What is sporadic reimbursement for maternity insurance, and what does sporadic reimbursement for mat

Legal analysis: Sporadic reimbursement generally refers to the sporadic reimbursement of medical expenses, which refers to the situation that the insured person fails to settle the account in the hospital due to various reasons and needs to apply for reimbursement of medical expenses at the medical insurance agency where the insurance is insured.

Legal basis: "Social Insurance Law of the People's Republic of China" Article 29 The part of the medical expenses of the insured person that should be paid by the basic medical insurance shall be settled directly by the social insurance agency and the medical institution and the drug business unit.

The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in the Yimao Mountain area, so as to facilitate the insured persons to enjoy the basic medical insurance benefits.

Summary. Good afternoon, sporadic reimbursement of maternity insurance means: when the insured enjoys the treatment of maternity insurance, the social insurance ** pays a certain amount of maternity insurance money on a monthly basis in accordance with the prescribed standards to reimburse the maternity expenses of the insured.

Legal basis: Article 36 of the Social Insurance Law of the People's Republic of China stipulates that social insurance** may pay maternity insurance premiums on a monthly basis to reimburse the maternity expenses of the insured, or pay a certain amount of maternity insurance premiums on a monthly basis to reimburse the maternity expenses of the insured. <>

Good afternoon, sporadic reimbursement of maternity insurance means: when the insured enjoys the treatment of maternity insurance, the social insurance ** in accordance with the prescribed standards to do rock, on a monthly basis pure clan royal payment of a certain amount of maternity insurance to reimburse the insured's maternity expenses. Legal basis:

Article 36 of the Social Insurance Law of the People's Republic of China stipulates that social insurance can pay maternity insurance premiums on a monthly basis to reimburse the insured's maternity expenses, and may also pay a certain amount of maternity insurance premiums on a monthly basis to reimburse the insured's maternity expenses. <>

What about other reimbursement expenses.

Other reimbursement expenses include but are not limited to: medical insurance expenses, drug expenses, socks and socks, hospital expenses, diagnosis and treatment expenses, examination fees, expenses, surgical expenses, expenses, etc. <>

Summary. Hello, I'm glad for your question, maternity insurance reimbursement is not the same as sporadic reimbursement, maternity insurance reimbursement is generally hospitalization is self-paid settlement by the employment unit to go through the reimbursement process, including applying for maternity allowance, are handled by the employment unit for you, individuals can not handle it, it will take about two months to be reimbursed, will be paid to the company's account, not directly to the individual, after the company accounts are transferred by the company to the individual.

Hello, I'm glad for your question, maternity insurance reimbursement is not the same as sporadic reimbursement, maternity insurance reimbursement is generally hospitalization is self-paid settlement by the employment unit to go through the reimbursement process, including applying for maternity allowance, are difficult to write oak by the employment unit to help you handle, individuals can not handle it, it will take about two months to be able to reimburse the money to the company's account, and not directly to the individual, after the company accounts are transferred by the company to the individual.

Including the reimbursement ratio is also different, maternity insurance reimbursement for the cost of hospitalization and childbirth is about 85% and can reimburse a fixed amount of prenatal examination costs.

What is the sporadic reimbursement percentage.

The maximum reimbursement rate for employee medical insurance is 80%.

What is the reimbursement ratio for children born in flexible employment or a fixed amount.

Flexible employees pay for flexible employment medical insurance, and cannot apply for maternity allowance, and can only reimburse the cost of hospitalization and childbirth according to medical insurance.

The reimbursement rate is also up to 80%.

What is the sporadic reimbursement process for maternity insurance? What expenses can be reimbursed? Let me introduce it to you.

Maternity insurance sporadic reimbursement coverage 1Maternity medical expenses: medical expenses incurred during pregnancy and childbirth, such as prenatal examination fees, delivery fees, surgery fees, etc.; 2.

