How to reimburse Tianjin abortion maternity insurance?

Tianjin maternity allowance collection standard

1, pregnant dissatisfaction 12 weeks to terminate pregnancy, maternity allowance 15 days;

2. If the pregnancy is terminated after12 weeks or more 16 weeks, you will enjoy 30 days of maternity allowance;

3./kloc-42 days of maternity allowance if the pregnancy is terminated after 0/6 weeks but less than 28 weeks;

4. Those who give birth or terminate pregnancy normally for more than 28 weeks are entitled to 98 days of maternity allowance, which is 8 days higher than the previous standard.

In any of the following circumstances, the maternity allowance shall be increased:

1, dystocia, increase maternity allowance 15 days;

2, multiple births, each additional baby, increase 15 days of maternity allowance; If tubal ligation is performed during delivery, the maternity allowance will be increased 14 days;

3. If a female worker gives birth late (the first child is over 24 years old) and receives the one-child certificate, the maternity allowance will be increased for 30 days.

Reimbursement ratio of maternity allowance in Tianjin

1. The fixed payment items include natural delivery medical expenses, manual intervention delivery medical expenses, caesarean section medical expenses, induced labor medical expenses, high-risk induced abortion medical expenses, intrauterine device placement (removal) medical expenses, female worker sterilization medical expenses and male worker sterilization medical expenses. These include:

Manual intervention in delivery includes: artificial placental abruption, cervical laceration, hematoma incision of birth canal wall, forceps for single fetus, breech traction of single fetus, fetal head attraction, varus and fetal destruction.

Induction of labor includes: amniotic cavity injection, amniotic cavity injection, water bag induction and drug induction.

High-risk induced abortion refers to the following situations that require hospitalization for induced abortion:

(1) within 6 months after birth or induced abortion; (2) History of cesarean section within1year; (3) 1 year had two induced abortions and miscarried; (4) Genital malformation; (5) Hysteromyoma complicated with pregnancy; (6) Have a history of uterine or cervical perforation; (7) pregnant with equipment; (8) Suffering from serious diseases of blood system or cardiovascular system.

Second, the items paid by the project include reoperation; Medical expenses for those who have incarcerated, broken, deformed, ectopic or menopausal IUD 1 year or more; Medical expenses for treating complications of family planning operation; Medical expenses for those who have birth complications during delivery.

Delivery complications refer to the following situations from the beginning of delivery to the end of delivery:

(1) Uterine rupture; (2) Amniotic fluid embolism; (3) Postpartum hemorrhage is greater than 500ml, which requires blood transfusion first aid; (4) Suture of perineal depth and complicated laceration; (5) Other serious medical diseases.

3. The limited payment item is the prenatal examination fee for the birth or termination of pregnancy of female employees.

Tianjin maternity allowance reimbursement limit

The employing unit shall apply to the social security department for maternity allowance in time from the month following the birth or termination of pregnancy 12 months. The social security department shall complete the examination of maternity allowance within 10 working days (usually two weeks) after receiving the application, and pay the maternity allowance before the 5th day of the following month after the examination and approval.

Legal basis:

"Regulations of Tianjin Municipality on Maternity Insurance for Urban Workers" Article 13 The registration system shall be implemented for participation in maternity insurance. The employing unit shall handle the registration of maternity insurance within 30 days after the implementation of these Provisions. The social insurance agency shall complete the audit within 10 working days from the date of accepting the registration. Those who meet the conditions shall be registered, those who do not meet the conditions shall not be registered, and the employer shall be notified. Where the registered items of maternity insurance of the employer are changed, it shall go through the formalities of change at the social insurance agency within 30 days from the date of change.

"Detailed Rules for the Implementation of the Provisions on Maternity Insurance for Employees in Tianjin" Article 18 The maternity medical expenses incurred by the insured in this city that meet the requirements shall be settled online immediately. If the maternity medical expenses are paid in advance due to special circumstances, the employer shall uniformly report to the social security agency of the insured place within 12 months from the month after the female worker gives birth or terminates pregnancy.