Wenzhou social security reimbursement ratio

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According to Wenzhou maternity insurance reimbursement guidelines, the working time limit is 6 working days.

Wenzhou Maternity Insurance Reimbursement Standard

(1) If the pregnancy is less than 3 months (including spontaneous abortion and induced abortion) or the operation is performed due to ectopic pregnancy, the medical expenses will be subsidized to 200 yuan;

(2) If the pregnancy is more than 3 months (including 3 months) but less than 7 months, the medical expenses will be subsidized to 500 yuan;

(3) Medical expenses subsidy 1.500 yuan for pregnant women over 7 months (including 7 months) and induced labor (including stillbirth and malformation);

(4) The medical expenses subsidy is 1.800 yuan for those who give birth more than 7 months pregnant or give birth prematurely less than 7 months pregnant;

(5) In case of dystocia, the Medicaid fee is 2,500 yuan (including cesarean section, the Medicaid fee is 4,000 yuan).

In any of the following circumstances, the social insurance agency does not pay all maternity insurance benefits:

(1) Violating the national, provincial and municipal family planning policies, giving birth and performing family planning operations without authorization;

(2) The employee's unit has not participated in maternity insurance or defaulted on maternity insurance premium;

(3) The application materials are incomplete or untrue;

(4) Others do not meet the requirements of maternity insurance.

Conditions for reimbursement of maternity insurance in Wenzhou City

Employees who have paid 12 months in Wenzhou Social Security Center.

Wenzhou maternity insurance reimbursement materials

1, receipt of medical expenses;

2. Original and photocopy of ID card;

3. Original and photocopy of marriage certificate;

4. Discharge record or diagnosis issued by medical institutions;

5. The original and photocopy of the family planning certificate issued by the family planning management department;

6. Original and photocopy of birth medical certificate issued by medical institution;

7. A copy of the labor contract or employment contract.

Wenzhou maternity insurance processing flow

1. The employing unit fills in the Declaration Form for Maternity Insurance Benefits of Wenzhou Workers, seals it and submits it to the business administrator together with the materials;

2. The business administrator shall review the submitted materials;

3. Issue a Maternity Insurance Receipt with complete materials;

4, business administrator audit, section chief review;

5. The employer shall receive the approval form and related materials from the business administrator with the receipt within the specified time, and go through the formalities for receiving treatment at the designated bank window.

Matters needing attention

Processing time: 6 working days

Handling fee: no charge.

Location: Social Security Department of each district, county and city in Wenzhou.