Is Hangzhou baby born reimbursed by medical insurance?

Questions and answers on maternity insurance reimbursement

The following information is required:

1, the insured unit shall fill in the Hangzhou Maternity Insurance Payment Declaration Form (in duplicate) and affix the official seal of the unit.

Chapter;

2, reproductive health service certificate declaration account (copy), copy of the issuing unit seal is not clear, need to bring the original.

Pieces;

3. Medical certificate of the birth of the baby (copy);

4, delivery of hospital medical invoice (copy);

5, reproductive medicine diagnosis certificate issued by the medical department (original);

6, hospitalization or discharge, birth records (original);

By the way, it needs to be declared within 6 months after delivery, otherwise it will not be accepted. In addition, if the application materials are submitted before 12 every month, after the examination and approval, after the 20th day of the current month, they will go to the business hall of the Municipal Social Security Bureau 19 to receive the receipt (belonging to enterprises in various urban areas), and pay the maternity insurance benefits to the employee's unit in one lump sum through the settlement of the current month; If the application materials are submitted after each month 12, after the examination and approval, the receipt will be received at the work-related injury maternity window at the business hall of the Social Security Bureau 19 after the 20th day of the following month (the regional enterprises will handle it at the social insurance agencies in various urban areas), and the maternity insurance benefits will be paid to the employee's unit in one lump sum through the settlement of the next month; All the above are handled by the HR staff of the unit, and I don't need to go in person.

Hangzhou maternity insurance reimbursement related answers

1. Are the application materials submitted to the municipal social security?

A: The unit did it. All municipal enterprises are handed over to the Municipal Social Security Bureau, which is located in Yin Qing Lane. The district-owned enterprise submits it to the district social security.

2. I heard that social security will be sent to you three months after giving birth. Is it true?/You don't say. How much can I take? Is there any conflict with the reimbursement?

A: The company will give you three months' salary. If the social security subsidy money is gone, give it to the company, unless the company doesn't pay you in these three months. cheque

The expenses and production expenses add up and subtract the fixed reimbursement expenses (2,400 for natural delivery and 5,000 for caesarean section). If it still exceeds 4,000, it is the excess.

Maternity insurance will reimburse you. Every other company is different, depending on whether the company is willing or not. Our company pays full wages, so social security

Part of it is extra for employees. But the salary is not complete ~ it is the basic salary (80% of the total, that is, 20% of the monthly salary)

There is no performance award ~) and then the part of salary subsidy from social security is also given to employees ~ the part of reimbursement is the reference standard.

Come on! What is surface delivery? It is said that there are now more than 2,400 or 3,500 ~ ~, and generally there are about 4,000 ~ ~.

3. I would like to ask again, one of which is the declaration account for submitting reproductive health service certificate. So can this account be submitted after filling it out or before filing?

Answer: You can leave it blank.

I also want to ask, does this mean that all expenses must be paid in cash from the beginning of the birth check-up to the end of the delivery? Instead of using a medical insurance card So you can reimburse it?

A: It is best to use cash. At present, hospitals are not unified. Some hospitals can use citizen cards to pay for the check-up fees, while others say that some hospitals.

You can't. I asked the Hangzhou Medical Insurance Hall, and it is best not to brush the money in the citizen card medical insurance account, because this is not the same as maternity insurance.

The same two pieces, if the money in the card is swiped, the reimbursement money will be deducted because your citizen card is swiped, anyway.

It's very troublesome. Let's pay first.

5. What conditions can I enjoy maternity insurance?

A: Employees who enjoy maternity insurance benefits should meet the following conditions:

(1) When an employee gives birth or carries out family planning surgery, the employer has applied for maternity insurance registration for the employee according to the regulations.

Continued, and continuous payment for 3 months;

(2) meet the requirements stipulated by the state, province and city or implement family planning contraception and recanalization surgery.

6. Hello, I haven't paid my insurance since I resigned. Now I want to stay with my friend's company, and all the insurance costs are paid by myself. Should I hand it in from the month I quit? Or should I hand it in directly from now on? Pay the full cost or just maternity insurance?

Answer: It is best not to interrupt social insurance, otherwise it will affect the amount of pension you receive after retirement. If you make up, you need to make up all the insurance.

Pension: 20% for companies and 8% for individuals;

Unemployment rate: 2% for companies and 0/%for individuals;

Medical treatment: 9.5% for the company (of which 0.5% is transferred to personal account) and 2% for the individual (transferred to personal account);

Work injury: 0.5%- 1.2% (paid by different industries according to relevant standards)

Fertility rate: 0.6%

Additional medical care: each person pays 3 yuan for major diseases every month, which is used to establish a major diseases medical assistance fund. Which one holds?

During the period of validity, the certificate of assistance or the certificate of disability above Grade II is exempted. Plus medical mutual aid fund 1 yuan/person minimum society.

Insurance payment base: 1 103.50, and maximum social security payment base: 55 17.50.

7. Reproductive medical diagnosis certificate issued by the medical department (original). What does that mean? Was it opened in a hospital?

A: When you leave the hospital, the doctor will write a summary. Some hospitals will give you a list, and some will write it in the medical record. Take it there.

If it is written on the medical record, take it with you, and make a copy at the reimbursement place and return it to you.

8. I would like to ask, I was delivered by caesarean section, and my company has basic medical and commercial insurance to reimburse me. The maternity expenses were actually reported at around 7,500 yuan through commercial insurance (actually more than 8,000 yuan was spent), and the company paid me as usual during the vacation. Can maternity insurance in basic medical care be reimbursed? thank you

A: Commercial insurance is an additional benefit of the company, which does not conflict with the maternity insurance for female employees in social security.

