What is the relationship between social security and maternity insurance?

The relationship between social security and maternity insurance is: social security includes maternity insurance, the person concerned to pay the social security itself is the content of maternity insurance, in the case of maternity and so on, is in accordance with the relevant provisions of the maternity insurance reimbursement, to reimbursement processing.

What is the relationship between social security and maternity insurance?

Social security includes maternity insurance, which can be reimbursed in accordance with the provisions of the maternity insurance. Maternity insurance is a social insurance system in which the state adopts legislation to provide medical services, maternity allowances and maternity leave by the state and society in the event of temporary interruption of labor for women workers who are pregnant and giving birth, and the state or society gives necessary financial compensation and medical care to the workers who give birth to the social insurance system. China's maternity insurance benefits mainly include two items. One is the maternity allowance, and the other is the maternity medical treatment.

Two, maternity insurance reimbursement cost items

1, maternity medical expenses.

Female workers during pregnancy and childbirth, because of pregnancy, childbirth or termination of pregnancy occurred in accordance with the provisions of the medical expenses.

2. Maternity allowance.

Female workers are entitled to maternity allowance during maternity leave. The maternity allowance is based on the average monthly salary of the employees on duty in the previous year in the coordinating area to which she belongs, and is paid according to the specified maternity leave. If the maternity allowance is lower than the standard of her salary, the employer shall make up for it.

Maternity Allowance = Average Contributory Wage of the Employer of the Month ÷ 30 (days) × Days of Leave

Calculation of Maternity Leave:

(1) Basic Maternity Leave is 98 days, of which 15 days are allowed for prenatal leave;

(2) In the event of a difficult birth (e.g., cesarean section, or rupture of perineum of the third degree), the Maternity Leave can be increased by 30 days;

(3) In case of a miscarriage of a pregnancy of less than 4 months, 15 to 15 days will be granted to the patient, based on the opinion of the medical department, for the purpose of providing a maternity allowance of up to 10 days.

(4) If the pregnancy is more than four months (including four months) miscarriage, 42 days of maternity leave;

(5) Voluntary birth of a single child, an additional 35 days;

(6) Late childbearing, an additional 15 days;

(3) A one-time childbirth nutritional subsidies.

A certain percentage of the average monthly salary of on-the-job workers in the previous year in the coordinating area to which it belongs. The specific proportion shall be determined by the people's government of the coordinating area.

4. Family planning surgery costs.

Including the medical expenses incurred by the employee for family planning, placing or removing intrauterine devices, abortion, induced abortion, sterilizations, and restorative surgeries.

5. Vacation allowance for male workers.

Male employees who have been insured are entitled to a care leave allowance based on the average monthly salary of employees on duty in the previous year in the coordinating area to which they belong, and the allowance is paid according to the stipulated leave time.

Allowance for nursing leave = the average wage of the unit in the month ÷ 30 (days) × the number of days of leave

The Maternity Insurance Fund will not pay for the following expenses:

1. Expenses that do not comply with the national and provincial urban workers' basic medical insurance and maternity insurance drug lists, diagnostic and therapeutic items, medical services and facilities, and the relevant provisions of the management of the medical care;

2. Expenses incurred due to medical accidents;
3.

3. Expenses incurred for the treatment of maternity complications outside the period of labor and delivery.

For the reimbursement of maternity insurance, also belongs to the specific scope of the social security, the determination of the relevant situation, is strictly based on the actual social security payments to the legal processing, if the processing of the relevant situation is unclear, you can consult the social security department to carry out the legal processing, to avoid the application of the law wrong situation.

• Previous article:Which social security is better, Guangzhou or Zhuhai?
• Next article:Luoyang housing fund management center