to the spouses of male employees who participate in maternity insurance.

Dalian maternity insurance reimbursement

Audit time: 65438+ 0 to 20 days per month (never between 20 and 30 days, otherwise the staff will drive you back mercilessly);

Audit location: Labor and Social Security Bureau, maternity insurance window for employees;

Materials required for the audit: ID card and its copy (reverse), birth medical certificate and its copy (it needs to be cut to the same size as the original, the same below), marriage certificate and its copy, birth certificate and its copy, stamped diagnosis certificate issued by the hospital where the baby was born, medical payment details (non-receipt, wide list), one-child honor certificate and its copy issued by the hospital at the time of discharge (there must be one, it seems that those who have given birth to several children cannot apply for maternity insurance), and the reimbursement amount:

Hospitalization expenses: Four districts in Dalian include Jinzhou and Lushun. In the case of natural childbirth, 2200 yuan is reimbursed, in the case of dystocia, 3000 yuan is reimbursed, and in the case of cesarean section, 4000 yuan is reimbursed. The hospitalization expenses of subordinate counties and cities decreased 1000 yuan. Reimbursement of abortion expenses reimbursement of physical abortion expenses. Multiple births will be reimbursed to 500 yuan for each additional birth. Prenatal check-up fee: unified as 800 yuan. Maternity leave and allowance: normal delivery 150 days, dystocia and cesarean section 165 days. Allowance is calculated according to the basic salary when the unit pays the fee. For example, for female employees who gave birth before May 2008, the monthly allowance is 1 180 yuan, and 1465438 yuan after May.

How to get it: I will go to bank of dalian (Tianan Building) to get it on June1-25th of the following month with my ID card and copy, and maternity insurance benefits payment form (issued by the Labor and Social Security Bureau after the above approval).

Conditions for reimbursement of maternity insurance in Dalian: maternity insurance has been paid for ten months before production, and it is not eligible to stop paying or pay back. The social security center does not reimburse prenatal examination fees and maternity fees, and there is no maternity allowance during maternity leave, that is, maternity leave wages.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.