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If you buy maternity insurance, you can't be reimbursed without a birth permit.
Maternity insurance is a social insurance system in which the state provides medical services, maternity allowance and maternity leave by the state and society when pregnant and pregnant women workers temporarily interrupt their work, and the state or society provides necessary economic compensation and medical care to employees who give birth.
Maternity Insurance Reimbursement Conditions:
Employees who enjoy maternity insurance benefits shall meet the following conditions at the same time:
1. The employer has paid for the employee for more than one year and continues to pay for it;
2. Comply with national and provincial population and family planning regulations.
Maternity Insurance Reimbursement Coverage:
1. Maternity medical expenses.
The examination fees, midwifery fees, surgery fees, hospitalization fees and medicine expenses for female employees who give birth are 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.
2. Maternity allowance.
Female employees are entitled to maternity allowance during maternity leave in accordance with the law, which is calculated and paid according to the average monthly salary of employees in the previous year of the enterprise, and is paid by maternity insurance.
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Sorry, we can't cover any fees. Because they do not meet the requirements of the state to enjoy maternity insurance benefits, they must meet the reimbursement conditions of national and provincial population and family planning. Maternity insurance is a social insurance system that stipulates through national legislation that the state and society will provide timely material assistance to workers when their labor force is temporarily interrupted due to the birth of children.
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. Its purpose is to provide working women with maternity benefits, medical care and maternity leave to help them regain their ability to work and return to work.
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First of all, social security maternity insurance is only available on the basis of the participation of employees in social endowment insurance.
If you have medical insurance, some of them are directly reported in the hospital, and then go to your unit to receive about 3 months' salary.
If you don't report it, you can go to the medical insurance center for reimbursement with your birth certificate, birth certificate, invoice, etc. You must have a birth permit to prove that you are legally giving birth. Because it is not a legal birth, it will not be reimbursed.
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For maternity insurance reimbursement, you must have a birth permit, that is, you must have a legal birth to be reimbursed.
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If the maternity insurance is not linked to the birth permit, it should be reported that the insurance is included.
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It can be reimbursed, and the birth expenses are reimbursed by the maternity insurance, not reported with the medical insurance card, and the medical insurance does not reimburse the maternity expenses, such as the first few bureaus that participate in the maternity insurance and the maternity insurance must be paid for 12 consecutive months, and the maternity insurance is still paid one month before the birth can be reimbursed.
Article 28 of the Social Insurance Law of the People's Republic of China: Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, and emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.
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Legal analysis: If there is no birth permit, generally, it is not possible to reimburse, because there is no birth permit, it belongs to the situation other than family planning, and now it is necessary to prepare a birth permit for reimbursement of maternity insurance, and we need to handle it before giving birth when we apply for a birth permit.
Legal basis: "Population and Family Planning Law of the People's Republic of China" Article 25 Couples who give birth to children in accordance with the provisions of laws and regulations may receive incentives or other benefits for extended maternity leave.
Special Provisions on Labor Protection for Female Employees》 Article 7 Female employees are entitled to 98 days of maternity leave after giving birth, of which 15 days may be taken before childbirth; In case of dystocia, the maternity leave shall be increased by 15 days; In the case of multiple births, the maternity leave can be increased by 15 days for each additional child. If a female employee has a miscarriage before 4 months of pregnancy, she is entitled to 15 days of maternity leave; If the pregnancy is 4 months old and the miscarriage occurs, the employee is entitled to 42 days of maternity leave.
Social Insurance Law of the People's Republic of China
Article 53 Employees shall participate in maternity insurance, and the employer shall pay the maternity insurance premiums in accordance with the provisions of the State, and the employees shall not pay the maternity insurance premiums.
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 55 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.
Article 56 Under any of the following circumstances, employees may enjoy maternity allowance in accordance with the provisions of the State:
1) Female employees are entitled to maternity leave when they give birth;
2) Take 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.
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Legal analysis: maternity insurance cannot be reimbursed without a birth permit. The application materials are as follows:
1. Family planning certificate issued by the family planning department (original and copy) 2. Birth (death) certificate of the baby issued by the medical department (original and copy) 3. ID card of female employees and family planning surgery employees (original and copy) 4. "Examination and Collection Form of Maternity Medical Certificate for Employees of Enterprises and Banks Industry".
5. Application Form for Medical Certificate for Family Planning Surgery for Employees of Enterprises
6. Application Form for Reimbursement of Maternity Medical Expenses for Employees of Enterprises
7. Approval and Settlement Form of Maternity Insurance Benefits for Employees of Enterprises
8. Application Form for Maternity Insurance for Employees of Enterprises to Seek Medical Treatment in Other Places
9. Original materials such as maternity medical expense bills, expense lists, outpatient medical records, and discharge summaries.
