The reimbursement period of the abortion insurance and how the abortion insurance is reimbursed

1. In-service personnel must participate in insurance and pay premiums according to regulations, and the cumulative payment of maternity insurance premiums for more than 12 months at the time of childbirth is not included in the month of childbirth and the month of supplementary payment of maternity insurance premiums. (It is enough to accumulate for 12 months, and it is okay if there is no continuous payment); Unemployed persons must register as unemployed, and those who apply for abortion or family planning surgery subsidies must have maternity insurance contributions in the current month (unemployed people can receive it when they give birth to a child, but they cannot receive it if they have an abortion);

2. Childbirth, abortion, and family planning surgery in medical institutions that have obstetrics and gynecology departments in accordance with national regulations; (Out-of-town hospitals can also reimburse!) ）

3. Comply with national, provincial and municipal family planning regulations; (In other words, as long as it meets the basic national policy, the second child can also be received.) ）

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.

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 the employee in the previous year of the employee's employer is 30 days x the number of vacation days).

Number of vacation days: 90 days of normal maternity leave (including 15 days of prenatal check-up);

35 days of leave for the only child;

15 days of late maternity leave;

Maternity leave. Caesarean section, degree perineal rupture increased by 30 days; Suction, forceps, and breech delivery increased by 15 days;

Maternity leave for multiple births, with an additional 15 days for each additional child;

Miscarriage leave: less than 2 months and 15 days of pregnancy; Pregnancy less than 4 months and 30 days; 42 days from more than 4 months (including 4 months) to less than 7 months; 75 days of stillbirth, stillbirth, and premature birth over 7 months of age.

"If an employee terminates a pregnancy due to spontaneous abortion, fetal death, intrauterine or other diseases, he or she shall enjoy maternity allowance and reimbursement of prenatal examination and medical expenses for the same period in accordance with the provisions of the maternity insurance for employees of the enterprise; Other expenses that meet the provisions of basic medical insurance shall be paid by basic medical insurance**, and maternity insurance shall not be paid. (If it is ****, it will definitely not be reimbursed, and the abortion certificate should also indicate whether the cause of the miscarriage is a natural abortion or artificial intervention abortion, and the artificial abortion does not seem to be reported) "The prenatal examination fee limit from pregnancy to delivery has been adjusted from 1200 yuan to 1400 yuan, including: prenatal examination fees for the weekend of pregnancy 1 to 12:

520 yuan; Prenatal examination fee for weekends from 1 to 27 days of pregnancy: 850 yuan; Prenatal examination fee from the 13th to the 27th weekend of pregnancy: 330 yuan; Examination fee from the 13th week of pregnancy to the pre-delivery period:

880 yuan; Examination fee from the 28th week of pregnancy to before delivery: 550 yuan. (Look at the comparison between the time of spontaneous abortion and the reimbursement of prenatal examination expenses, provided that married women are suitable, and unmarried abortions are not reported) "Maternity leave time is calculated according to the number of natural days.

The maternity leave for a female employee who has a miscarriage of less than 12 weeks (inclusive) is 15 days; 30 days of maternity leave for miscarriage between 12 weeks and 16 weeks (inclusive); Maternity leave is 42 days for miscarriage between 16 weeks and 28 weeks inclusive. If the pregnancy is terminated at more than 28 weeks of pregnancy, she will enjoy 90 days of normal maternity leave, including 15 days of prenatal leave" (this is the maternity allowance after the miscarriage, with the employee's maternity insurance payment base 30 days * maternity leave days is her maternity allowance, and at the same time, when the maternity payment base is 30 days, two decimal places should be kept and multiplied by the number of maternity leave days is his maternity allowance, and this allowance application needs to fill in the birth form (1)!) ）

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

Do you still have to go to the unit for reimbursement?

Answer: Hello, because the process needs to reimburse maternity insurance, the employer should bring the above materials to the local social security agency to apply for maternity allowance. If it is handled by an individual, the following process is followed:1

Before the abortion, the employer or the staff of the street or town labor security service station shall bring the declaration materials to the maternity insurance window of the district social labor insurance office; 2.After the staff accepts and approves, the medical certificate will be issued; 3.Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office to handle the settlement of benefits; 4.

After the staff accepts and approves the application, the maternity medical expenses and maternity allowance shall be paid.

You don't have to go to the unit.

Ask how much you can be reimbursed.

1) If you give birth after 7 months of pregnancy (including 7 months) or are born prematurely for more than 7 months of pregnancy, you can enjoy 9o days of maternity allowance;

2) If the pregnancy is more than 3 months (including 3 months) but less than 7 months of miscarriage or induced labor, 50 days of maternity allowance is enjoyed;

3) If the pregnancy is less than 3 months old (including spontaneous abortion and artificial abortion) or the operation is performed due to an extrauterine pregnancy, the child shall enjoy a 30-day maternity allowance.

