Qingdao Maternity Insurance Reimbursement Standard

1, normal birth: first-class hospital 1600 yuan, second-class hospital 1800 yuan, third-class hospital 2000 yuan. 2, through the vagina difficult birth: first-class hospital 2000 yuan, second-class hospital 2200 yuan, third-class hospital 3400 yuan. 3, cesarean section: first-class hospital 3200 yuan, second-class hospital 3500 yuan, third-class hospital 3800 yuan. 4, the first-class hospital 3200 yuan, second-class hospital 3500 yuan, third-class hospital 3800 yuan.

The so-called maternity insurance reimbursement, i.e., the employer needs to insure the unit's employees on the birth of a reasonable cost. Maternity insurance reimbursement is the current law of our country, the provinces and cities need to take the law promulgated by the state as a standard, and then combined with the actual situation of the province and city amount, the application of the standard. Today, I'm bringing you information about Qingdao's maternity insurance reimbursement standards.

I, Qingdao Qingdao maternity insurance reimbursement standards

1, maternity medical subsidies

(1) maternity medical subsidies 1200 yuan; cesarean section of the increase in maternity medical subsidies 1,000 yuan; pregnancy complications increase maternity medical subsidies 4,000 yuan.

(2) Those who have a miscarriage or stillbirth during the 7th month or more of planned pregnancy are entitled to treatment according to the regulations.

(3) The medical expenses for the birth of a female worker are reimbursed from the maternity medical subsidy; the excess shall be reimbursed by the enterprise according to the regulations.

(4)

After the female worker is discharged from the hospital after giving birth, the medical expenses incurred for other diseases during the maternity leave shall be handled in accordance with the provisions of the medical insurance; after the expiration of the maternity leave, if she continues to take rest and treatment due to illness, the enterprise shall handle the case in accordance with the provisions concerning the treatment of sick leave and the treatment of medical insurance.

2, maternity leave wages maternity leave wages of female workers, according to their own contributions to the wage standard allocation.

The reimbursement of maternity expenses includes examination, delivery, operation, hospitalization, medication and treatment costs incurred by female workers due to pregnancy and childbirth. Employees to implement the placement (removal) of intrauterine devices, abortion, induced abortion, sterilization and restoration of the medical costs incurred by the surgery; female workers plan to give birth or planned pregnancy abortion, induced abortion in accordance with the provisions of the maternity allowance, by the social insurance agencies in accordance with the provisions of the payment of the employee to enjoy maternity allowance during the period of the unit wage (refers to the base of the wage contribution project) stop. The maternity allowance is calculated by dividing the monthly wage base for individual contributions to maternity insurance of the current year (or the previous month) by 30 as the maternity allowance payable for one day, which is paid in a lump sum according to the number of days corresponding to the entitlement.

Article 55 of the Social Insurance Law, medical expenses for childbirth include the following:

(1) medical expenses for childbirth;

(2) medical expenses for family planning;

(3) expenses for other items prescribed by laws and regulations.

Two, Qingdao area maternity insurance reimbursement process

1, female workers are pregnant, with the household register to the street office where the birth control department for the "family planning services manual.

2. When she is three months pregnant, she goes to the Maternal and Child Health Hospital with her Qingdao Labor and Social Security Card, Qingdao Urban Workers' Medical Insurance Card, and Family Planning Service Handbook to establish a Maternity Health Handbook. At the same time, reimbursement of 157 yuan examination fee.

3. When you are 4-10 months old, you can choose any one of the designated medical institutions within the scope of maternity insurance as the designated hospital for mid- and late-term pregnancy checkups, and reimburse the checkup fee of RMB 375 within the scope of social security with the Maternity Health Handbook at the designated hospital before delivery.

4. When you give birth, choose a designated medical institution for maternity insurance, and after the delivery, the hospital and the social security will directly settle the maternity expenses, and the reimbursement will be different according to the complications, with an average of 1,400 yuan for a normal delivery and 2,400 yuan for a planed delivery.

5. After the delivery, you will go to the public security bureau where the household registration is located to settle the child's household registration, and apply for a "birth medical certificate".

6. From the 1st to the 10th of each month (in advance of holidays), you can bring a card and a booklet with the "Birth Medical Certificate", "Family Planning Service Handbook", the passbook of the Industrial and Commercial Bank of Qingdao (ICBC), and the original social security card to FESCO Qingdao to apply for the maternity leave payroll procedures.

Note: Female workers who need to give birth to a child outside of Qingdao must go through the procedure of transferring the child one month in advance, and must provide the following information: personal application, a card, a certificate and a booklet, and FESCO Qingdao will go through the procedure of filing a birth record for the child in a different place for her. After the birth, all the examination and hospitalization cases, invoices, details and other information will be provided to Qingdao FESCO, and the process will be the same as the above articles 5 and 6, and the reimbursement of expenses will be credited to the passbook (the current settlement passbook of Industrial and Commercial Bank of Qingdao) at one time in the first month of the payroll of the maternity leave.

Since the employee is in a state of temporary loss of financial resources during the period of maternity, the employer is required to reimburse the reasonable expenses incurred for the birth of the child according to the contribution that the child may have brought to the organization. Qingdao maternity insurance reimbursement standard has a unified reimbursement amount, in the pregnancy, the woman needs to go to the birth control office for related matters, need to pay attention to is the reimbursement of maternity expenses need to be processed in the stipulated time, overdue, will not be reimbursed. The above is what I have organized.