How to use Guangzhou medical insurance maternity insurance

I. Guangzhou Maternity Insurance Reimbursement Process: 1. Medical expenses within the scope of reimbursement for sporadic medical expenses of maternity insurance shall be paid in advance by the insured, and relevant materials shall be submitted to the insured unit 1 year after delivery or termination of pregnancy. 2, by the unit manager to carry relevant information, to Guangzhou medical insurance agencies for sporadic reimbursement procedures. 3, Guangzhou medical insurance agencies to accept, review and settle the insured sporadic medical expenses reimbursement. 4. The medical expenses payable shall be allocated by the Social Security Fund Center. 2. Guangzhou maternity insurance can be reimbursed if it meets the following three conditions: 1. If the insured person has participated in the maternity insurance in this city for a total of 1 year, and the employer pays the maternity insurance premium in full and on time during the period of enjoying maternity insurance benefits, the employer shall apply to the social insurance agency for the payment of maternity allowance from 1 year after the insured person gives birth or implements family planning surgery. 2, the insured to participate in the city's maternity insurance payment is insufficient 1 year, the employer shall 1 year after the cumulative payment 12 months, to the social insurance agencies to apply for maternity allowance.

Legal objectivity:

Maternity insurance benefits include maternity medical expenses, maternity allowance, one-time nutrition subsidy and one-time subsidy. Guangzhou maternity insurance benefits can probably get a cash subsidy of more than 1 10,000 yuan. Maternity insurance is a special care measure for pregnant female workers. Female workers provide relevant information after delivery, and the insured unit shall apply for maternity insurance benefits at the local social security agency. Conditions for enjoying Guangzhou maternity insurance benefits: No matter whether you are registered in Guangzhou or not, you can enjoy Guangzhou maternity insurance benefits as long as you have purchased Guangzhou maternity insurance for one year and are in a normal state of purchasing social security when you have children. How to reimburse Guangzhou maternity insurance (how to reimburse Guangzhou maternity medical expenses): The employer (or applicant) applies to the Social Security Bureau for medical confirmation, and after handling it in the designated hospital (maternity hospital), receives the Medical Certificate and gives it to the individual. 70% to 80% of the medical expenses incurred by pregnant women in the selected maternity hospital for examination, medical treatment and delivery can be directly reimbursed. (Whether the expenses in the inspection can be reimbursed is uniformly stipulated by the hospital and the Social Security Bureau, and some have a fixed time limit). Guangzhou maternity insurance benefits (allowances, subsidies) are collected by the employer and then transferred to individuals. 1. Calculation of maternity allowance: The maternity allowance is based on the average payment salary of the unit in the month of childbirth (abortion) and is calculated according to the stipulated holidays. The calculation formula of maternity allowance is as follows: maternity allowance = average payment salary of the unit in the month of last year ÷30 (days) × holiday days Note: (In general, if the maternity allowance is more than 10000 yuan, it shall be calculated according to the above formula) 2. Calculation of maternity leave days: () (2) The one-child leave is increased by 35 days; (3) Late childbirth maternity leave increased by 15 days; (4) Difficult maternity leave. The dystocia holiday includes two situations: 1, caesarean section and third-degree perineal rupture increase by 30 days; 2. Suction delivery, forceps delivery and breech delivery increased 15 days. (5) The maternity leave is increased by 65,438+05 days for each additional baby born in multiple births. Note: (The longest maternity leave is 170 days. If the woman is over 23 years old, the man is not required to reach the age of late marriage and late childbirth; After giving birth to twins, you can't enjoy the 35-day holiday of the only child, only 15 days holiday. 3. Calculation of one-time childbirth nutrition subsidy (1) Normal childbirth, abortion for more than 7 months: the average monthly salary of employees in this city last year × 25%; (2) Dystocia and multiple births: the average monthly salary of employees in the previous year was ×50%. 4, a one-time subsidy in the secondary hospital delivery, each one-time increase in 300 yuan subsidies.