What materials do you need to prepare for maternity insurance reimbursement in Qinghai Province?

What materials do you need to prepare for maternity insurance reimbursement in Qinghai Province? First, Qinghai maternity insurance reimbursement materials.

One original and one copy of the marriage certificate and one original and one copy of the maternity service certificate (it is best for employees who participate in maternity insurance in other places to provide Beijing maternity service certificate, and if they cannot provide it, they need to provide a formal maternity service certificate in other places); One original and one copy of the birth medical certificate, one original and one copy of the medical blueprint, one original and one copy of the diagnosis certificate issued by the hospital, the original documents of all hospitals, and two copies of the maternity reimbursement approval form, with official seals.

1, original and copy of hospital medical records

2. The original and photocopy of the hospital diagnosis certificate

3. Special receipts or invoices for medical expenses printed by financial and tax departments.

4, consistent with the receipt (invoice) amount of medical expenses detailed list (or manual record list stamped with the seal of the hospital)

5. The original and photocopy of the birth certificate or the original and photocopy of the family planning service certificate.

Second, how to reimburse Qinghai maternity insurance?

The insured person only needs to carry the Record Form of Industrial Injury Maternity Insurance in Xining City stamped by the maternity insurance agency to the designated medical institution for prenatal examination, and the prenatal examination subsidy can be settled, and there is no need to declare after delivery.

When the management personnel of the unit declare their benefits after giving birth, they do not need to carry the relevant information of the prenatal examination fee, but only need to carry the relevant documents of the fertility personnel and the settlement form issued by the medical institution to declare the maternity insurance benefits.

Reimbursement location:

Xining social insurance enterprise management bureau

Address: International Business Building, No.37 Kunlun Road, Xining

Tel: 0971-164401

Chengdong district social security bureau

Address: No.0/88, Kunlun East Road, Xining

Tel: 0971-8171165.

service charge

be free of charge

Processing time limit

It takes 3 working days to record the birth.

Residents of this city need 30 working days.

It takes 45 working days (including the disbursement time of reimbursement expenses) to process in different places.

Further reading: First, the proportion of maternity insurance payment in Qinghai

Payment base:

The lower limit of payment base is: 2605, and the upper limit of payment base is: 13026.

Payment ratio:

The province's enterprises and self-funded institutions to participate in the maternity insurance for urban workers, the unit contribution rate is 0.5% of the total wages of employees in the original unit.

The institutions and sources of funds participating in maternity insurance for urban workers are mainly financial allocations, and the sources of funds are partly supported by financial institutions. The unit contribution rate is 0.45% of the total wages of the original employees.

Payment method:

The unit is responsible for paying maternity expenses (employees do not need to pay maternity insurance fees), and the unit generally pays through transfer channels.

Place of payment:

Xining social insurance enterprise management bureau

Address: International Business Building, No.37 Kunlun Road, Xining

Tel: 0971-164401

Chengdong district social security bureau

Address: No.0/88, Kunlun East Road, Xining

Tel: 0971-8171165.

cash day

Maternity insurance premium is levied on a monthly basis, and the employer shall pay the maternity insurance premium before the 5th of each month, and enjoy maternity insurance benefits from next month.

prompt

Maternity insurance usually stipulates that the payment is over one year, and the payment is still in progress at the time of childbirth, so you can enjoy the relevant treatment of maternity insurance.

Second, Qinghai maternity insurance benefits

If a female worker gives birth or miscarries with a birth certificate, the expenses required for examination, delivery, surgery, hospitalization and medicines shall be reimbursed or subsidized. Retirement: normal delivery 1 100 yuan, dystocia 1400 yuan. For multiple births, the 200 yuan will be increased for each additional birth; Abortion in 300 yuan for less than 4 months, and abortion in 600 yuan for more than 4 months.

Below the above-mentioned limit standard, except for full reimbursement by bills, 85% of the remaining part will be subsidized to the employees themselves, and the part exceeding the above-mentioned standard will be borne by the employees themselves.

Maternity insurance benefits according to the economic and social development and price level changes in Qinghai Province, the municipal labor administrative department timely put forward adjustment opinions, and submitted to the Municipal People's government for approval before implementation.

After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; Medical expenses for other diseases shall be handled in accordance with the relevant provisions of medical insurance. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the Provisions on Labor Protection and Sick Leave for Employees.

Female employees enjoy maternity allowance during the following vacation time:

(1) Maternity leave is 90 days for normal delivery and dystocia 15 days; For multiple births, the maternity leave will be increased by 15 days for each additional baby;

(2) If the pregnancy is less than 4 months, it will be given 15 according to the opinions of the medical department? 30 days of maternity leave; Abortion for more than 4 months, giving 42 days of maternity leave; In case of abortion or birth control operation, maternity leave shall be increased by 15 days on the basis of the above provisions.

(3) Placement of intrauterine device after delivery, plus 2 days of maternity leave; Tubal ligation after delivery shall be calculated as maternity leave plus 14 days.

Maternity allowance for female employees during maternity leave shall be calculated and paid by the social insurance agency in the overall planning area according to the average monthly salary of employees in the previous year of the employer. Female employees of institutions whose organs and sources of funds are mainly financial allocations and supplemented by financial support shall not enjoy maternity allowance during maternity leave, and the employer shall pay wages and welfare benefits as usual.

Three, Qinghai province maternity insurance reimbursement ratio

If the examination fee, delivery fee, operation fee, hospitalization fee, medicine fee and family planning operation fee of female workers due to pregnancy and childbirth meet the standards of Qinghai Province's basic medical insurance, industrial injury insurance and maternity insurance drugs list and urban workers' basic medical insurance diagnosis and treatment items and medical service facilities, they shall be paid from the maternity insurance fund.

If the spouse of the insured male worker is unemployed or does not participate in maternity insurance, and cannot enjoy maternity-related treatment, and conforms to the provisions of the national family planning policy, the maternity medical expenses shall be paid in one lump sum by the maternity insurance fund according to the standard of 30% of the average medical expenses of the annual maternity insurance where the male worker is located.

If a female worker gives birth or miscarries with a birth certificate, the expenses required for examination, delivery, surgery, hospitalization and medicines shall be reimbursed or subsidized. Retirement: normal delivery 1 100 yuan, dystocia 1400 yuan. For multiple births, the 200 yuan will be increased for each additional birth; Abortion in 300 yuan for less than 4 months, and abortion in 600 yuan for more than 4 months.

Below the above-mentioned limit standard, except for full reimbursement by bills, 85% of the remaining part will be subsidized to the employees themselves, and the part exceeding the above-mentioned standard will be borne by the employees themselves.

Maternity insurance benefits according to the economic and social development and price level changes in Qinghai Province, the municipal labor administrative department timely put forward adjustment opinions, and submitted to the Municipal People's government for approval before implementation.

After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; Medical expenses for other diseases shall be handled in accordance with the relevant provisions of medical insurance. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the Provisions on Labor Protection and Sick Leave for Employees.