Job Recruitment Website - Social security inquiry - Can personal social security reimburse maternity expenses?
Can personal social security reimburse maternity expenses?
Because individuals cannot pay maternity insurance, maternity insurance can only be paid by the unit.
The medical expenses incurred in childbirth belong to the scope of reimbursement of maternity insurance. Only by participating in the social overall medical insurance and maternity medical insurance can you enjoy the medical insurance reimbursement treatment.
Maternity medical expenses include the following contents:
1, maternity medical expenses;
2. Family planning medical expenses;
3. Other project expenses stipulated by laws and regulations.
According to China's laws, medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Details are as follows:
1, medical expenses for natural delivery. Level III Hospital 1900 yuan, Level II Hospital 1800 yuan, Level I Hospital 1700 yuan;
2. Medical expenses for manual intervention in childbirth. Level 3 hospital 2 100 yuan, level 2 hospital 2,000 yuan, level 1 hospital 1900 yuan;
3. Medical expenses for cesarean section without other operations. 3,800 yuan for tertiary hospitals, 3,700 yuan for secondary hospitals and 3,500 yuan for primary hospitals;
4. Medical expenses for cesarean section and other operations. The tertiary hospital is 4000 yuan, the secondary hospital is 3900 yuan, and the primary hospital is 3600 yuan.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
People's Republic of China (PRC) social insurance law
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 53 of the Social Insurance Law of People's Republic of China (PRC)
Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, and employees shall not pay maternity insurance premiums.
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