How long does it take for maternity insurance to be reimbursed?

Hello; Reimbursement of maternity insurance refers to the supplementary behavior of maternity insurance to employees who meet the following conditions: giving birth in accordance with the national family planning policy or carrying out family planning surgery. or employees who have participated in maternity insurance for a total of one year, and who are still insured at the time of childbirth (miscarriage), shall enjoy maternity insurance benefits in accordance with relevant regulations.

Handling process: The person in charge of the unit shall report to the social security center with all the materials, and pay the maternity allowance within 30 working days after acceptance and approval.

Hope it helps, thank you.

Conditions for reimbursement of maternity insurance: 100% of the standard stipulated by the state can only be reimbursed if the social security has been paid for 12 consecutive months (the intermediate interruption is not more than 3 months, it is regarded as continuous), and the social security is still paid one month before the birth; If you have been interrupted for more than 3 months now, it means that the social security you have paid before is considered to have been interrupted, and you have to pay for 12 consecutive months to reimburse 100% of the national standard. The insured person is entitled to reimbursement of maternity medical expenses, in line with the provisions of national, provincial and municipal family planning policies (excluding remedial measures taken for pregnancy outside the policy); The insured person has paid the basic medical insurance premiums for more than 6 consecutive months (including this number) on the date of birth (subject to the date of birth of the fetus or newborn), and paid the medical insurance premiums on time one month before the birth.

If the insured person has paid the basic medical insurance premium for less than 6 consecutive months, he or she cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for 6 months but less than 12 months, it shall be paid at 30% of the fixed standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it shall be paid at 100% of the fixed amount.

Legal analysis: Maternity insurance can be reimbursed for more than one year, and maternity allowance during normal maternity leave. The social insurance institution shall pay the female employee to the employer where the female employee belongs according to the average monthly wage standard of the employee in the previous year, and the unit shall pay the female employee the same monthly salary standard before the maternity leave.

Legal basis: Social Insurance Law of the People's Republic of China

Article 54 Where an employer has already paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; The unemployed spouse of an employee shall be entitled to maternity medical expenses in accordance with the provisions of the state. The required funds are paid out of maternity insurance**. Maternity insurance benefits include maternity medical expenses and maternity allowances.

Article 56: In any of the following circumstances, employees may enjoy maternity allowances in accordance with state provisions: (1) Female employees are entitled to maternity leave for childbirth; (2) Enjoy leave for family planning surgery; (3) Other circumstances provided for by laws and regulations. The maternity allowance shall be calculated and paid according to the average monthly salary of the employee in the previous year.

Taking Zhengzhou as an example, the effective period of Zhengzhou maternity insurance is the next month after the payment of the insurance, that is, the second month of the payment of the maternity insurance can be reimbursed.

According to Article 22 of the Measures for Maternity Insurance for Employees in Zhengzhou City, employees shall enjoy the relevant benefits stipulated in these Measures from the month following the payment of maternity insurance premiums by the employer.

Article 26: Female employees shall go through the registration formalities at the medical insurance agency within 5 months of pregnancy and receive a maternity insurance registration card. The following documents should be provided for registration:

1) The original price and copy of the birth permit;

2) The original price and copy of the ID card;

3) Social security card;

4) One inch color **.

Other provisions on maternity insurance.

Article 24 of the Measures for Maternity Insurance for Employees of Zhengzhou City, the following medical expenses for childbirth and family planning surgeries shall not be paid by maternity insurance

1) Not in accordance with the provisions of the family planning policy;

B) does not comply with the provisions of the city's basic medical insurance drug catalog, diagnosis and treatment items and medical service facilities;

3) **Medical expenses for fertility complications;

4) Medical expenses caused by medical malpractice;

5) **Medical expenses incurred in infertility;

6) Expenses incurred by the infant;

7) Medical expenses incurred in the implementation of assisted reproduction (e.g., IVF);

8) Medical expenses incurred abroad and in Hong Kong, Macao and Taiwan;

9) Medical expenses that do not fall within the scope of maternity insurance medical services.

The above content refers to Zhengzhou City** - Zhengzhou Employee Maternity Insurance Measures.

