Job Recruitment Website - Social security inquiry - How much is the reimbursement for giving birth to a child in Beijing?
How much is the reimbursement for giving birth to a child in Beijing?
If the medical expenses for fertility and family planning operations are paid by the unit or individual, the employee's unit shall declare the medical expenses when they occur. When the medical expenses occur, the social security agency will pay the audited medical expenses to the employee's unit, and the unit will pay the insured person in time after receiving the medical expenses paid by the social security agency. So what is the reimbursement ratio of Beijing maternity insurance? Reimbursement proportion: based on the average monthly salary of employees in the previous year, it will be paid in one lump sum according to a certain proportion. Where: 1. The natural delivery rate was 270%. 2. The dystocia rate is 320%. 3. Cesarean section is 420%. Reimbursement period: Maternity insurance must be purchased continuously for 12 months and reimbursed within 18 months after the baby is born. At the same time, be sure to insure when reimbursing. Maternity insurance is a typical local policy, which varies from 10 months to 6 months or even lower. Therefore, the local social security center should prevail. Beijing maternity insurance reimbursement standard 1. Maternity allowance; Second, maternity medical expenses; Three, family planning surgery medical expenses; Four, other expenses stipulated by the state and the city. Payment of medical expenses. If the maternity medical expenses and family planning operation medical expenses incurred by employees are paid by units or individuals in advance, they shall be declared by the unit where the employees incurred medical expenses, and the social security agency shall pay the audited medical expenses to the unit where the employees incurred medical expenses, and the unit shall promptly pay the insured after receiving the medical expenses paid by the social security agency. (a) social security agencies within the jurisdiction of the insured maternity medical expenses, family planning surgery medical expenses, by the insured units to the insured medical bills, to the district (county) medical insurance agencies for review. After receiving the notice of Beijing Maternity Insurance Medical Expenses Payment (I) transmitted by the district (county) medical insurance agency, the business posts of social security institutions will check with the medical expenses payment data (unit information, amount, etc.). ) Within 3 working days, it will be received and processed in the system to generate the Summary of Beijing Maternity Insurance Medical Expenses Payment (Table 4) (hereinafter referred to as the Summary of Medical Expenses Payment Audit) and then transferred to the financial post. According to the "medical expenses payment check summary form", the financial post will pay the medical expenses payable to the insured unit within 3 working days. If the business post is not successfully received, the social security agency will print the List of Beijing Maternity Insurance Medical Expenses Not Paid and return it to the district (county) medical insurance agency in time together with the Notice of Beijing Maternity Insurance Medical Expenses Payment (I). (two) social security agencies to the insured maternity medical expenses and family planning surgery medical expenses audit, by the insured units to the social security agencies, social security agencies sent to the district (county) medical insurance agencies for audit. After receiving the notice of Beijing Maternity Insurance Medical Expenses Payment (I) transmitted by the district (county) medical insurance agency, the business post of the social security agency (agency) checks with the medical expenses payment data (unit information, amount, etc.), receives and processes it in the system within 3 working days, generates the Medical Expenses Payment Verification Summary Table, and then transfers it to the financial post. According to the "medical expenses payment check summary form", the financial post will pay the medical expenses payable to the insured unit within 3 working days. If the business post is not successfully received, the social security agency will print the List of Beijing Maternity Insurance Medical Expenses Not Paid and return it to the district (county) medical insurance agency in time together with the Notice of Beijing Maternity Insurance Medical Expenses Payment (I). 2. Accounting settlement of employee hospitalization medical expenses: after receiving the Notice of Beijing Maternity Insurance Medical Expenses Payment (II) sent by the district (county) medical insurance agency, the social security department checks with the medical expenses payment data (information and amount of designated medical institutions, etc.), receives and processes it in the system within 3 working days, generates a medical expenses payment verification summary, and then transfers it to the financial post. The finance post will pay the payable medical expenses to the designated medical institutions within 3 working days according to the Summary Sheet of Medical Expenses Payment Checks. Business post receiving processing is not successful, by the social security agencies (agencies) to find out the reason, print the Beijing maternity insurance medical expenses will not be paid list ",together with the Beijing maternity insurance medical expenses payment notice (II)" timely return to the district (county) medical insurance agencies.
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