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Can medical insurance in different places be reimbursed?
The materials required for medical insurance reimbursement in different places are as follows:
1, ID card and bank account number, medical insurance card, family planning certificate and birth certificate;
2, the diagnosis certificate issued by the hospital, medical referral or transfer approval form, transfer procedures or certificates, hospitalization expenses list, copy of the case, discharge certificate, medical expenses invoice;
3, long-term work in different places, but also need to provide a valid copy of the labor contract, medical insurance records in different places, or proof of unit distribution and other materials.
Maternity insurance reimbursement includes the following contents:
1, maternity medical expenses, medical expenses incurred by female employees during pregnancy, childbirth or termination of pregnancy;
2. Maternity allowance. Female employees enjoy maternity allowance during maternity leave. Maternity allowance is based on the average monthly salary of employees in the last year as a whole, and is calculated and paid in accordance with the provisions of maternity leave. If the maternity allowance is lower than my salary standard, it shall be supplemented by the employer;
3, one-time maternity nutrition subsidies, according to a certain proportion of the average monthly salary of employees in the overall planning area. The specific proportion is determined by the people's government of the overall planning area;
4, the cost of family planning operation, including the medical expenses incurred by workers for placing or taking out intrauterine devices, abortion, induced labor, sterilization, recanalization;
5. The holiday allowance for male employees, and the nursing holiday allowance enjoyed by the insured male employees according to the regulations, shall be calculated and paid according to the stipulated holiday time based on the average monthly salary of employees in the last year as a whole.
The process of maternity insurance is as follows:
1. Before enjoying the maternity allowance, the company needs to apply for maternity insurance for you, and it needs to prepare three forms, namely, the summary of the application for basic pension, work injury and maternity insurance for enterprise employees, the social security registration form, and the increase or decrease of pension, work and maternity insurance personnel. These three forms are compiled by enterprises;
2, by the unit with the three forms to the social labor insurance department to declare, the labor insurance department accepted, the two forms will be returned after the seal;
3, wait until next month, the unit can pay the maternity insurance premium to the new employees normally, which should be paid by the tax department;
4. Handling medical certificates: After pregnancy, the employer will bring relevant materials to the social labor insurance department for handling;
5. After giving birth to a child, the female employee shall submit materials to the social labor insurance department for insurance payment before the maternity leave exceeds 30 days (pay attention to the time, it will be more troublesome to handle it after the deadline);
6. The materials of insurance payment mainly include: maternity information, identity certificate information, birth certificate, hospital diagnosis certificate, medical settlement list, etc.
7, to be audited, according to the application form of maternity insurance for employees of urban enterprises;
8. After being approved by the social labor insurance department, you can bring relevant documents to the social security department to receive maternity insurance reimbursement.
To sum up, medical insurance in different places can be reimbursed, and birth in different places needs to go through relevant procedures, which may be complicated, but it will not affect our enjoyment of the same maternity insurance benefits.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.
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