Reimbursement can be made after the birth of the baby for up to 50 days and 18 months. The employee or his or her employer may apply for reimbursement at the local social security agency with the family planning certificate issued by the local family planning department and the birth certificate of the baby. There is a time limit for maternity insurance reimbursement, but the regulations vary from province to province, taking Liuzhou City as an example, the time limit for reimbursement of maternity insurance in Liuzhou is as follows:

Employees who are eligible for maternity insurance benefits must be within 50 days from the date of discharge.

Maternity insurance is a local policy, and the regulations vary from place to place, ranging from 10 months to 6 months or more. The local social security center shall prevail.

Maternity insurance can only be reimbursed after one year.

Maternity medical expenses, examination fees, midwifery fees, surgery fees, hospitalization fees and medicine expenses for female employees who give birth shall be paid by maternity insurance**. The medical business expenses and drug expenses (including the drug expenses for self-financed drugs and nutritional drugs) in excess of the prescribed regulations shall be borne by the employees themselves.

After a female employee is discharged from the hospital after giving birth, the medical expenses for diseases caused by childbirth shall be paid by maternity insurance**; Medical expenses for other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs to rest due to illness, it shall be handled in accordance with the provisions on sick leave and medical insurance benefits.

There are two main types of maternity insurance benefits in China:

The first is the maternity allowance, and the second is the maternity medical treatment.

It is a social insurance system established by the state through legislation to provide necessary material assistance and living guarantees to working women who give birth when their work is temporarily suspended due to the birth of children. Through the establishment of a maternity insurance system, the State provides maternity allowances, medical services and maternity leave benefits for women who give birth, so as to ensure their physical health and create favorable conditions for the nursing and growth of their infants.

All employees, including male employees, who have established labor relations with the employer, shall participate in maternity insurance. Insurance benefits include maternity allowance, maternity medical expenses, family planning surgery costs, and other expenses stipulated by the state and the city.

The above content refers to Encyclopedia - Maternity Insurance.

Different regional policies require different payment times:

Employees who enjoy maternity insurance benefits shall meet the following conditions at the same time:

1. The employer has paid social security for the employee for a certain period of time; Different policies are different in different places, such as Beijing requires 9 consecutive months of social security, Guangzhou requires a cumulative payment of social security for 1 year, and Shanghai requires that social security can be paid in the month of production;

2. Have gone through the insurance filing and give birth locally;

3. Other conditions required by the local social security bureau.

Employees who have any of the following circumstances may enjoy maternity allowance in accordance with national regulations:

1) Female employees are entitled to maternity leave for childbirth;

2) Enjoy family planning surgery leave;

3) Other circumstances stipulated by laws and regulations.

The average monthly salary of employees in the previous year of the employee's employer is 30 days x the number of vacation days) The above content is referenced: Encyclopedia - Maternity Insurance Reimbursement.

Maternity insurance can only be reimbursed if it is paid for one consecutive year. If you have paid maternity insurance for more than 12 months and are in line with the family planning policy, even if you are unemployed, you can also reimburse Zheng's maternity insurance in accordance with relevant regulations. Of course, how long it takes to pay for maternity insurance is different in different regions, and the specific situation is subject to the local policy.

Male employees who participate in maternity insurance, whose spouses are not included in the scope of maternity insurance for part-time workers and cannot enjoy the relevant benefits of maternity insurance, can enjoy the benefits of maternity insurance according to regulations if they pay maternity insurance premiums in full and have paid for one year in a row. Maternity insurance must be paid for at least 1 year before giving birth. Even if the payment is not full, if the spouse has paid social security for one year, he or she can still report the cost of childbirth.

However, there is no four-month wage allowance for girls. The employer shall apply to the social insurance agency for maternity insurance benefits within 18 months after the employee's childbirth or surgery.

The employer shall apply to the social insurance agency within 18 months after the employee's childbirth or surgery, and shall fill in the Application Form for Employees' Maternity Benefits and provide the following information: the birth certificate issued by the family planning administrative department; Original materials such as maternity medical certificates, outpatient medical records, discharge summaries, and family planning surgery records; Baby's birth certificate.

How long it takes to pay for maternity insurance to be reimbursed depends on the local maternity insurance system and policies. Generally speaking, the insured person needs to pay a certain amount of maternity insurance premiums and meet the prescribed payment period before enjoying reimbursement.

