Job Recruitment Website - Social security inquiry - Can rural social security reimburse maternity expenses?
Can rural social security reimburse maternity expenses?
The original materials to be provided for reimbursement include hospitalization expense invoice, hospitalization certificate, expense list, discharge certificate and hospitalization record, which shall be reimbursed at the place where medical insurance is purchased. The reimbursement rate is limited. There are also some bed fees that cannot be reimbursed, only medicine fees can be reimbursed. In addition, when you go to reimburse, there is a minimum payment. In different places, such as municipal hospitals, county hospitals and township doctors, the minimum payment is also different. Proportion of reimbursement for hospitalization expenses: If it is hospitalization expenses, employees and retirees will pay the minimum amount when using the basic medical insurance for the first time in a year 1300 yuan. And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan. The reimbursement standard for hospitalization is related to the level of the hospital where the insured person is located. For example, in a tertiary hospital, employees have to pay 15%, that is, 85%, from the threshold to 30,000 yuan. The expenses of 30,000-40,000 yuan shall be paid by employees themselves 10%, and 90% shall be reimbursed; If the expenses exceed 40,000 yuan to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%. Retirees pay 60% of the on-the-job employees, but all below the minimum threshold are paid by individuals.
How much can maternity insurance be reimbursed?
(1) Maternity medical expenses (limited payment): caesarean section, 3,500 yuan; Dystocia or multiple births, 2800 yuan; Normal delivery, 2000 yuan; Abortion for more than 4 months, 1500 yuan; Abortion less than 4 months, 900 yuan;
(2) One-time childbirth nutrition allowance: dystocia or caesarean section or multiple births, 1.300 yuan; Normal delivery, 700 yuan; Abortion, 400 yuan.
(3) About 75% of the maternity insurance paid by the woman herself can be reimbursed. If the woman has no work unit, about 50% of the maternity insurance paid by the man can be reimbursed.
The meaning and characteristics of social security
(A) the meaning of social security
Social insurance is a social and economic system that provides income or compensation for those who lose their ability to work, are temporarily unemployed or suffer losses due to health reasons. The social insurance plan is organized by the government, forcing a certain group to use part of its income as social insurance tax (fee) to form a social insurance fund. Under certain conditions, the insured can get fixed income or loss compensation from the fund. It is a redistribution system, and its goal is to ensure the reproduction of material and labor and social stability. The main items of social insurance include endowment insurance, medical insurance, unemployment insurance, industrial injury insurance and maternity insurance.
(2) Features
1. Supportability: refers to guaranteeing the basic livelihood of workers.
2. Universality: Social insurance covers all social workers.
3. Mutual assistance: Use the joint efforts of the insured to help a person in danger, help each other and meet emergency needs.
legal ground
People's Republic of China (PRC) social insurance law
Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:
(1) Female employees enjoy maternity leave;
(2) Enjoy family planning operation leave;
(3) Other circumstances stipulated by laws and regulations.
Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.
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