Job Recruitment Website - Social security inquiry - Can social security and hospitalized children be reimbursed?
Can social security and hospitalized children be reimbursed?
Generally speaking, the social security paid by oneself can only reimburse the medical expenses of giving birth to children, but not maternity insurance, because maternity insurance is generally paid by employers and individuals cannot pay it themselves. That is, if there is no job or the unit fails to pay social security, there will be no maternity insurance benefits, and those who pay maternity insurance normally can enjoy maternity insurance benefits.
Maternity insurance reimbursement scope:
1, maternity allowance for female employees during maternity leave; Maternity allowance is the average monthly payment salary of my previous year divided by 30 days multiplied by the number of maternity leave days;
2. Medical expenses incurred by female workers in childbirth, including examination expenses, delivery expenses, operation expenses, hospitalization expenses, medicine expenses and treatment expenses incurred by female workers due to pregnancy and childbirth;
3. Medical expenses incurred by employees in carrying out family planning operations, including medical expenses incurred by employees in placing intrauterine devices, abortion, induced labor, sterilization and recanalization operations;
4 other expenses related to maternity insurance as stipulated by the state.
Maternity medical expenses include maternity medical expenses, family planning medical expenses and other project expenses that should be paid by maternity insurance fund according to laws and regulations. Maternity medical expenses refer to the medical expenses incurred by female workers during pregnancy and childbirth, including the expenses for diagnosis and treatment of pregnancy complications and complications. Family planning medical expenses refer to the medical expenses incurred by workers in placing or taking out intrauterine devices, performing tubal or vas deferens ligation and recanalization operations, and performing induced abortion or induced labor.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Fifty-fourth employers have paid maternity insurance premiums, and their 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.
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