The scope and standard of maternity insurance reimbursement in Kunming

1 natural childbirth: 4,000 yuan is adjusted to 2,500 yuan.

2. Dystocia (forceps delivery, fetal head suction): adjusted from 5,000 yuan to 3,000 yuan.

3 Cesarean section: from 6000 yuan to 4000 yuan.

4 Prenatal check-up fee: adjusted from 1 1,000 yuan to 500 yuan.

5. Abortion under 4 months of pregnancy (including induced abortion): 800 yuan to 600 yuan (cumulative payment shall not exceed 3 times).

6 IUD placement operation (including IUD): 450 yuan.

7 IUD removal operation: 150 yuan.

8. Maternity and nutrition allowance: adjusted from 1 1,000 yuan to 500 yuan (for multiple births, the 500 yuan will be increased for each additional child).

1. How do Kunming employees apply for maternity insurance?

1. If the insured employees meet the requirements of the national population and family planning policy to give birth or perform family planning operations, the employing unit shall report their treatment to the social security agency within 1 year from the date when the employees give birth or perform family planning operations.

2. If a second child is born in line with the national family planning policy, the first child will enjoy maternity insurance benefits, and the maternity insurance premium must be paid continuously from the birth of the first child to the birth of the second child, and the second child can enjoy maternity insurance benefits again. If the social security relationship changes, the maternity insurance before and after the change must be continuously insured.

3. The insured employee is diagnosed as infertility and implements artificial insemination or IVF technology in a medical institution with the qualification of assisted reproductive technology approved by the Ministry of Health. The medical expenses incurred each time will be subsidized by 3000 yuan, and the cumulative subsidy will not exceed 3 times.

4. Retirees who normally pay maternity insurance premiums before retirement, and have fertility or family planning operations after July 1 2065438, are included in the scope of maternity insurance payment.

5. Insured female employees who have given birth to their first child and have reached the age of 24 enjoy 30 days maternity leave allowance, and male employees whose spouses have given birth to their first child and have reached the age of 24 enjoy 7 days nursing leave allowance. If a female employee applies for a certificate of honor for the only child's parents within 98 days of maternity leave, the man can get 15 days of maternity leave living allowance. However, the maternity insurance fund only pays employees late maternity leave, nursing leave and one-child incentive leave allowance in one lump sum.

Legal basis:

Article 54 of the Social Insurance Law

The employer has paid maternity insurance, and its employees 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.