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What materials do you need for reimbursement of maternity insurance after abortion?
Reimbursement standard maternity insurance medical expenses quota standard delivery and abortion: 1, natural delivery. The payment standard is: 2500 yuan for tertiary hospital, 2200 yuan for secondary hospital and 2000 yuan for primary hospital. 2. Help with delivery. The payment standard is: 2800 yuan for tertiary hospital, 2400 yuan for secondary hospital and 2 100 yuan for primary hospital. 3. Midterm induced labor to terminate pregnancy. Payment standard: 2000 yuan for tertiary hospital, secondary hospital 1700 yuan and primary hospital 1400 yuan. 4. Hospital induced abortion. Payment standard: level III hospital 1500 yuan, level II hospital 1200 yuan, level I hospital 1000 yuan. 5. Outpatient induced abortion. Payment standards are: tertiary hospital 600 yuan, secondary hospital 500 yuan, and primary hospital 450 yuan. Reimbursement conditions Employees who enjoy maternity insurance benefits should meet the following conditions at the same time: 1, and the employer has paid for employees for more than 1 year and continues to pay for them; 2, in line with national and provincial population and family planning laws and regulations. Reimbursement materials 1, the original and photocopy of the ID card of the entitled group; (Required) 2. Original and photocopy of the agent's ID card; (Optional, the agent must choose) 3. The original receipt or invoice of medical expenses printed by the finance and taxation department and stamped with the financial seal of the medical institution; (Required) 4. The original list of medical expenses consistent with the amount and date of the receipt (invoice); (Required) 5. Original disease diagnosis certificate stamped with the seal of medical institution; (Required) 6. Original and photocopy of discharge summary or outpatient medical record stamped with the seal of medical institution; (Required) 7. The original and photocopy of the family planning service certificate or relevant certificate provided by the family planning department of our city; (Required) 8. Original and photocopy of the baby's birth certificate; (required) 9. Insured employees who have received the medical confirmation certificate must also provide the original medical confirmation certificate; (Required) 10. Original and photocopy of the social security card of the obligee. If the social security card has not been received or activated, the original and photocopy of the current passbook of the bank (Bank of China, Industrial and Commercial Bank of China, Agricultural Bank of China and China Construction Bank) or the original and photocopy of the debit card with the name, account number or card number of the issuing bank on the card surface shall be provided; (required) 1 1. Insured workers in non-selected medical institutions emergency rescue delivery or abortion, but also to provide social security agencies recognized emergency rescue certificate; (Optional, related to mandatory) 12, other materials required by social security institutions. (Optional, related to required) Reimbursement Process 1. After the female worker is pregnant, before the abortion or family planning operation, the employer or the staff of the street and town labor security service station shall carry the application materials to the maternity insurance window of the district social labor insurance agency; 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. Processing time limit and address processing time limit: 15 working days Processing place: The employer or the staff of the street and town labor security service station bring the application materials to the maternity insurance window of the district social labor insurance department for processing. Wuhan maternity insurance guidelines for handling conditions 1, in line with the national family planning policy or family planning surgery; 2, the unit in accordance with the provisions for employees to participate in maternity insurance and continuous full payment for more than one year. Processing materials: 1, social insurance registration form; 2, "to participate in the basic pension, work injury and maternity insurance personnel increase or decrease table"; 3, "enterprise employees basic pension, work injury and maternity insurance declaration summary"; Remarks: Maternity insurance is handled by enterprises and institutions, and individuals cannot handle the procedures 1. The employer shall submit the application materials to the business hall of the social labor insurance department; 2, the staff accepted the application materials, after examination and approval, stamped and returned to the summary table, increase or decrease table; 3, the employer in the next month to the local tax department to apply for payment; 4. After the card application is completed, the handling personnel of the unit shall go to the designated service bank outlets to receive the social security card of the insured unit with the Receipt of Card Application, and organize to issue the social security card to the employees. The processing time is 20 working days.
Legal objectivity:
Article 53 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, while employees shall not pay maternity insurance premiums. Article 54 of the Social Insurance Law of People's Republic of China (PRC), if the employer has paid maternity insurance premiums, its employees shall 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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