Ask what materials you need to prepare.

The materials that need to be prepared to answer the medical insurance reimbursement are as follows: 1. Outpatient (emergency) consultation: receipts, drug prescriptions, and examination fee details; 2. Hospitalization expenses: receipts, expense lists, statements, medical diagnosis certificates; 3. All kinds of inspection and laboratory reports must be attached with details.

Question: Is there a holiday for miscarriage.

Question: Do you directly find the human resources of the unit?

Question Okay, thank you.

How to reimburse maternity insurance for miscarriage? Can I insure maternity insurance for miscarriage?

Answer: 1) After a female employee becomes pregnant, has a miscarriage or has a family planning operation, the employer or the staff of the street or town labor security service station shall bring the declaration materials to the maternity insurance window of the district social labor insurance office;

2) After the staff accepts and approves, the medical certificate will be issued;

3) Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office to handle the settlement of benefits;

4) After the staff accepts and approves the payment, the maternity medical expenses and maternity allowance shall be paid.

Question: If a medical certificate was not issued before the miscarriage, can I be reimbursed?

Pregnancy is not an easy thing, and the reason why I have to go to the hospital for prenatal checkup every month is because I am afraid that there will be a problem with the child and cause a miscarriage. Unfortunately, miscarriage is also reimbursable.

1. There is a general process for reimbursement of abortion with maternity insurance.

Maternity Insurance Abortion Reimbursement Process:

1. After the female employee has a miscarriage, the employer or the staff of the sub-district office shall bring the relevant materials to the maternity insurance window of the district social reputation and rotten insurance department;

2) After the staff accepts and approves, the medical certificate will be issued;

3) Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office to handle the settlement of benefits;

4) After the staff accepts and approves the payment, the maternity medical expenses and maternity allowance shall be paid.

Maternity Insurance Abortion Reimbursement Materials:

1. Medical expense declaration;

2. ID card or social medical security card;

3. My bank card with UnionPay logo;

4. My medical record;

5. Original production charges;

6. Expense schedule;

7. Discharge summary.

2. Maternity insurance treatment.

1. Maternity insurance benefits include maternity medical expenses and maternity allowances. The maternity allowance shall be calculated and paid according to the average monthly salary of the employee in the previous year. According to Article 55 of the Social Insurance Law of the People's Republic of China, maternity medical expenses include the following:

1) Medical expenses for childbirth;

2) medical expenses for family planning;

3) Other project expenses stipulated by laws and regulations.

2. Article 56: Employees who have any of the following circumstances may enjoy maternity allowance in accordance with the provisions of the state:

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

2) Enjoy family planning surgery leave;

3) Other circumstances stipulated by laws and regulations.

Third, the maternity insurance was cut off in the middle.

If you pay for maternity insurance intermittently, it may affect the application for maternity insurance. According to the law, only those who have paid maternity insurance for one year continuously can receive the corresponding insurance benefits and enjoy maternity insurance benefits. Pursuant to Article 53 of the Social Insurance Law:

Employees shall participate in maternity insurance, and the employer shall pay the maternity insurance premium in accordance with the provisions of the state, and the employee shall not pay the maternity insurance premium. Article 54: If 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. To sum up, the general process of miscarriage reimbursement with maternity insurance is:

Employees should bring the company's letter of introduction, ID card, original receipt of medical expenses, and proof of surgery, and the maternity reimbursement window in the hall of the medical insurance office for data review and reimbursement.

Article 55 of the Social Insurance Law.

Maternity medical expenses include the following:

1) Medical expenses for childbirth;

2) Medical expenses for family planning;

3) Other project expenses as provided for by laws and regulations.

1. After a female employee becomes pregnant, has a miscarriage or has a family planning operation, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office; 2. After the staff accepts and approves the lead, the lead will be dismantled and the medical certificate will be issued; 3) Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office to handle the settlement of benefits; 4. After the staff accepts the approval of the Qinglimb, the maternity medical expenses and maternity allowance will be paid. Miscarriage leave: less than 2 months and 15 days of pregnancy; Pregnancy less than 4 months and 30 days; 42 days from 4 months (including 4 months) to 7 months; 75 days of stillbirth, stillbirth, and premature birth over 7 months of age.

Article 53 of the Social Insurance Law of the People's Republic of China Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with the provisions of the State, and employees shall not pay maternity insurance premiums. Article 54 of the Social Insurance Law of the People's Republic of China Where an employer has 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.