Job Recruitment Website - Social security inquiry - How to reimburse children born in their hometown in Shenzhen?
How to reimburse children born in their hometown in Shenzhen?
1, Shenzhen maternity insurance reimbursement conditions in different places According to the relevant regulations, if an employee who has participated in maternity insurance for 1 year gives birth in a medical institution outside the city, the medical expenses for his birth shall be paid by the employee himself in advance. After delivery 1 year, apply for reimbursement to the social security agency of our city with relevant information and diagnosis certificate of relevant medical institutions. Employees who have participated in maternity insurance for less than 1 year need to participate in maternity insurance 1 year.
2. The materials required for the reimbursement of maternity insurance in different places in Shenzhen, the social security card or identity card of the insured person, and the application form for medical expenses of maternity insurance in Shenzhen; Original charge receipt stamped with the official seal of the hospital; A detailed list of medical expenses stamped with the official seal of the hospital; Disease diagnosis certificate/discharge summary stamped with the official seal of the hospital; If the insured person's bank account has already applied for a financial social security card, it is not necessary to provide a copy of the bank account, and the reimbursement expenses are directly credited to the bank account bound by his financial social security card; If the financial social security card is not handled, a copy of the bank card or passbook of China Bank, Industrial and Commercial Bank, Agricultural Bank, China Construction Bank and China Merchants Bank shall be provided; Medical certificate of the baby's birth/death; Family planning certificate; Certificate of transfer of the insured unit; The agent's identity card;
3, prepare the application materials to the nearest social security branch or management station to submit an application for reimbursement, social security agencies in accordance with the provisions of the examination and approval of reimbursement; The staff of each branch shall review the reimbursement materials provided by the insured and decide whether to accept them; If the information is incomplete, a notice of one-time supplementary materials shall be issued; The staff will sort out the accepted materials and pay them according to the relevant provisions of maternity insurance fund payment.
Medical insurance reimbursement scope:
1. Insurance liability for hospitalization medical expenses within the scope of medical insurance, as well as some expenses in the medical insurance catalogue that are still borne by individuals after being reimbursed by basic medical insurance, serious illness insurance and medical assistance. , shall bear the liability for compensation within the agreed scope of insurance liability. 1 10,000 insured amount,10.5 million free of compensation, the reimbursement rate is 80%, and the reimbursement rate for continuous participation is increased to 85%;
To sum up, both female workers and male workers can enjoy maternity insurance benefits, but only if they meet the prescribed conditions.
Legal basis:
Article 2 of People's Republic of China (PRC) Insurance Law
The term "insurance" as mentioned in this Law refers to the commercial insurance behavior in which the applicant pays the insurance premium to the insurer according to the contract, and when the insured dies, suffers from disability, illness or reaches the age and time limit agreed in the contract, the insurer shall be liable for the property losses caused by the possible accidents agreed in the contract.
essay
This Law is applicable to insurance activities in People's Republic of China (PRC).
Article 5
The parties to insurance activities shall exercise their rights and perform their obligations in accordance with the principle of good faith.
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