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Reimbursement process of maternity insurance: 1. After a female employee becomes pregnant, has a miscarriage or has a family planning operation, she shall be assisted by the employer or the staff of the labor security service station of the street or town; 2. After acceptance and approval, the medical certificate will be issued; 3. Within 30 days of maternity leave, the above-mentioned personnel shall assist in the settlement of benefits; 4. Apply for maternity allowance and nutrition subsidy, fill in the relevant **, and submit the information for processing.
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For most families, having a baby is a significant expense. Prenatal check-ups, taking medicines, hospitalization during childbirth, and post-discharge care, etc. In this way, it is indeed important to fully enjoy the "maximum" benefits brought by maternity insurance.
1. The most important thing is to enjoy the qualifications.
Many friends around me want to apply for maternity insurance after giving birth, but they are told that they do not meet the requirements, so what is the eligibility for maternity reimbursement in Jinan?
1) Legal childbearing. To put it simply, it means that you have received a marriage certificate and are legally married to give birth.
2) Pay maternity insurance for 12 consecutive months before giving birth.
2. The application materials should be complete.
Expectant mothers who have just given birth are told when they deal with maternity insurance after maternity leave that they are not entitled to maternity benefits because they do not have a Family Planning Service Manual. Because the corresponding information was not submitted on time, the maternity insurance benefits that should have been enjoyed were not enjoyed.
Taking Jinan as an example, the required information includes:
ID card, family planning service manual, birth medical certificate, hospitalization invoice, medical order of medical case. These materials need to be prepared as soon as possible after giving birth, and the sooner they are prepared, the sooner the reimbursement time can be advanced.
3. The maternity allowance is subject to the rights and interests list.
Many expectant mothers say how much money they were reimbursed at that time when they communicate with each other, but they don't know that the maternity allowance is based on the social security base paid by their respective units in the previous year, so they can't think that they should be reimbursed based on how much money others have reimbursed. After completing the reimbursement procedures, the individual will receive a benefit slip indicating the reimbursement amount and the items to be received.
4. The man can also be "reimbursed".
Now, many families have paid maternity insurance, so what are the differences in the benefits? Taking Jinan as an example, if both men and women have paid maternity insurance, the maternity insurance benefits are handled by the woman's unit and the man does not enjoy it, if the woman does not have maternity insurance, she can go to the social security department in the name of the man's unit for reimbursement and enjoy 50% of the fixed amount of medical subsidies. Maternity insurance is reimbursed according to the principle of real-name system, and only the woman can be reimbursed for the maternity allowance, and the man can only enjoy paid maternity leave.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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How should maternity insurance be reimbursed?
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Maternity insurance reimbursement.
1. Application for maternity insurance benefits1Information provided by the applicant: a, family planning certificate (i.e., birth permit) b, newborn birth medical certificate (i.e., birth certificate) or household registration book c, diagnosis certificate (birth certificate issued by the delivery hospital, issued at the time of discharge), expense voucher (printed at the time of discharge) d, personal ID card (the original ID card of the agent shall be provided if the agent is required) e, the details of hospitalization expenses shall be provided for dystocia in a different place or abroad f
1) Proof of surgery (2) Proof of expenses.
Second, go to the medical maternity treatment review department to handle it (Social Security Bureau) Third, if you meet the conditions, you can handle it, and you can go to the bank to receive money with the handling certificate.
Hello, how is the maternity insurance reimbursed.
Maternity insurance reimbursement.
1. Application for maternity insurance benefits1Information provided by the applicant: a, family planning certificate (i.e., birth permit) b, newborn birth medical certificate (i.e., birth certificate) or household registration book c, diagnosis certificate (birth certificate issued by the delivery hospital, issued at the time of discharge), expense voucher (printed at the time of discharge) d, personal ID card (the original ID card of the agent shall be provided if the agent is required) e, the details of hospitalization expenses shall be provided for dystocia in a different place or abroad f
1) Proof of surgery (2) Proof of expenses.
Second, go to the medical maternity treatment review department to handle it (Social Security Bureau) Third, if you meet the conditions, you can handle it, and you can go to the bank to receive money with the handling certificate.
