Nanjing Maternity Insurance Reimbursement Standard 2023

Reimbursement standard of Nanjing maternity insurance in 2023: 75% for female maternity insurance and 50% for male maternity insurance.

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.

China's maternity insurance benefits mainly include two items, one is maternity allowance, and the other is maternity medical care. There is no uniform standard for reimbursement of maternity insurance. Maternity insurance reimbursement includes medical expenses and family planning procedures. The reimbursement rate varies from region to region, with 75% maternity insurance for women and 50% maternity insurance for men, which can only be reported to one party.

Conditions and scope of maternity insurance:

1, condition

(1) Employers have paid social security for employees for a certain number of years, and local policies vary. For example, Beijing requires to pay social security for nine consecutive months, Guangzhou requires to pay social security 1 year, and Shanghai requires to pay social security in the month of production.

(2) has been insured for the record and was born in the local area.

(3) Other conditions required by the local human resources and social security bureau.

2. 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.

(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.