Job Recruitment Website - Social security inquiry - Does Shenzhen maternity insurance have to be paid for one year before it can be reimbursed?
Does Shenzhen maternity insurance have to be paid for one year before it can be reimbursed?
(1) Employees who have participated in maternity insurance for 1 year shall submit the application materials for reimbursement of maternity medical expenses within 1 year after childbirth, termination of pregnancy or family planning operation;
(2) Employees who have participated in maternity insurance for less than 1 year, terminate pregnancy or perform family planning operations shall submit the application materials for reimbursement of maternity medical expenses within 1 year after participating in maternity insurance for more than 12 months;
(3) If the unemployed spouse of an employee who has participated in maternity insurance has maternity medical expenses, the application materials for reimbursement of maternity medical expenses shall be submitted within 1 year after childbirth, termination of pregnancy or family planning operation;
The maternity medical expenses applied for reimbursement shall be the expenses incurred by the insured during the normal insurance period.
Maternity insurance cannot be reimbursed. Do I have to pay 12 months maternity insurance? Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when employees are pregnant, give birth or temporarily stop working after family planning operation, and the state or society gives necessary economic compensation and medical care to employees who give birth. China's maternity insurance benefits mainly include maternity allowance and maternity medical care. When the maternity insurance is reimbursed, the requirements for the insurance payment period vary from place to place, requiring 6 months, 9 months, 10 months and 12 months or more, but most of them require the insurance payment for 12 months or more. The specific deadline requirements should be based on your local social security policy.
Does maternity insurance need to be paid for one year before it can be reimbursed? There seems to be a difference between which city pays how many months. In Beijing, reimbursement can be made nine months before production. Some places are 10 months or 12 months. If it is eight months, I don't know if it will work. Please call the social security bureau first. During maternity leave, you are still working, and the insurance is still provided by the company, but then you don't need maternity insurance, do you?
Is it necessary to pay maternity insurance for one year before reimbursement? Maternity insurance cannot be reimbursed until it has been paid for one year.
Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when pregnant and pregnant female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers.
Maternity insurance reimbursement conditions:
Employees who enjoy maternity insurance benefits shall meet the following conditions:
1. The employer has paid more than 1 year for employees and continues to pay;
2, in line with national and provincial population and family planning laws and regulations.
Maternity insurance reimbursement scope:
1, maternity medical expenses.
The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. Medical business expenses and drug expenses (including self-funded drugs and nutritional drugs) exceeding the prescribed amount shall be borne by the employees themselves.
After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; The medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits.
2. Maternity allowance.
Female employees shall enjoy maternity allowance according to law during maternity leave, which shall be calculated and paid by maternity insurance fund according to the average monthly salary of employees in the previous year.
Maternity insurance reimbursement process:
I. Maternity allowance
1, required materials:
One original and one copy of the marriage certificate;
Original and photocopy of the Maternity Service Certificate 1 copy;
One original and one copy of the baby's birth certificate;
One original and one copy of the medical diagnosis certificate;
Application for maternity allowance personnel information registration form in duplicate (filled in with black signature pen).
Note: The above copies must be printed on A4 paper.
2. Submission time: every month 1- 10 days (2 months after the baby is born).
3. Handling process: the unit manager will submit the above materials to the social security center, and pay the maternity allowance within 30 working days after accepting the approval.
Meet the conditions of enjoying the late childbirth (at least 23 years old) incentive allowance, and both husband and wife choose the object of enjoying the late childbirth allowance in the Information Registration Form of Maternity Allowance Applicants, which shall be signed and confirmed by both husband and wife, and sealed by both parties.
If both husband and wife have participated in maternity insurance, the woman's unit shall fill in the "Registration Form for Personnel Applying for Maternity Allowance"; If the woman has not participated in maternity insurance, and the man has participated in maternity insurance, and the man enjoys maternity allowance, the unit to which the man belongs shall fill in the Registration Form for Persons Applying for Maternity Allowance (in duplicate) and make a declaration.
