How to calculate the reimbursement of teachers' postpartum medical insurance

Legal analysis: 1. Maternity insurance for teachers is a statutory compulsory social insurance. According to "Labor Law" and "Regulations on Maternity Insurance for Employees of Teachers' Town Enterprises", all kinds of urban enterprises must participate in maternity insurance for teachers. 2. When an enterprise is insured, it must sign a payment contract with the social security agency and provide a roster of insured persons (in triplicate). 3, the insured units according to the total wages of workers 0.9% for workers to pay maternity insurance. 4. Employees who meet the requirements of the Regulations on Family Planning for Teachers can enjoy maternity insurance benefits for teachers as long as they have been insured for 1 year and the unit pays maternity insurance premiums in full and on time. Related procedures of maternity insurance for teachers. 1, insured teachers and maternity workers should apply for maternity insurance benefits at the local social security agency within 6 months after delivery. 2. When applying, you should fill in the Application Form for Maternity Insurance for Employees (in quadruplicate) and affix the official seal of the unit, with the original and photocopy of birth certificate, birth permit and one-child certificate, the original medical invoice for hospital delivery and the settlement list attached. 3. When a male employee's spouse gives birth, he/she shall provide a certificate issued by his/her employer whether he/she enjoys other maternity benefits.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) shall be paid by the industrial injury insurance fund (2) shall be borne by a third party (3) shall be borne by public medical care (4) overseas medical care.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.