Medical expenses for family planning surgery: such as the cost of IUD surgery, abortion, labor induction, etc.; 3.If you want to know more about what the sporadic reimbursement coverage of maternity insurance is, let's take a look.

What is the sporadic reimbursement process for maternity insurance? What expenses are reimbursable? Here's what you know.

Maternity insurance sporadic reimbursement coverage 1Maternity medical expenses: medical expenses incurred during pregnancy and childbirth, such as prenatal examination fees, midwifery fees, surgery fees, etc.; 2.

Medical expenses for family planning surgery: such as the cost of IUD surgery, abortion, labor induction, etc.; 3.If you want to know more about what the sporadic reimbursement coverage of maternity insurance is, let's take a look.

What is the sporadic reimbursement process for maternity insurance? What expenses are reimbursable? Here's what you know.

Sporadic reimbursement coverage for maternity insurance.

1.Maternity medical expenses: medical expenses for pregnancy and childbirth, such as prenatal examination fees, midwifery fees, surgery fees, etc.;

2.Medical expenses for family planning surgery: such as the cost of IUD surgery, abortion, labor induction, etc.;

3.Other fees required by law.

Sporadic reimbursement process for maternity insurance.

1.The person in charge of the unit (agent) shall bring the relevant materials to the secondary agency of Guangzhou Medical Insurance to apply for processing;

2.If the requirements are met, the second-level medical insurance agency shall accept the application of the unit manager (agent) and enter it into the system;

3.The medical expenses of the application are reviewed and settled by the secondary medical insurance agency;

4.After the second-level medical insurance agency reviews and signs, the settlement of medical expenses will be transmitted to the Municipal Social Security Center, and the Municipal Social Security Center will pay the medical expenses.

The following is the answer to the question of maternity reimbursement and maternity allowance: the two are included in the relationship between the inclusion and the inclusion of maternity insurance reimbursement contains two parts: childbirth celebration medical expenses and maternity allowance Fertility medical treatment in addition to the expenses incurred during childbirth (a woman has maternity expenses reimbursement, the woman enjoys maternity allowance, and those who meet the conditions for late childbirth can enjoy late childbirth allowance and need to choose to enjoy it in the man or woman, both husband and wife sign and confirm, and all allowances are paid to the woman's account.

If a male employee has paid maternity insurance, and at the same time the male employee's spouse gives birth, if he meets the requirements of the late childbearing policy stipulated in the family planning policy and has received the "Certificate of Honor for Parents of One Child", according to the regulations, the male employee can enjoy ten days of nursing leave allowance. The daily payment standard of nursing leave allowance for male employees is calculated based on the base amount of maternity insurance premiums paid by the employer for them in the previous month when their spouse gives birth divided by 30 days. Generally, it is reimbursed according to the hospital where you live and the mode of production) and includes the prenatal examination fee (which is generally also a fixed reimbursement) and the maternity allowance.

The maternity allowance is calculated based on the calculation base determined locally by multiplying the length of maternity leave of the insured person.

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 the employee shall enjoy the treatment of 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 allowance, and travel is good.

Maternity insurance sporadic reimbursement coverage 1Maternity medical expenses: medical expenses incurred during pregnancy and childbirth, such as prenatal examination fees, midwifery fees, surgery fees, etc.; 2.

Medical expenses for family planning surgery: such as the cost of IUD surgery, abortion, labor induction, etc.; 3.Other fees required by law.

Sporadic reimbursement process for maternity insurance1The person in charge of the unit (agent) shall bring the relevant information to the second-level agency of the Guangzhou Medical Insurance to discuss the application for processing; 2.If the requirements are met, the second-level handling agency of the medical insurance shall accept the application of the person in charge (agent) of the unit and enter it into the system; 3.

The medical expenses of the application are reviewed and settled by the secondary medical insurance agency; 4.After the second-level medical insurance agency reviews and signs, the settlement of medical expenses will be transmitted to the Municipal Social Security Center, and the Municipal Social Security Center will pay the medical expenses.