How to reimburse the proportion of children born in Beijing social security card

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.

Individuals who pay maternity insurance cannot be reimbursed within one year after giving birth to a child.

Workers 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 surgery leave;

(3) Other circumstances stipulated by laws and regulations.

Insured employees who meet the following conditions can enjoy maternity insurance benefits according to regulations:

1, in line with national, provincial and municipal family planning policies;

2. When giving birth or carrying out family planning operation, the employer has participated in maternity insurance and paid the maternity insurance premium in full 12 months.

3, prenatal examination fees and production costs, the parties bring a marriage certificate, social security card (citizen card) and family planning certificate issued by the street to the maternity insurance designated hospital direct credit card settlement.

4. To declare maternity allowance and one-time nutrition allowance, you need to fill in the maternity insurance benefits declaration form and affix the official seal of the unit, and provide marriage certificate, one-child certificate (for children), discharge summary and other materials. , and go through the declaration formalities at the Obstetrics Department of the Municipal Medical Insurance Center on working days between 1- 10 every month. (Go through relevant formalities within one year after delivery)

General provisions:

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.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.