Two, maternity medical expenses (prenatal examination)
1, required materials:
Original and photocopy of the Maternity Service Certificate 1 copy;
A copy of the baby's birth certificate;
Copy of medical diagnosis certificate;
All original receipts and prescriptions (Chinese and western medicine fees) are sorted out smoothly according to the date (medical expenses can be reimbursed to 4 yuan);
Application Form for Manual Reimbursement of Maternity Insurance Medical Expenses (filled in with black signature pen).
2. Submission time: every month 1- 10 days (2 months after the baby is born).
3. Handling process: the manager of the insured unit submits the above materials to the social security center, and pays the maternity medical (prenatal examination) fee within 30 working days after accepting the examination and approval.
Three, family planning surgery medical expenses (hospitalization)
1, required materials:
Original and photocopy of the Maternity Service Certificate 1 copy;
A copy of the baby's birth certificate;
Copy of medical diagnosis certificate;
All receipts, prescriptions (Chinese and western medicine fees), details of hospitalization expenses and original hospitalization settlement list are sorted in chronological order (medical expenses can be reimbursed to 4 yuan);
Application Form for Manual Reimbursement of Maternity Insurance Medical Expenses (filled in with black signature pen).
2. Submission time: every month 1- 10 days (2 months after the baby is born).
3. Handling process: the unit manager submits the above materials to the social security center on June 5438+0-20 every month, and pays the medical expenses for family planning surgery within 30 working days after accepting the approval.
The payment of maternity insurance needs to be determined according to local policies. At present, Hefei needs to pay for maternity for 7 months before giving birth, and can't enjoy maternity insurance if the work unit is interrupted or changed during the payment period. Wolf. com
Maternity insurance benefits: if the insured person meets the family planning conditions, the insured person will be reimbursed for more than 12 months, and 30% for less than 12 months.
The insured did not participate in maternity insurance, medical insurance, according to the provisions of reimbursement.
Maternity insurance must be paid continuously for more than 1 year to be reimbursed. If your mother doesn't pay for a whole year, your husband can also pay from your husband, but the report will be less.
How long does it take to pay maternity insurance for reimbursement? Maternity insurance can be reimbursed after continuous payment for one year.
Maternity insurance benefits shall be applied by the employing unit to the social insurance agency within 18 months after the delivery or operation of the employee. When applying, the employer shall fill in the application form for maternity insurance benefits of the employee and provide the following information:
Birth certificate issued by the family planning administrative department;
Original materials such as reproductive medical certificate, outpatient medical records, discharge summary, and family planning operation records;
A baby's birth certificate.
The social insurance agency shall review the information provided by the employer within 15 working days from the date of accepting the application. After the completion of the audit, the maternity insurance premium shall be allocated to the employer where the employee is located, and shall be distributed to the employee by the employer in accordance with the maternity insurance treatment items and standards stipulated in these Measures.
If the employer fails to handle the maternity insurance procedures for the employees as required, the maternity insurance expenses incurred by the employees shall be paid by the employer in accordance with the maternity insurance treatment items and standards stipulated in these Measures.
The materials required for reimbursement are:
Declaration form for medical expenses;
My ID card or social medical security card;
I have a bank card with UnionPay logo;
My medical record book;
Original production cost;
A detailed list of expenses;
Summary of discharge. You'd better take your birth certificate. If someone else picks it up, you need to bring the ID card of the person who picks it up.
Is it necessary to pay maternity insurance for six months before it can be effectively reimbursed? Zhenjiang 12 months old.
During pregnancy.
Chengdu maternity insurance requires payment for one year before reimbursement. Congratulations, you are exactly like my daughter-in-law, and you have already given birth. The social security bureau clearly replied that it could not be reported a year ago, subject to the date of birth.
In addition, if the man has social security, he can report it to the man. I have also consulted, and the highest price is 1000 yuan.
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