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What are the reimbursements for giving birth to a child
1. Card settlement of hospitalization medical fees at the time of delivery:
(1) The portion of hospitalization medical fees incurred by a participant at the time of delivery that meets the requirements, up to 4200 yuan, will be paid in full by the Employees' Maternity Insurance Fund;
(2) the portion that exceeds 4200 yuan will be paid by the Fund at a rate of 90%, and the individual will be liable at a rate of 10%.
2. Card settlement for pregnancy and postpartum complications. The hospitalization medical expenses incurred by the insured person due to maternity complication diseases that meet the requirements shall be paid 90% by the Employees' Maternity Insurance Fund, and the individual shall bear 10%.
The conditions for reimbursement of maternity insurance are as follows:
1. If an employed female worker gives birth locally within the city for medical treatment, the maternity medical expenses will be settled directly in the maternity designated medical institutions by brushing the provincial social security card in real time. The maternity medical expenses incurred by working female workers in the designated hospitals of off-site health insurance need to be reimbursed by the health insurance agency after cash advances are made, and then the materials are brought to the health insurance agency for examination and reimbursement;
2. The maternity allowances and one-time nutritional subsidies for working female workers shall be reimbursed by the unit's operator with all the materials brought to the health insurance agency for examination and reimbursement;
3. The employing unit of a working female worker at the time of giving birth shall have made full and continuous payment of maternity insurance premiums in full and in a timely fashion for 10 months (must have paid the premiums). insurance premiums in full and on time for 10 months (must include the month of childbirth).
Legal basis: Article 54 of the Social Insurance Law of the People's Republic of China
Where the employer has paid maternity insurance premiums, its employees are entitled to maternity insurance benefits; the employee's un-employed spouse is entitled to maternity medical expenses in accordance with state regulations. The required funds are paid from the Maternity Insurance Fund.
Maternity insurance benefits include maternity medical expenses and maternity allowances.
Article 55
Medical expenses for maternity include the following:
(1) medical expenses for giving birth;
(2) medical expenses for family planning;
(3) expenses for other items stipulated by laws and regulations.
Article 56
Employees shall be entitled to maternity allowances in accordance with the State's provisions in any of the following cases:
(1) female workers enjoying maternity leave for giving birth;
(2) enjoying leave for family-planning surgery;
(3) other cases stipulated by laws and regulations.
Maternity allowance is paid in accordance with the average monthly salary of the employees of the employer where the employee works in the previous year.
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