Job Recruitment Website - Social security inquiry - How to reimburse maternity insurance for pregnancy test?

How to reimburse maternity insurance for pregnancy test?

How to reimburse maternity insurance for pregnancy test is as follows:

1. Insured employees who meet the following conditions can enjoy maternity insurance benefits according to regulations: those who meet the national, provincial and municipal family planning policies; When giving birth or carrying out family planning operation, the employer has participated in maternity insurance and paid the maternity insurance premium in full10;

2, prenatal examination fees and production costs, the parties bring a marriage certificate, social security card (citizen card) and the family planning certificate issued by the street to the maternity insurance designated hospital direct credit card settlement;

3. 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, and 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 working days between 1- 10 every month. (Relevant formalities shall be handled within one year after delivery).

Maternity insurance reimbursement ratio: maternity insurance is calculated according to the base of your maternity insurance this year. I don't know when you will have a baby, because you can get the money by adjusting the base in April every year and then multiplying the base by the number of days you take maternity leave (the number of days stipulated by the state). As for prenatal check-up, the maximum is 1400 yuan.

What is the process of maternity insurance reimbursement?

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.

To sum up, in the process of reimbursement of maternity insurance, many documents and supporting materials will be used, so everyone must keep them properly in daily life to avoid unnecessary troubles.

Legal basis:

Article 54 of the Social Insurance Law of People's Republic of China (PRC)

The employer has paid maternity insurance, and its employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy 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 allowance.

Article 55

Maternity medical expenses include the following contents:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.

Article 56

Workers in any of the following circumstances can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.