How to reimburse maternity insurance for employees?

The reimbursement process of employee maternity insurance is as follows:

1, after a female worker is pregnant, has an abortion or has a family planning operation, the employing unit or the staff of the street or town labor security service station will bring the application materials to the maternity insurance window of the district social labor insurance for handling;

2, the staff to accept the examination and approval, issued a medical certificate;

3. Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance agency for treatment settlement;

4, workers accept the examination and approval, pay maternity medical expenses and maternity allowance.

Conditions for reimbursement of employee's serious illness medical insurance:

1. Medical insurance type: Employee's serious illness medical insurance refers to the medical insurance type consisting of employee's basic medical insurance and serious illness insurance, so the applicant needs to confirm whether it meets the relevant medical insurance conditions;

2. Scope of disease: Medical insurance for employees with serious illness is usually only for specific disease scope, such as malignant tumor, pneumoconiosis, hepatitis, etc. Applicants need to determine whether their illness is within the scope of reimbursement;

3. Reimbursement ratio: The reimbursement ratio of employee's serious illness medical insurance is different from that of ordinary medical insurance, which is generally higher, but the applicant needs to know the specific reimbursement ratio and reimbursement upper limit;

4. Reimbursement time: The employee's serious illness medical insurance stipulates the time limit for reimbursement, and the applicant needs to apply for reimbursement within the specified time, otherwise the reimbursement effect may be affected;

5. Medical expenses: The medical insurance for employees with serious illness reimburses the medical expenses that meet the policy requirements. Applicants need to know the medical expenses they need to pay and apply for reimbursement according to the prescribed procedures.

To sum up, the reimbursement process of employees' serious illness medical insurance in different regions and units may be different, and the specific process shall be subject to the provisions of local social security agencies.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.