Audit Form of Maternity Insurance for Employees of Urban Enterprises in Nanjing

The specific reimbursement methods of medical insurance belonging to social security here are as follows:

First, the object of maternity insurance:

1, maternity insurance for female employees has been paid continuously for one year;

2. Male employees whose spouses have paid maternity insurance for one year before giving birth must be agricultural registered permanent residence or receive unemployment benefits.

Note: If the spouse is a non-employee, he must also pay social insurance as a freelancer to enjoy maternity reimbursement.

II. Submission materials for reimbursement of maternity expenses:

1, fill in the "Nanjing urban enterprise workers maternity insurance benefits audit form"

2. Marriage certificate

3. One-child certificate

4, discharge records

5, medication list

6. All invoices

7. Application report of medical insurance center for permission to leave Nanjing to give birth (provided to those who leave Nanjing to give birth) In addition, if the spouse of a male worker gives birth, the spouse provides a household registration book for rural household registration, and the unemployed provides an employment registration certificate.

Note: (1) Those who leave Nanjing to give birth must apply in person before giving birth. After the college is stamped, you can leave Nanjing to give birth by going to the Medical Insurance Center (No.97 Shuiximen Street-1, Fertility Department) for approval, otherwise you will not be reimbursed.

3. Reimbursement of medical expenses for family planning operations such as placing (taking out) intrauterine devices, abortion, induced labor, childbirth and recanalization. , should be submitted:

1, marriage certificate

2. Medical records

3. Double prescription

4. The invoice understands how maternity insurance is reimbursed, so what is the reimbursement ratio of maternity insurance? Maternity allowance is divided according to the proportion of the average wage in our city.

1. Maternity insurance reimbursement is applicable to employed or unemployed women who have urban household registration and participate in urban social insurance in this city.

2. Payment base: the employer pays the urban endowment insurance premium and the employer pays the urban maternity insurance premium.

3. Payment regulations: The employer pays the urban maternity insurance premium at 0.8% of the payment base every month. Individuals do not pay urban maternity insurance premiums.

4. Duration of maternity allowance: if you are pregnant for more than 7 months (including 7 months), you will enjoy 3 months. Premature delivery after 7 months of pregnancy, enjoy 3 months. If you are pregnant for more than 3 months (including 3 months) and have an abortion for less than 7 months, you can enjoy 1.5 months. Pregnancy less than 3 months, abortion or ectopic pregnancy enjoy 1 month.

5. Monthly maternity living allowance standard (if the maternity has paid social insurance premiums for a total of one year)

(1) Employed women: calculated and paid according to the payment base of urban old-age insurance premium in the month when I gave birth or miscarried, multiplied by the number of years of maternity living allowance I enjoyed according to regulations.

(2) Self-employed industrial and commercial households and their helpers and freelancers: the maximum salary shall not exceed the average monthly salary of employees in this city in the previous year.

(3) Unemployed women within the period of receiving unemployment insurance benefits: calculated and paid according to the unemployment insurance standard of the month when I gave birth or miscarried, multiplied by the period of maternity living allowance that I enjoyed according to regulations.

For example, a 25-year-old professional woman with a monthly income of 2,500 yuan can enjoy a living allowance of about 2,500 yuan per month for three months and a maternity medical subsidy of 2,500 yuan, totaling about 1 10,000 yuan.

6. Maternity medical expenses subsidy standard: if you are pregnant for more than 7 months (including 7 months) or premature for less than 7 months, you will enjoy 2,500 yuan.

Pregnant for more than 3 months (including 3 months), spontaneous abortion for less than 7 months, enjoy 400 yuan.

Pregnancy less than 3 months, spontaneous abortion or ectopic pregnancy, enjoy 200 yuan.

If you don't pay maternity insurance, you can't enjoy the above treatment. If you have maternity insurance, you can get it at the local social security center.

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