Proportion of reimbursement for first-class social security students in Shenzhen

The reimbursement rate of social security maternity insurance in Shenzhen is given according to different production, generally 270% for natural childbirth; 320% reimbursement for dystocia; Caesarean section will be reimbursed 420%, which is totally different.

1. What is the reimbursement ratio of social security maternity insurance in Shenzhen?

(A) the proportion of reimbursement of maternity insurance for female employees

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. The medical service fee and medicine fee (including self-funded medicine and nutritional medicine) 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.

Maternity insurance reimbursement ratio is based on the average monthly salary of employees in the previous year, and it is paid in one lump sum according to a certain proportion. These include:

1. The natural delivery rate was 270%;

2. Dystocia is 32%;

3. Cesarean section is 420%.

2. What is the reimbursement rate of the man's maternity insurance?

Reimbursement conditions

1, in line with the national family planning policy and statutory fertility conditions;

2. When the spouse gives birth or miscarries due to pathological reasons, the employer has participated in maternity insurance and paid maternity insurance premium for male employees for more than 10 months;

3, the spouse is not included in the scope of maternity insurance, and the birth of the first child.

Reimbursement standard: Male employees who meet the above conditions can apply for a one-time maternity allowance: abortion 200 yuan; Natural childbirth 1200 yuan; 2000 yuan for dystocia or multiple births.

Note: Both men and women can apply for maternity insurance.

3. What are the conditions and standards for reimbursement of maternity insurance for employees?

The reimbursement ratio of maternity insurance premium is determined by the local people's government according to the number of family planning children, maternity allowance, maternity medical expenses and other expenses, and can be adjusted in time according to the expenses, but the maximum shall not exceed 1% of the total wages. Maternity insurance premiums paid by enterprises are regarded as period expenses and listed as enterprise management expenses. Self-employed workers do not pay maternity insurance premiums.

The expenses paid by the employer to the social insurance agency shall not exceed the total wages of the unit.

1% maternity insurance premium is paid by the state in indirect subsidies before tax, so it can be seen that maternity social insurance premium is still borne by the employer. As for the maternity insurance for female employees in state organs and institutions, it is borne by the state finance alone, and individuals do not need to pay any fees. The employing units that have not participated in the social pooling of maternity insurance shall bear the maternity expenses of female employees.

To sum up, social security maternity insurance will be determined according to the actual situation of the insured, and the reimbursement ratio will be different in different situations. The general parties need to prepare relevant materials when handling, and they can be reimbursed only if they meet the conditions. Therefore, you must consult more when submitting materials, so as to protect your rights and interests.