Conditions for reimbursement of social security maternity insurance in Dongguan

Those who meet the following conditions can enjoy reproductive medical treatment:

First, the insured person who participates in the social basic medical insurance meets the following conditions (the birth time is subject to the birth time of the Medical Certificate of Birth, the same below), and can enjoy maternity medical treatment:

1. Comply with national and provincial regulations on family planning and social insurance;

2 in line with the requirements of family planning management in our city, and have been registered in the family planning management department and received relevant family planning technical services before giving birth;

3. Continuous insurance at birth and full payment for more than 2 years.

Two, please hold the relevant information to the towns (streets) social security branch to apply for maternity medical treatment within two months after discharge, and provide the following information:

1. Original diagnosis certificate;

2. Original receipt (invoice) of medical expenses;

3 "Guangdong province family planning service certificate" or "floating population marriage certificate" and a copy of each page;

4. Original and photocopy of birth medical certificate;

5. The original and photocopy of the birth certificate and other supporting materials that conform to the family planning policy;

6. Original and photocopy of my bank passbook (except for the insured persons of comprehensive basic medical insurance and the insured persons of urban and rural residents registered in this Municipality);

7. Original and photocopy of social insurance card;

8. Original and photocopy of my ID card. If an agent is entrusted, the original and photocopy of the agent's ID card shall be provided at the same time.

Third, it should be reminded that to apply for maternity medical care, pregnant women themselves need to bring relevant birth proof materials to the family planning department in Dongguan to go through relevant registration procedures. Otherwise, my social security doesn't have her relevant information, so I can't apply for this treatment. In order to avoid delays in applying for benefits, please register for family planning in time.

legal ground

People's Republic of China (PRC) social insurance law

Fifty-fourth employers have paid maternity insurance premiums, and their 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.

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.