Can maternity insurance be reimbursed if it has not been returned for one year?

1. Can maternity insurance be reimbursed after less than one year? Individuals who have paid maternity insurance for less than one year cannot be reimbursed after giving birth to children. Insured employees who meet the following conditions at the same time can enjoy maternity insurance benefits according to regulations: 1, which conforms to the national, provincial and municipal family planning policies; 2. When giving birth or carrying out family planning operation, the employer has participated in maternity insurance and paid the maternity insurance premium in full 12 months. 3, prenatal examination fees and production costs, the parties bring a marriage certificate, social security card (citizen card) and family planning certificate issued by the street to the maternity insurance designated hospital direct credit card settlement. 4. To declare maternity allowance and one-time nutrition allowance, you need to fill in the maternity insurance benefits declaration form and affix the official seal of the unit, provide marriage certificate, one-child certificate (for children), discharge summary and other materials, and go through the declaration formalities at the obstetrics department of the municipal medical insurance center on the working day between 1- 10 every month. (The relevant procedures should be handled within one year after delivery) Employees can enjoy maternity allowance in accordance with state regulations under any of the following circumstances: (1) Female employees enjoy maternity leave when giving birth; (2) enjoy family planning surgery leave; (3) Other circumstances stipulated by laws and regulations. Second, the proportion of maternity insurance payment is based on the full social security purchased by the unit, which is calculated as follows: medical insurance: 2% for individuals and 8% for units; Endowment insurance: 8% for individuals and 20% for units; Unemployment insurance: individual 1%, unit 2%; Industrial injury insurance: no individual, unit1%; Maternity insurance (by industry): no individual, unit1%; (Different industries) Provident Fund: 7% for individuals and 7% for units. (There is 8% 12%, and now 12% has been adjusted. In addition, insurance is not based on your salary, but on the payment base set by the unit, and medical insurance is at least based on social wages. 3. Whether the maternity insurance can be renewed for 12 months (the interruption is not more than 3 months, which is regarded as continuous), and the social security is still paid one month before the birth, so that the national standard100% can be reimbursed; If you have been interrupted for more than 3 months now, it means that the social security paid before is regarded as interruption, and it takes 12 months to reimburse 100% of the national standard. Maternity insurance is compulsory insurance, which is paid by the employer. The employer must pay it, and the individual may not pay it. Maternity insurance is a social policy that the state legislates to protect the rights and interests of female workers. Whether the fetus is born normally or not, even if the fetus dies or miscarries, it can be enjoyed.

Legal objectivity:

Maternityinsurance is a social insurance system that the state and society provide medical services, maternity allowance and maternity leave when pregnant and childbirth 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. Maternity insurance reimbursement regulations: maternity insurance must be purchased continuously for 12 months, and reimbursed within 18 months after the baby is born, and must be insured at the same time. Maternity insurance is a typical local policy, which varies from 10 months to 6 months or even lower. Therefore, the local social security center should prevail. Maternity women who meet the claim conditions can enjoy it (enjoyment conditions: employees can enjoy it in the next month after the successful payment of the unit in the current month). Prenatal examination fee: fixed payment (500 yuan per case); Limit payment of medical expenses for outpatient abortion operation and family planning operation (within 500 yuan); Maternity medical expenses: medical expenses that meet the relevant provisions of the basic medical drug list, diagnosis and treatment items, etc. Should be fully reimbursed. Maternity reimbursement: bring my ID card and medical insurance card to the designated social security hospital, swipe the medical insurance card, enjoy the reimbursement of prenatal examination fees and maternity medical expenses settled by computer network, and leave the hospital after clearing the amount borne by the individual. The amount of social security reimbursement will be settled regularly by the hospital and the Social Security Bureau. No more manual reimbursement. Only when male workers reimburse unemployed spouses for maternity expenses will they be reimbursed manually. Both prenatal check-up fees and maternity medical expenses can be reported, and both are only reported in half. The child must provide the following information within 25 days of birth: 1, copy of marriage certificate (the page with photos and steel seal must be copied, and the steel seal should be clear) 2. Copies of ID cards of both parties; 3. Original official invoice of the hospital; 4. Proof that the spouse has no work unit (unemployed) issued by the labor security office or neighborhood Committee where the spouse is registered; 5. Original and photocopy of birth permit; 6. Discharge summary (with hospital seal), outpatient medical records and invoices for prenatal examination (not less than 250 yuan, including B-ultrasound and fetal heart monitoring, etc. ) 7. Original and photocopy of birth certificate. Detailed list of medical expenses (hospital seal required)