Specific payment deadlines and reimbursement requirements may vary by region and policy, but here are some general ones:

1.Payment period: Generally speaking, the insured person needs to pay the maternity insurance premium continuously for a specified period of time, which is usually a period from the beginning of pregnancy to the end of the birth of the first child.

The specific time period may vary from region to region and may be 12 months, 24 months, or longer.

2.Contribution requirements: The insured person is required to pay the maternity insurance premiums on time and in full, and the contribution amount is usually calculated based on a certain percentage of salary income. If you don't pay your maternity insurance premiums on time or if you are in arrears, you may be in dire terms of reimbursement eligibility.

3.Reimbursement requirements: After meeting the prescribed payment period, the insured needs to provide certain supporting materials in accordance with the relevant requirements in order to enjoy the reimbursement of maternity insurance. These supporting materials may include diagnosis certificates from medical institutions, medical expense invoices, prenatal examination records, etc.

It is important to emphasize that the specific maternity insurance reimbursement regulations may vary from region to region and policy, so the most accurate way is to consult with the local social insurance agency or maternity insurance administration to understand the specific payment period and reimbursement requirements.

They will be able to provide the most authoritative and accurate answers and guide you to apply for maternity insurance reimbursement correctly.

The above is Dad's, if you don't understand something, please send a private message.

Maternity Insurance Reimbursement Regulations:

1. Participation in insurance refers to the fact that the beneficiary has paid the basic medical insurance premiums for more than 6 consecutive months (including this number) on the date of birth (subject to the date of birth of the fetus or newborn), and paid the medical insurance premiums on time one month before the birth.

2. If the insured person has paid the basic medical insurance premium for less than 6 consecutive months, he or she cannot enjoy the maternity medical treatment; If the basic medical insurance premium has been paid continuously for 6 months but less than 12 months, it shall be paid at 30% of the fixed standard; If you have paid the basic medical insurance premiums for more than 12 consecutive months, you will be paid at 100% of the fixed amount.

3. If the spouse of a male employee who participates in maternity insurance is not included in the scope of maternity insurance and cannot enjoy the relevant benefits of maternity insurance, 50% of the maternity medical expenses shall be reimbursed by the maternity insurance in accordance with the prescribed payment standard when in accordance with the family planning regulations.

Basically, every girl who works in the employer will have maternity insurance, and when giving birth, she can directly apply for maternity leave from the employer, and then this maternity insurance can be used.

2. How long can maternity insurance be reimbursed?

1.The insured person has paid the basic medical insurance premiums for more than 6 consecutive months (including this number) on the date of birth (subject to the date of birth of the fetus or newborn), and paid the medical insurance premiums on time one month before the birth.

2.If the insured person has paid the basic medical insurance premium for less than 6 consecutive months, he or she cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for 6 months but less than 12 months, it shall be paid at 30% of the fixed standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it shall be paid at 100% of the fixed amount.

3.If the spouse of a male employee participating in maternity insurance is not included in the scope of maternity insurance and cannot enjoy the relevant benefits of maternity insurance, when he meets the provisions of family planning, 50% of the maternity medical expenses shall be reimbursed by the maternity insurance ** in accordance with the prescribed payment standard.

The above content is related, if you have applied for maternity insurance, if you want to reimburse, generally speaking, you need to pay more than one year, the cost of maternity insurance subsidies is a lot, generally speaking, it is reimbursed according to 50% of the payment standard, if you have other legal questions, you can consult the relevant lawyers of Hualu.com.

1. You can be reimbursed for paying for six consecutive months.

2. The insured person has paid the basic medical insurance premiums for more than 6 consecutive months (including this number) on the date of delivery, and paid the medical insurance premiums on time one month before giving birth.

3. If the insured person has paid the basic medical insurance premium for less than 6 consecutive months, he or she cannot enjoy the maternity medical treatment.

4. If the basic medical insurance premium has been paid continuously for 6 months but less than 12 months, it shall be paid at 30% of the fixed standard.

5. If the basic medical insurance premium has been paid continuously for more than 12 months, it shall be paid according to 100% of the fixed amount.