How to receive maternity medical benefits

After you become pregnant, bring your family register, marriage certificate, ID card and other relevant documents to the social security operator at your workplace. The operator will assist in registering for maternity insurance and determining the hospital for prenatal checkups and delivery. Then bring the medical registration form, hospital discharge summary, marriage certificate, household register, ID card and other relevant documents to the social security office to apply for maternity benefits. There are three conditions to be met in order to receive the maternity insurance benefit:

1. Employed persons must participate in social security according to the regulations, and have paid maternity insurance for a cumulative total of 12 months or more at the time of the birth, with the month of the birth and the month in which the retroactive payment of maternity insurance premiums is made not counted. Unemployed people must apply for unemployment registration, apply for abortion or family planning surgery subsidies must have a record of maternity insurance payment in the same month;

2, in line with the national provisions of the establishment of obstetrics and gynecology medical institutions childbirth, abortion, family planning surgery;

3, in line with the provisions of the national, provincial and municipal family planning. In other words, as long as it is in line with the basic national policy, the second child can also receive it. The method of receiving the maternity allowance is to bring the relevant documents such as household register, marriage certificate and ID card to the social security operator of the unit after pregnancy. The operator will assist in registering for maternity insurance and determining the hospital for prenatal checkups and delivery. Then bring the medical registration form, hospital discharge summary, marriage certificate, household register, ID card and other relevant documents to the social security office to apply for maternity allowance.

1. Maternity allowance claim conditions: from the time you pay maternity insurance to the birth of your child, a full payment of 12 months, so that you can apply to the state maternity leave in the maternity allowance benefits. If the unit does not pay social security, so is not able to receive maternity allowance, but you can apply for this cost by the unit for you to pay.

2. Maternity allowance: The maternity allowance is paid in accordance with the principle of "the higher, not the lower". That is to say, if the maternity allowance is lower than the individual wage rate that I should enjoy during the maternity leave, the employer must make up the difference; if the maternity allowance is higher than the individual wage rate that I should enjoy during the maternity leave, the employer must pay the full amount to the individual.

3. Maternity insurance for both husband and wife: if only the woman participates in maternity insurance, her maternity medical expenses and maternity allowance can be enjoyed; if only the man participates in maternity insurance, the woman can't enjoy the treatment of maternity medical expenses and maternity allowance, but the man can enjoy the 15-day paternity leave and the medical expenses of family planning surgery.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 53: Employees shall take part in maternity insurance, and shall pay maternity insurance premiums by the employer in accordance with the state regulations, and the employees shall not pay maternity insurance premiums.

Article 54 If an employer has paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; the employee's unemployed spouse shall 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 allowances.

Article 55: Maternity medical expenses include the following: (1) medical expenses for childbirth; (2) medical expenses for family planning; and (3) expenses for other items prescribed by laws and regulations.

Article 56 Employees shall be entitled to maternity allowance in accordance with the state regulations if they are in one of the following situations: (1) female workers are entitled to maternity leave for giving birth; (2) they are entitled to leave for family-planning surgery; and (3) in other situations stipulated by laws and regulations.

Maternity allowances are paid in accordance with the average monthly wage of employees at the employer where the employee works in the previous year.

Derivative question:

How is the maternity allowance reimbursed?

Employees enjoying maternity insurance benefits should meet the following conditions: 1. the employer has paid contributions for the employee for more than one year and continues to pay contributions for the employee; and 2. it complies with the national and provincial regulations on population and family planning. The following materials are required when applying for maternity allowance for childbirth: 1) a copy of the social security card of the insured employee; 2) a copy of the birth certificate, birth certificate and only child certificate; 3) a copy of the hospitalization invoice for childbirth and a discharge summary (stamped by the attending hospital); 4) a certificate of the unit (including the employee's name, age, identity card number, and the date of commencement of and end of the maternity leave); and 5) the part of reimbursement materials involving copies, the original documents are required to be provided for examination and approval. Second, for some cities where the claim for maternity allowance and subsidy is handled by the individual himself, he is required to provide relevant information and go to the social security bureau within the designated time, and there is no difference between providing the information and submitting the information to the company. Third, for a small number of social security agents, individuals or small and medium-sized enterprises, offices, branches, you need to report to the agency in advance, and submit the appropriate information to the agency by its collaborative declaration, for a good easy to insure that the online social security service platform, you can upload the information directly on the Internet, the online claim.