How long can Xuchang maternity insurance be reimbursed and the reimbursement ratio?

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. Maternity insurance benefits in China mainly include two items. One is maternity allowance, and the other is maternity medical care. The Measures for Maternity Insurance in Ministry of Human Resources and Social Security (Draft for Comment) has been open to the public for comments since 2012165438+10. The opinion draft makes it clear that maternity insurance benefits will no longer be limited to household registration, and units that do not pay maternity insurance must pay maternity fees.

Reimbursement conditions

Employees who enjoy maternity insurance benefits shall meet the following conditions:

1. The employer has paid more than 1 year for employees and continues to pay;

2, in line with national and provincial population and family planning laws and regulations.

Reimbursement materials

1, the original and photocopy of the identity certificate of the person who enjoys the treatment; (required)

2. Original and photocopy of the agent's ID card; (Optional, required by the agent)

3. The original special receipt or invoice for medical expenses stamped with the financial seal of the medical institution printed by the financial and tax department; (required)

4. Original list of medical expenses with receipt (invoice) amount and date; (required)

5, the original certificate of disease diagnosis stamped with the seal of the medical institution; (required)

6, stamped with the seal of medical institutions discharge summary or outpatient medical records and a copy of the original; (required)

The original and photocopy of the family planning service certificate or relevant certificate provided by the family planning department of our city; (required)

8. Original and photocopy of the baby's birth certificate; (required)

9, has received the "medical confirmation certificate" of the insured workers also need to provide the original "medical confirmation certificate"; (required)

10, original and photocopy of social security card for special care recipients.

If the social security card has not been received or activated, the original and photocopy of the current passbook of the bank (Bank of China, Industrial and Commercial Bank of China, Agricultural Bank of China and China Construction Bank) or the original and photocopy of the debit card with the name, account number or card number of the issuing bank on the card surface shall be provided; (required)

1 1. If the insured employee rescues delivery or abortion in an emergency in a non-selected medical institution, he must also provide the emergency rescue certificate recognized by the social security agency; (Optional, relevant required)

12. Other materials required by social security institutions. (Optional, relevant required)

Treatment process

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.

Subsidy fee

1, 300 yuan for reproductive nutrition and 700 yuan for perinatal health care.

2. One-time maternity allowance: 2,400 yuan for spontaneous delivery and 4,000 yuan for dystocia and multiple births in 400 yuan. Male employees who participate in maternity insurance, whose spouses are not included in the scope of maternity insurance, can enjoy a one-time maternity allowance of 50% if they have their first child in line with family planning regulations.

3. The maternity allowance shall be compensated by the unit, and my basic salary, bonus and welfare expenses shall be paid by the unit during the maternity leave of the insured female employees.

4, including the cost of placing (taking out) IUD, induced abortion, induced labor, skin burial, sterilization and recanalization for family planning needs, included in the settlement scope of maternity insurance fund. ;