Maternity insurance** compensates the employer in the form of maternity allowance. The compensation standard is: if a female employee is pregnant for more than 7 months (including 7 months) and gives birth smoothly or is born prematurely for less than 7 months, she is entitled to 3 months of maternity allowance; In case of dystocia and cesarean section, half a month's maternity allowance will be added; In the case of multiple births, half a month's maternity allowance will be increased for each additional child; If the pregnancy is more than 3 months (including 3 months) but less than 7 months of miscarriage or induced labor, the maternity allowance of one and a half months is enjoyed; If the miscarriage is caused by pathological reasons within 3 months of pregnancy, the maternity allowance of 1 month is enjoyed.
The maternity allowance is calculated and paid on the basis of the average monthly contribution salary of the maternity insurance for the 12 months before the prenatal or family planning surgery of female employees.
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Maternity insurance process:
Maternity insurance is a compulsory insurance, paid by the unit where I belong, and the employer must pay for you, individuals are unable to pay, maternity insurance is a social policy to protect the rights and interests of female employees under the national law of the state, and regardless of whether the fetus is born normally, even if the fetus dies, miscarriage and so on can enjoy maternity insurance.
1.Before enjoying the maternity allowance, the unit needs to apply for maternity insurance for itself, and needs to prepare three forms, the basic pension, work-related injury and maternity insurance declaration summary table for enterprise employees, the social security registration form, and the increase and decrease table of pension, work and maternity insurance personnel, and these three forms are prepared by the enterprise;
2.The unit shall go to the social labor insurance department with these three forms to declare, and after the labor insurance department accepts the application, it will return two stamped forms;
3.Wait until the next month, the unit can normally pay the maternity insurance premiums of the new employees, which must be paid by the tax department;
5.After giving birth, a female employee submits materials to the social labor insurance department for insurance payment before the maternity leave reaches 30 days (pay attention to the time, it is more troublesome to handle it overdue);
6.After waiting for review, the staff will issue an application form for maternity insurance premiums for employees of urban enterprises;
7.The materials for insurance payment mainly include: the birth status form of employees of urban enterprises, identity information, birth certificates, medical certificates of hospitals, medical settlement lists, etc.;
8.After the approval of the social labor insurance department is completed, I can bring the relevant official documents to the social security department to receive the reimbursement of maternity insurance.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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3.Maternity insurance reimbursement coverage.
4) Bank card.
The application materials for maternity insurance reimbursement must be true and valid, including a list of medical expenses and invoices, social security cards, family certificates, bank cards, etc.
3.Review and confirmation.
In short, the purpose of the late birth insurance is to protect the medical expenses and maternity allowance of female employees during childbirth. When making reimbursement for maternity insurance, you need to prepare relevant materials and handle it in strict accordance with the reimbursement process. At the same time, it is also necessary to pay attention to the time limit, reimbursement standard, reimbursement scope, application materials and handling fees and other related matters of maternity insurance reimbursement.
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Hello! Childbirth is a major event for every family, and maternity insurance is a social benefit provided by the state for the working employees of the family who give birth. In order to help you better protect your legitimate rights and interests, the following will introduce the relevant reimbursement policies of maternity insurance.
What are the conditions for reimbursement of maternity insurance.
(1) Giving birth or carrying out family planning surgery in accordance with the national family planning policy;
2) The employer participates in maternity insurance in accordance with the provisions and pays the full amount of the employee continuously for more than one year.
The above is the general reimbursement conditions across the country, specific to each place, there may be slight differences, it is recommended that you consult the social security center where your hukou is located to get a more accurate answer.
How should maternity insurance be reimbursed?
1.Information provided by the applicant:
a. Family planning certificate (i.e., birth permit).
b. Newborn birth medical certificate (i.e. birth certificate) or household registration booklet.
c. Diagnosis certificate (production certificate issued by the production hospital, issued at the time of discharge) and expense voucher (printed at the time of discharge).
d. My ID card (if the agent is acting on behalf of the agent, the original ID card of the agent shall be provided).
e. Provide a breakdown of hospitalization expenses for non-local or overseas dystocia.
f. C-section delivery in other places or abroad:
1) Proof of surgery.
2) Expense vouchers.
2.Go to the medical maternity treatment review department (Social Security Bureau).
