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How to reimburse maternity insurance affiliated to social security

Legal analysis: the reimbursement conditions of maternity insurance: continuous payment of social security 12 months (the interruption is not more than 3 months, which is regarded as continuous), and social security is still paid one month before childbirth, which can be reimbursed to 100% of the national standard.

Maternity insurance benefits and expenses reimbursement procedures:

Application conditions: Only when the insured meets the following conditions can he enjoy the reimbursement of maternity medical expenses:

Comply with the national, provincial and municipal family planning policies (excluding remedial measures for unplanned pregnancy);

The insured person has continuously paid the basic medical insurance premium for more than 6 months on the date of production (subject to the date of birth of the fetus or newborn), and paid the medical insurance premium on time one month before delivery. Insured persons who have paid basic medical insurance premiums for less than 6 months in a row cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for less than 6 months 12 months, it will be paid at 30% of the quota standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it will be paid at 100% of the fixed standard.

Legal basis: Article 54 of the Social Insurance Law states that if the employer has paid maternity insurance premiums, its employees will enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowance.