Chengdu Maternity Insurance Reimbursement 2023 Latest Policy

In recent years, with the development of Chengdu's economy, many foreigners have come to work and settle in Chengdu, so many problems have arisen. Among them, what materials and processes are needed for reimbursement of maternity insurance in Chengdu are the focus of attention. Bian Xiao has compiled relevant contents, and you are welcome to read them. I hope these contents are helpful to everyone. 1. Required materials According to the relevant provisions of the Detailed Rules for the Implementation of Maternity Insurance Measures in Chengdu, the following materials need to be presented: 1. Employees insured by the unit: Chengdu maternity insurance treatment approval form in duplicate, labor contract, ID card, medical service charge bill supervised or supervised by the financial department, discharge certificate, birth index, and. 2. Individual insured: fill in the Approval Form for Maternity Insurance Benefits in Chengdu in duplicate, valid unemployment certificate, ID card, medical service bill produced or supervised by the financial department, discharge certificate, birth index, baby birth certificate or other medical certificates, marriage certificate and personal settlement passbook. (2) Male employees who enjoy maternity medical expenses subsidies are required to provide: 1. Employees insured by the unit: Chengdu maternity insurance treatment approval form in duplicate, labor contract, ID card, medical service bill produced or supervised by the financial department, discharge certificate, birth index, baby birth certificate or related medical certificate, marriage certificate, spouse's household registration certificate, spouse's social insurance relationship certificate, spouse's loss 2. Individual insured personnel: fill out the Chengdu maternity insurance treatment approval form in duplicate. Valid unemployment certificate, identity card, medical service bill produced or supervised by the financial department, discharge certificate, birth index, baby birth certificate or related medical certificate, marriage certificate, spouse's household registration certificate, spouse's social insurance relationship certificate, spouse's unemployment certificate and personal settlement passbook. (3) To apply for the family planning operation fee, the applicant should provide: 1. Employees insured by the unit: Chengdu maternity insurance treatment approval form in duplicate, operation fee bill, illness certificate, labor contract, ID card and marriage certificate. 2. Personal insurance: fill in the Approval Form for Maternity Insurance Benefits in Chengdu in duplicate, valid unemployment certificate, bill of operation expenses, disease certificate, ID card, marriage certificate and personal settlement passbook. (4) Provisions on reimbursement of hospitalization expenses for complications of fertility and family planning operations are as follows: 1. Employees insured by the unit: the Approval Form for Hospitalization Expenses of Birth and Family Planning Complications in Chengdu, which is filled in and stamped with the official seal of the unit, and the medical service charge bills, hospitalization expenses list, compound prescription, unit certificate, discharge certificate, marriage certificate, social insurance card and ID card supervised or supervised by the financial department. 2. Individual insured persons: fill out the Approval Form for Hospitalization Medical Expenses for Complications of Birth and Family Planning in Chengdu in duplicate, the bill of medical service charges, the list of hospitalization expenses, multiple prescriptions, discharge certificates, marriage certificates, social insurance cards, identity cards and personal settlement passbook supervised or supervised by the financial department. 3. To declare the cost of vasectomy and tubal anastomosis, in addition to the above certificates, relevant certificates from the Family Planning Commission are required. If the insured entrusts others to handle the matter, it must also provide the power of attorney of the principal and the identity card of the principal. (five) other information provided by the provincial and municipal social insurance agencies. Second, the reimbursement process 1. Within one year from the date of birth, report to the agency to which the insured belongs with the materials required for reimbursement; 2 window staff to review the information, after the audit is correct, accept the declaration and register in writing; 3. The window staff generates expenditure documents within 4 working days; 4 units handling personnel or individuals within 5 working days after receiving the disbursement documents; 5. After receiving the disbursement documents, transfer the disbursement funds to the bank account of the unit or individual within 5 working days. To sum up, it is Bian Xiao's answer to what materials and procedures are needed for reimbursement of maternity insurance in Chengdu. Generally speaking, what materials and procedures are needed for reimbursement of maternity insurance in Chengdu, which is the case in our existing policies and regulations. If you still have questions, you can consult the relevant websites or departments. I hope my answer is helpful to you! In case of doubt, legal advice is welcome. Wish you a happy life!

Legal objectivity:

Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when pregnant and pregnant female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers. The following are the reimbursement conditions for individual maternity insurance in Chengdu. Maternity insurance reimbursement conditions: 1. To enjoy maternity insurance in Chengdu, maternity insurance (embedded with basic medical insurance) needs to be paid continuously for more than 1 year (i.e. observation period). 2. According to the "Detailed Rules for the Implementation of the Measures for Maternity Insurance in Chengdu", the reimbursement situation is as follows: a, it meets the reimbursement conditions-(1) it meets the family planning policy, marriage law and other laws and regulations; (2) Persons who participate in maternity insurance for the first time have been pregnant for 12 months without interruption since the month of handling. Those who have participated in maternity insurance will be given birth after continuous payment 12 months (excluding supplementary payment). (three) before the implementation of fertility and abortion, the birth index approved by the family planning department should be held. B, the guarantee is-Article 8 The maternity medical expenses of female employees shall be settled according to the following standard quota: 1. 3,000 yuan for cesarean section or cesarean section abortion after more than 7 months of pregnancy; 2. 2,000 yuan for delivery or abortion after 7 months of pregnancy; 3. 1 1,000 yuan for delivery or abortion after being pregnant for more than 3 months but less than 7 months; 4. 300 yuan who miscarried within 3 months of pregnancy; 5. Multiple births increase 400 yuan for each additional baby. Article 9 Male employees who have participated in maternity insurance have paid maternity insurance premium for 12 months continuously, and their spouses belong to non-urban population and unemployed people in cities and towns who have not participated in maternity insurance, or have participated in maternity insurance but paid less than 12 months (excluding overdue payment), and enjoy a one-time maternity medical subsidy of 50% of female employees' maternity medical expenses according to Article 8 of the Measures. The subsidy standard is as follows: 1. Cesarean section or cesarean section abortion after 7 months of pregnancy 1.500 yuan; 2. Delivery or abortion after 7 months of pregnancy 1000 yuan; 3.500 yuan, pregnant for 3 months but less than 7 months, having given birth or aborted; 4. Abortion within 3 months of pregnancy 150 yuan; 5. Multiple births increase 200 yuan for each additional baby. Both husband and wife participated in maternity insurance. If the woman meets the conditions for enjoying maternity insurance benefits, she will enjoy it, and the man will no longer enjoy maternity medical expenses subsidies. The man enjoys maternity medical expenses subsidies, and his spouse has enjoyed maternity insurance benefits according to other policies and regulations, but has not reached the maternity medical expenses subsidy standards stipulated in these rules, and the difference is made up by the maternity insurance fund; Has reached the subsidy standard stipulated in these rules, the maternity insurance fund will no longer pay. Tenth family planning operation fee price standards in accordance with the relevant provisions of the provincial and municipal price departments. Namely: intrauterine device 45 yuan; Take out the intrauterine device 46 yuan; Drug abortion 1.27 yuan (curettage due to incomplete drug abortion increases 47 yuan); 85 yuan of induced abortion (Jia Zeng 12 yuan); Induced labor in the second trimester is 366 yuan [50 yuan will be increased if induced labor is more than seven months (including seven months)]; Vasectomy 150 yuan; Tubal ligation 5 10 yuan; Vasectomy 370 yuan; Tubal anastomosis, 400 yuan. Eleventh maternity medical expenses, family planning surgery fees, maternity medical expenses subsidies and gradually adjusted with the adjustment of the price department of this Municipality. The specific adjustment plan is jointly proposed by the municipal labor security administrative department and the municipal finance department and implemented after being approved by the municipal government. Article 12 When the insured gives birth or carries out family planning operation, the hospitalization medical expenses caused by cholestasis of pregnancy, postpartum hemorrhage, uterine rupture, amniotic fluid embolism and complications of family planning operation shall be included in the scope of payment of maternity insurance fund. Measures for reimbursement of hospitalization medical expenses for complications of birth and family planning operations shall be implemented in accordance with the provisions of basic medical insurance. The insured person meets the one-time hospitalization medical expenses stipulated in the basic medical insurance, and the amount is above the Qifubiaozhun of the basic medical insurance pooling fund and below the maximum payment limit. After the individual pays part of the special expenses first, the maternity insurance fund will pay in proportion. The part below Qifubiaozhun and the part exceeding the maximum payment limit of basic medical insurance will not be reimbursed. Qifubiaozhun and maximum payment limit of hospitalization medical expenses and special expenses paid by individuals in advance for complications of birth and family planning operations shall be implemented in accordance with the provisions of basic medical insurance. Maternity allowance: divide the total payment of maternity insurance for female employees 12 months before delivery by 365 days, and calculate the maternity allowance according to different situations: a. If they are pregnant for 7 months or have an abortion, multiply by 90 days; B. If the pregnancy is more than 3 months but less than 7 months, it shall be multiplied by 42 days; C. If the pregnancy is less than 3 months, multiply by 14 days; D. cesarean section increased by 15 days; E 15 days for each additional baby born in multiple births. C. Materials required for reimbursement-Article 13 When applying for maternity insurance benefits, the originals and photocopies of the following supporting materials shall be provided: (1) Female employees provide maternity allowance and maternity medical expenses: 1. Employees insured by the unit: Chengdu maternity insurance treatment approval form in duplicate, labor contract, ID card, medical service charge bill supervised or supervised by the financial department, discharge certificate, 2. Individual insured: fill in the Approval Form for Maternity Insurance Benefits in Chengdu in duplicate, valid unemployment certificate, ID card, medical service bill produced or supervised by the financial department, discharge certificate, birth index, baby birth certificate or other medical certificates, marriage certificate and personal settlement passbook. (2) Male employees who enjoy maternity medical expenses subsidies are required to provide: 1. Employees insured by the unit: Chengdu maternity insurance treatment approval form in duplicate, labor contract, ID card, medical service bill produced or supervised by the financial department, discharge certificate, birth index, baby birth certificate or related medical certificate, marriage certificate, spouse's household registration certificate, spouse's social insurance relationship certificate, spouse's loss 2. Individual insured personnel: fill out the Chengdu maternity insurance treatment approval form in duplicate. Valid unemployment certificate, identity card, medical service bill produced or supervised by the financial department, discharge certificate, birth index, baby birth certificate or related medical certificate, marriage certificate, spouse's household registration certificate, spouse's social insurance relationship certificate, spouse's unemployment certificate and personal settlement passbook. (3) To apply for the family planning operation fee, the applicant should provide: 1. Employees insured by the unit: Chengdu maternity insurance treatment approval form in duplicate, operation fee bill, illness certificate, labor contract, ID card and marriage certificate. 2. Personal insurance: fill in the Approval Form for Maternity Insurance Benefits in Chengdu in duplicate, valid unemployment certificate, bill of operation expenses, disease certificate, ID card, marriage certificate and personal settlement passbook. (4) Provisions on reimbursement of hospitalization expenses for complications of fertility and family planning operations are as follows: 1. Employees insured by the unit: the Approval Form for Hospitalization Expenses of Birth and Family Planning Complications in Chengdu, which is filled in and stamped with the official seal of the unit, and the medical service charge bills, hospitalization expenses list, compound prescription, unit certificate, discharge certificate, marriage certificate, social insurance card and ID card supervised or supervised by the financial department. 2. Individual insured persons: fill out the Approval Form for Hospitalization Medical Expenses for Complications of Birth and Family Planning in Chengdu in duplicate, the bill of medical service charges, the list of hospitalization expenses, multiple prescriptions, discharge certificates, marriage certificates, social insurance cards, identity cards and personal settlement passbook supervised or supervised by the financial department. 3. To declare the cost of vasectomy and tubal anastomosis, in addition to the above certificates, relevant certificates from the Family Planning Commission are required. If the insured entrusts others to handle the matter, it must also provide the power of attorney of the principal and the identity card of the principal. (five) other information provided by the provincial and municipal social insurance agencies. Article 14 The scope that the maternity insurance fund will not pay: (1) the expenses incurred in giving birth or terminating pregnancy abroad, Hong Kong, Macao and Taiwan; (2) Expenses exceeding the standards stipulated in the Measures and these Rules; (three) the cost of childbirth or family planning surgery after retirement or receiving the basic pension; (four) the cost of artificial assisted reproduction before delivery; (5) Having enjoyed maternity insurance benefits outside the overall planning area of this Municipality;