How to get reimbursed for different real estate inspection and birth

1, bring the family planning certificate, birth certificate, my ID card and so on to the district social labor insurance office of the maternity insurance window to submit an application for reimbursement;

2, the audit department acceptance and approval of the issuance of medical certificates;

3, bring the materials to the maternity insurance window office for the settlement of the benefits;

4, acceptance and approval of the staff to pay the medical expenses and maternity allowance.

Maternity insurance reimbursement scope:

1, prenatal examination fees

Pre-natal examination fees are first advanced by the insured person, and then apply for reimbursement to the social security agency after the birth or termination of pregnancy.

2. Maternity Medical Expense Subsidy

Medical expenses incurred by the insured during the process of giving birth, medical expenses incurred during family planning surgery, and medical expenses incurred during medical treatment in other places and in non-maternity insurance service providers can be claimed in one lump sum from the social security agency after the completion of the birth or termination of pregnancy.

3. Maternity Allowance

Maternity Allowance = the average wage level of local workers in service in the previous year/30 days*number of days of maternity leave.

Documents required for reimbursement of maternity insurance in other places:

If the insured female worker gives birth to her first child (the first miscarriage after marriage is also counted), she is required to provide the following documents (which, depending on the region, may contain photocopies):

(1) family planning certificate

(2) birth certificate

(3) her own ID card

(4)One-child certificate

(5)Invoice for medical expenses

(6)Discharge summary

(7)Provisions on Maternity Leave for Enterprise Employees

(8)Application Form for Maternity Insurance Benefits for Enterprise Employees

(9)For cesarean section, the invoice amount is more than 5,000 yuan;for normal delivery, the invoice amount is more than 3,000 yuan; and for miscarriage, the amount more than 300 yuan, all three cases need to provide a copy of the hospital's stamped medical bill and a list of summarized medical expenses.

(10) In case of abortion, you need to bring perinatal outpatient medical record, medical advice sheet, list of medical fees and family planning certificate issued by the family planning department.

(11)If both parents are only children and the couple does not have an only child certificate, you need to provide the only child certificate of both parents.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 2: The State establishes a social insurance system for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the State and society in cases of old age, sickness, industrial injury, unemployment and maternity in accordance with the law. and society in the event of old age, sickness, industrial injury, unemployment or maternity, in accordance with the law.

Article 54 If an employer has paid maternity insurance premiums, its employees shall be entitled to maternity insurance benefits; and the unemployed spouse of an employee shall be entitled to maternity medical expenses in accordance with the provisions of the State. The necessary funds shall be paid from the Maternity Insurance Fund.

Maternity insurance benefits include maternity medical expenses and maternity allowances.