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Will maternity insurance be reimbursed after discharge?
First, maternity insurance reimbursement conditions
First of all, the premise of enjoying maternity insurance reimbursement is that you have participated in maternity insurance and paid the corresponding insurance fees. This is usually achieved by units or individuals who pay fees in the social security system.
Secondly, reimbursement usually needs to meet certain fertility conditions, such as meeting the requirements of the national family planning policy, reaching the legal age of marriage and having registered for marriage.
Second, the reimbursement process of maternity insurance
After meeting the above conditions, maternity insurance reimbursement will not be directly completed when leaving the hospital. Generally speaking, the reimbursement process includes the following steps:
Collect the necessary materials: this includes the delivery certificate, medical expense invoice, personal identity certificate, social security card and other related documents issued by the hospital.
Submit reimbursement application: submit the collected materials to the unit or social security department for reimbursement of maternity insurance.
Audit and accounting: the social security department will audit the submitted materials to confirm whether they meet the reimbursement conditions and calculate the amount to be reimbursed.
Reimbursement payment: after approval, the reimbursement will be paid to the account of the individual or company according to a certain process.
It should be noted that the specific reimbursement process and time may be different in different regions and units. Therefore, when handling maternity insurance reimbursement, it is recommended to consult the personnel department of the unit or the local social security department in advance to understand the detailed process and requirements.
Third, the scope of maternity insurance reimbursement
The reimbursement scope of maternity insurance usually includes the medical expenses of delivery, the expenses of prenatal examination and the expenses of family planning operation. However, the specific reimbursement items and standards need to be determined according to local policies and regulations.
To sum up:
The reimbursement of maternity insurance is not completed immediately when going through the discharge formalities, but needs to meet certain conditions and go through a series of processes. When handling maternity insurance reimbursement, you should know and prepare relevant materials in advance and apply according to the prescribed procedures. The specific reimbursement conditions and procedures may be different in different regions and units, so it is recommended to consult relevant departments for accurate information.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 54 provides that:
The employer has paid maternity insurance, and its 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.
Special provisions on labor protection for female workers
Article 7 provides that:
Female employees enjoy 98 days of maternity leave, including prenatal leave 15 days; In case of dystocia, maternity leave shall be increased 15 days; For multiple births, the maternity leave will be increased by 1 5 days for each additional child. Female employees who miscarry less than 4 months after pregnancy are entitled to 15 days maternity leave; Abortion after 4 months of pregnancy is entitled to 42 days of maternity leave.
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