9. Ask the unemployed about maternity allowance?

A: Unemployed women who meet the conditions of family planning and give birth during the period of unemployment are issued with birth certificates, one-child certificates and unemployment insurance for employees.

Insurance Manual "and other materials, within 3 months after delivery to the street (township) labor and social security management station to fill in the application form, reported to the district employment office.

Service agencies audit, sent to the Municipal Employment Bureau for approval. Maternity grants's standard is my unemployment insurance for three months.

10, I am registered in Hangzhou, and the company pays maternity insurance. When I was pregnant 1 month, I went to have a blood test, and as a result, I needed to protect my baby. I had three blood tests and two B-ultrasound, and the doctor swiped all the money in my citizen card. And the money in my citizen card was gone, so I bought it at my own expense. Will this money be counted as the cost of future check-ups? I haven't built a card yet. Thank you!

A: The money in the citizen card belongs to medical insurance. General medical insurance does not bear the cost of miscarriage protection, but all take maternity insurance. You are now.

The money swiped from the citizen card should not be reimbursed in maternity insurance.

1 1, I want to ask:

1. Can't I swipe my citizen card for the pregnancy check-up fee? If I brush it, will it not be reimbursed?

2. 2,400 births and 5,000 caesarean sections. If this cost is exceeded in the production process, can it be reimbursed according to the actual situation?

3. How to calculate the three-month salary during maternity leave? Is it given by the unit or by social security?

Answer: 1. It is recommended not to use the citizen card for prenatal examination fees;

2. If the maternity medical expenses exceed the payment standard and meet the expenditure scope stipulated by the basic medical insurance, the expenses below 4,000 yuan (inclusive),

Paid by individuals, conditional employers can give subsidies; The cost of more than 4000 yuan shall be paid in full by the maternity insurance fund.

Payment;

3. The salary during maternity leave is paid according to the social security payment base, which is directly paid to the company by the social security office, and then transferred to the employees by the company.

12, reproductive health service certificate declaration account (photocopy), the photocopy cannot be stamped with the seal of the issuing unit, and the original should be attached; What if they take this when I apply for an account?

A: Generally, you will not be asked to provide the original.

13, are some expenses of prenatal examination included in the maternity medical expenses?

A: As long as it is stated, the prenatal examination is counted, and some people in the social security department specially review the materials.

14, I also want to ask, if the company didn't sign a labor contract with me after I got pregnant, but the company still paid me social insurance (including maternity insurance) for three months after I gave birth. If I quit my job completely after giving birth, can I still get maternity insurance?

A: First of all, the company's failure to sign a labor contract with you infringes on your legitimate rights and interests. According to the new labor law, they

Without signing a contract with you, you can ask them to pay double wages. As for the social security paid, you can ask the unit to pay it all the time.

Until the end of your lactation. Of course, the cost of maternity insurance can also be reimbursed.

15, application account number for reproductive health service certificate. What is this? Don't you show your citizen card if you check at your own expense?

A: The Registration Form of Reproductive Health Service Certificate is the registration form for household registration on the birth permit. If you plan to use maternity insurance to report

You don't need a citizen card to sell your baby.

16, I would like to ask how to apply for maternity insurance reimbursement after giving birth in Hangzhou. B: How do I report the cost of the field trip?

Answer: Check with Hangzhou Social Security Bureau in advance, and the expenses should be reimbursed within the prescribed time limit. The reimbursement method is the same as that of students born in Hangzhou. B: Out of town.

Yes, you can also apply, only in regular hospitals. I consulted social security. Go back to Hangzhou with relevant information and go through normal procedures.

Reimbursement is enough.

17, is it necessary to work? If I don't work and usually pay these insurance premiums myself, can't I report them?

A: If the registered permanent residence is in Hangzhou, you can pay personal medical insurance, and the corresponding expenses will be deducted according to the hospitalization when giving birth to the baby.

As long as you bear your share. In addition, if you apply for unemployment registration certificate, you can get a supplement when you give birth to a baby.

Insist.

18, I want to ask you if you mean that you don't need a citizen card as mentioned earlier, and you don't need a medical insurance card as much as possible for prenatal examination, including giving birth to a baby. As long as I participate in the insurance, the hospital will help me reduce the maternity medical expenses that exceed the payment standard. I only need to pay my personal part? Did I get it wrong? I used to think that when I show my citizen card, when my medical expenses are greater than a certain value, or I have hospitalization expenses, the medical insurance will automatically eliminate the excess expenses?

A: Maternity insurance is different from hospitalization reimbursement of medical insurance. No matter how much you spend on giving birth in the hospital,

According to Hangzhou Labor and Social Security Bureau and other departments in 2006, Hangzhou Workers' Reproductive Health Care (No.290 [2006] of Hangzhou Labor and Social Security Bureau)

The provisions of the notice on the payment standard of fees and family planning operation fees: the maternity medical expenses paid by Hangzhou maternity insurance fund

The criteria are as follows:

Natural delivery (including induced labor for more than 7 months) is 2400 yuan per person;

Assist in the delivery of 2800 yuan per person;

Caesarean section 5000 yuan per person;

Induced labor under 7 months per person 1600 yuan;

Abortion per person 1000 yuan.

Using the citizen card, in a natural year, the outpatient medical expenses of employees who meet the basic medical insurance expenses shall be paid by individuals first.

When the funds in the account are paid in the current year, if the payment is insufficient, the individual shall bear the Qifubiaozhun 1 000 yuan for outpatient medical expenses, which exceeds the Qifubiaozhun.

The medical expenses shall be borne by the on-the-job outpatient co-ordination fund and individuals respectively. Different levels of hospitals bear different proportions of individuals.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.