Job Recruitment Website - Social security inquiry - Do newborns need to pay social security for one year before birth to be reimbursed?
Do newborns need to pay social security for one year before birth to be reimbursed?
Newborns generally need to pay medical insurance within three months of birth, that is, they can enjoy medical insurance benefits from the date of birth. Of course, if the newborn was born last year and is hospitalized this year, then last year's medical insurance must be paid.
Proportion of reimbursement for neonatal medical insurance: 1. General outpatient service: the annual settlement unit is 40% of the medical expenses of outpatient service below 300 yuan, that is, the maximum 1.20 yuan/year. After one-time settlement, the above expenses in 300 yuan need to be paid by individuals. Second, the outpatient service for serious diseases: hemophilia, aplastic anemia, systemic lupus erythematosus and other diseases, the fund has no minimum payment limit, and the medical insurance fund pays 75%. Third, hospitalization: according to the level of medical institutions, different hospitalization qifubiaozhun and fund payment ratio are set. Take a tertiary hospital as an example. The standard is above 500 yuan, and the fund payment ratio is 80%.
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Fifty-fifth maternity medical expenses include the following:
(1) Maternity medical expenses;
(two) family planning medical expenses;
(3) Other project expenses stipulated by laws and regulations.
Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:
(1) Female employees enjoy maternity leave;
(2) Enjoy family planning operation leave;
(3) Other circumstances stipulated by laws and regulations.
Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.
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