10. Collect and collect receipts.
Legal basis: "Population and Family Planning Law of the People's Republic of China" Article 6 The administrative department of family planning shall be responsible for the national family planning work and the population work related to family planning.
Local people's family planning administrative departments at or above the county level shall be responsible for family planning work and population work related to family planning within their respective administrative areas.
The people's people at or above the county level and other relevant departments shall, within the scope of their respective duties, be responsible for the relevant population and family planning work.
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Maternity insurance cannot be reimbursed without a birth permit. For specific reasons, please refer to the "Maternity Insurance Regulations" of your province or city. Because there are several necessary materials for reimbursement of maternity insurance: birth certificate, birth certificate, only child certificate, hospitalization invoice, etc.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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Maternity Insurance Reimbursement Conditions:
1. In accordance with the regulations, the employer shall pay the maternity insurance for the employee in full;
2. Employees have paid maternity insurance for more than one year;
3. Comply with the relevant regulations of family planning.
Maternity Insurance Reimbursement Materials:
1. Social security card;
2. ID card;
3. Family Planning Service Manual or Birth Certificate.
How to reissue the question by asking the question.
The children are all born, and they are re-applied there.
Reply. Fourth, both men and women can apply for the birth permit, as long as both parties have complete certificates, it is not a problem to apply for the birth permit on either side, it should be noted that the materials, requirements, and processes required for the birth permit may be different in various places.
Question: Is it okay for the village committee where the hukou is located to issue a certificate?
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A birth permit is required, and maternity insurance cannot be reimbursed without a birth permit. For specific reasons, please refer to the "Maternity Insurance Regulations" of your province or city. Because there are several necessary materials for reimbursement of Luli maternity insurance: birth certificate, birth certificate, one-child certificate, hospitalization invoice, etc.
Unemployed persons with non-urban household registration in this city must provide the original certificate of termination of labor relations by the original unit with the official seal (unemployed persons with urban household registration in this city shall provide the original and copy of the employment unemployment certificate with valid records to the district social security center where the household registration is located).
The reimbursement process of maternity insurance refers to the procedure for the employer and the employee to reimburse the maternity medical expenses, maternity allowance and other expenses of the female employee during the childbirth period, and the nursing leave and leave allowance of the male employee during the childbirth period to the overall regional maternity insurance.
"Extended Materials".
The family planning service certificate is a document that integrates the functions of birth permit and ring check. Married women who are pregnant need this Family Planning Service Card for pregnancy testing, childbirth, free contraceptives, and job hunting. If the woman reaches the age of late childbearing (over 24 years old) and both husband and wife have changed their base and have not given birth to or adopted children, they can apply for a family planning service certificate before or within three months after pregnancy.
In most places, birth permits have been abolished.
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Yes, maternity insurance cannot be reimbursed without a birth permit.
Maternity Insurance Reimbursement Process:
1. Comply with the national, provincial and municipal family planning policies;
2. At the time of childbirth or family planning surgery, the employer has enrolled in maternity insurance for the employee and paid the maternity insurance premium in full for 12 consecutive months;
3. For prenatal examination fees and production expenses, the parties concerned should bring their marriage certificates, social security cards (citizen cards) and family planning certificates issued by the street to the designated hospitals for maternity insurance to settle directly by swiping the card;
4. To apply for maternity allowance and one-time nutrition subsidy, you need to fill in the "Maternity Insurance Treatment Declaration Form" and affix the official seal of the unit, provide marriage certificate, only child upgrade female certificate (child), discharge summary and other materials, and go to the Municipal Medical Insurance Center on the working day between the 1st and 10th of each month to go through the declaration procedures. (The relevant procedures should be completed within one year after delivery).
Social security includes five insurances: endowment, medical care, unemployment, work-related injury and maternity. If you have a workplace, medical insurance is shared by both the employer and the individual, while maternity insurance is paid by the company, and the individual does not pay, and the individual cannot pay. >>>More
The reimbursement process of maternity insurance refers to the procedure for the employer and the employee to reimburse the maternity medical expenses, maternity allowance and other expenses of the female employee during the childbirth period, and the nursing leave and leave allowance of the male employee during the childbirth period to the overall regional maternity insurance. The specific process is as follows: >>>More
Maternity insurance can be reimbursed across provinces, but it is necessary to provide relevant materials to the local government for declaration, and the procedure is more complicated. In fact, according to the maternity insurance policy in China, as long as it is in line with the reimbursement of maternity insurance in China. >>>More
The review time of maternity insurance is uncertain because the review speed varies from region to region, but most regions usually complete the review within seven working days, and the applicant can receive the compensation the next month after the review is passed. Applicants can call the local social security bureau **12333 ext. 1, and then transfer to manual consultation on the reimbursement progress. In addition to reimbursement of surgical expenses, medical expenses, and prenatal examination fees during childbirth, the applicant can also receive a maternity allowance. >>>More
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. >>>More