3.If you meet the conditions, you can handle it, and you can go to the bank to get money with the processing voucher.
As we can see, maternity insurance is very limited, and in order to increase the level of protection for you and your baby in the womb during the second month of pregnancy, it is recommended that you purchase a suitable maternity and baby insurance.
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As long as the cumulative payment is met for 12 months; If the conditions are met, it can be used, the original and copy of the medical charge bill (invoice), and the original and copy of the corresponding expense summary list, and the original and copy of the discharge summary (discharge record); Medical insurance card: You can settle the outpatient treatment with the medical insurance card.
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Reimbursement process of maternity insurance: 1. After a female employee becomes pregnant, has a miscarriage or has a family planning operation, she shall be assisted by the employer or the staff of the labor security service station of the street or town; 2. After acceptance and approval, the medical certificate will be issued; 3. Within 30 days of maternity leave, the above-mentioned personnel shall assist in the settlement of benefits; 4. Apply for maternity allowance and nutrition subsidy, fill in the relevant **, and submit the information for processing.
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Can maternity insurance be reimbursed directly at the hospital?
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Specifically, it refers to the fact that the payment of premiums has not been interrupted at the time of childbirth or family planning surgery and has been paid continuously for one year. In addition, 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, he or she who has paid the maternity insurance premium in full and has paid the premiums for one consecutive year can enjoy the reimbursement and allowance of the cost of maternity insurance and family planning surgery in accordance with the regulations. Specifically, it refers to the fact that the payment of premiums has not been interrupted at the time of childbirth or family planning surgery and has been paid continuously for one year.
In addition, 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, when he meets the provisions of family planning, he shall be reimbursed by maternity insurance ** in accordance with the prescribed payment standard of 50 maternity medical expenses. How long does it take for maternity insurance to be reimbursed? How long does it take for maternity insurance to reimburse medical expenses when giving birth?
Is it 10 months or 12 months? The woman can pay for 10 months, and the man has to pay 12.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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Reimbursement process of maternity insurance: 1. After a female employee becomes pregnant, has a miscarriage or has a family planning operation, she shall be assisted by the employer or the staff of the labor security service station of the street or town; 2. After acceptance and approval, the medical certificate will be issued; 3. Within 30 days of maternity leave, the above-mentioned personnel shall assist in the settlement of benefits; 4. Apply for maternity allowance and nutrition subsidy, fill in the relevant **, and submit the information for processing.
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Reimbursement process of maternity insurance: 1. After a female employee becomes pregnant, has a miscarriage or has a family planning operation, she shall be assisted by the employer or the staff of the labor security service station of the street or town; 2. After acceptance and approval, the medical certificate will be issued; 3. Within 30 days of maternity leave, the above-mentioned personnel shall assist in the settlement of benefits; 4. Apply for maternity allowance and nutrition subsidy, fill in the relevant **, and submit the information for processing.
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The rules on whether male and female maternity insurance can be reimbursed at the same time are as follows:
1. Maternity insurance can be enjoyed by both men and women, but the items enjoyed are different.
2. Under normal circumstances, the woman is reimbursed for the relevant expenses and maternity leave wages, while the man is reimbursed for the wages during the nursing leave.
3. Under special circumstances, for example, if the woman does not have a unit and does not meet the conditions for maternity insurance, the relevant expenses can be reimbursed by the man, but the reimbursement ratio is lower than the normal reimbursement in the woman, about half.
Information required for maternity insurance reimbursement:
1. ID card;
2. Marriage certificate;
3. Family planning certificate, such as birth permit;
4. Medical certificate of birth of the newborn, such as birth certificate;
5. Receipts for medical expenses;
6. Other relevant information.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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How should maternity insurance be reimbursed?
-
Reimbursement process of maternity insurance: 1. After a female employee becomes pregnant, has a miscarriage or has a family planning operation, she shall be assisted by the employer or the staff of the labor security service station of the street or town; 2. After acceptance and approval, the medical certificate will be issued; 3. Within 30 days of maternity leave, the above-mentioned personnel shall assist in the settlement of benefits; 4. Apply for maternity allowance and nutrition subsidy, fill in the relevant **, and submit the information for processing.
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How should maternity insurance be reimbursed?
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