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Childbirth is not a disease, and the resident insurance is not reimbursed, and only the employee social security maternity insurance of either husband and wife can be used. And if you give birth, you will naturally have more maternity insurance. The reimbursement ratio of employee social security is much higher than that of resident social security.
However, maternity insurance can only be available after one consecutive year. If you give birth to a baby, there is a high probability that the resident medical insurance will reimburse the hospitalization fee, which is not much money, but the maternity insurance not only has prenatal examination and hospitalization expenses, but also can apply for maternity allowance.
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Giving birth to a child is not a disease, so resident medical insurance.
It is not reimbursed, and can only be reimbursed by the maternity insurance in the social security of either husband and wife.
If the woman doesn't have it, then use the man's, but the reimbursement is much less.
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Legal analysis: No, according to Article 15 of the "Provisions on the Labor Protection of Female Employees", if a female employee violates the relevant national regulations on family planning, her labor protection shall be handled in accordance with the relevant national regulations on family planning, and these provisions do not apply.
Legal basis: "Provisions on Labor Protection of Female Employees" Article 15 Where a female employee violates the relevant national regulations on family planning, her labor protection shall be handled in accordance with the relevant national regulations on family planning, and these provisions do not apply.
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Hello, I'm glad to answer for you, children born out of wedlock are generally not eligible for maternity insurance. To apply for maternity insurance, female employees need to bring family planning certificates, baby birth certificates and other materials to the local social insurance agency for processing. However, the parties who have children out of wedlock generally do not have the above-mentioned complete materials.
Female employees who give birth out of wedlock cannot enjoy maternity benefits in accordance with the provisions of the labor insurance regulations, and their recuperation time should not be paid. Therefore, births that do not conform to the national family planning policy cannot enjoy the maternity insurance system. However, women who give birth out of wedlock are entitled to maternity leave in accordance with Article 26 of the Law on the Protection of Rights and Interests of Women and Article 62 of the Labor Law.
Maternity leave treatment is to protect the health of pregnant female employees, regardless of whether they comply with the family planning policy, female employees should enjoy maternity leave benefits.
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Children born out of wedlock are not eligible for maternity insurance. China's maternity insurance requires that the object of enjoyment must be legally married, that is, citizens who must meet the legal age of marriage, go through legal procedures in accordance with relevant laws and regulations, and comply with the national family planning policy, etc., while those who violate the family planning policy cannot enjoy the relevant maternity insurance benefits.
Maternity insurance reimbursement must meet the following conditions:
1. The time for reimbursement for childbirth is generally within one year after childbirth;
2. The employer has paid maternity insurance premiums for the workers;
3. During the period of female biomimetic local education, it is in line with the relevant provisions of the birth policy and family planning.
The following documents are required for reimbursement of maternity insurance:
1. Family planning certificate issued by the family planning department;
2. Birth and death certificate of the baby issued by the medical department;
3. ID card of female employees who give birth to women and employees who have undergone family planning surgery;
4. Application form for maternity medical certificate for enterprise employees;
5. Application form for medical certificate of family planning surgery for employees of enterprises;
6. Application form for reimbursement of maternity medical expenses for enterprise employees;
7. Approval and settlement of maternity insurance benefits for enterprise employees;
8. Application form for foreign medical treatment of maternity insurance for employees who regret their careers;
9. Original materials such as maternity medical expense bills, expense lists, outpatient medical records, and discharge summaries;
10. Receipt of payment.
Legal basis: Article 6 of the Trial Measures for Maternity Insurance for Employees of Enterprises.
The examination fees, midwifery fees, surgery fees, hospitalization fees and medicine expenses of female employees who give birth are paid by Shengbi Huiyu Insurance**. The medical service fees 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.
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.
Article 7. After a female employee gives birth or has a miscarriage, she or her enterprise shall go through the formalities at the local social insurance agency with the family planning certificate issued by the local family planning department and the certificate of birth, death or miscarriage of the baby, and receive the maternity allowance and reimbursement of maternity medical expenses.
Article 56 of the Social Insurance Law of the People's Republic of China.
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 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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Can I get maternity insurance benefits for a child born out of wedlock?
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Maternity insurance is not reimbursable. No reimbursement is possible without a birth certificate.
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:
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.
The social insurance agency shall, within 15 working days from the date of acceptance of the application, review the materials provided by the employer, and after the review is completed, allocate the maternity insurance premiums to the employee's employer, and the employer shall issue the maternity insurance benefits to the employee in accordance with the items and standards of maternity insurance provided for in these Measures.
If the employer fails to go through the formalities for the employee to participate in the maternity insurance in accordance with the regulations, the maternity insurance expenses incurred by the employee shall be paid by the employer in accordance with the maternity insurance benefits and standards stipulated in these Measures.
The materials that need to be brought for reimbursement are:
Medical Expense Declaration;
ID card or social security card;
My bank card with the UnionPay logo;
My medical record;
Original production charges;
Itemized Expenses;
Discharge summary. It's a good idea to bring your birth permit with you. If you are collecting it on your behalf, you need to bring the identity card of the person collecting it on your behalf.
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3. Comply with family planning regulations.
Only those who meet the above three requirements can be reimbursed for maternity insurance premiums.
Children born out of wedlock do not meet the requirements of family planning and cannot be reimbursed.
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If your daughter-in-law cannot be reimbursed for childbirth and childbirth expenses under the urban residents' medical insurance, you can reimburse 50% of the medical expenses for prenatal examination and childbirth in your unit according to the standard stipulated in the local maternity insurance policy.
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Yes, the new provisions of the Social Security Law are required. has just been implemented.
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Whoever you listen to, who you want to go to! It is completely compulsory for men to pay maternity insurance!
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