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Maternity insurance is paid by the work unit, and it is compulsory. Unable to pay by themselves; Indivials submit information to employers (that is, agency companies). Employers go to the Social Security Bureau and medical insurance bureau to go through the proceres of designated maternity hospitals, get the "medical certificate" and hand it over to the insured. Indivials can use the "medical certificate" to directly claim 70% or 80% of the medical expenses of birth examination, childbirth and surgery in the selected maternity hospitals in Guangzhou. After pregnant, female workers hope to take a vacation at home because of their inconvenient health. But the maternity leave stipulated by the state is generally three months (including 15 days before delivery), so if women want to take normal maternity leave, they must continue to work until 15 days before delivery. 1. Guangzhou is a special case, indivials can apply for Guangzhou maternity insurance proceres. Indivials can apply for Guangzhou maternity insurance. Whether you are a full-time wife or a woman who leaves her job because of pregnancy, as long as you meet the conditions to enjoy Guangzhou maternity insurance, you can enjoy Guangzhou maternity insurance. Women who leave their jobs, or full-time wives who have bought Guangzhou maternity insurance for one year, can buy social security and enjoy Guangzhou maternity insurance through affiliation with human resources company (agency company). Indivials submit information to employers (that is, agency companies). Employers go to the Social Security Bureau and medical insurance bureau to go through the proceres of designated maternity hospitals, get the "medical certificate" and hand it over to the insured. Indivials can use the "medical certificate" to directly claim 70% or 80% of the medical expenses of birth examination, childbirth and surgery in the selected maternity hospitals in Guangzhou. A: no matter whether you are a woman with Guangzhou registered permanent residence or not, as long as you have bought Guangzhou maternity insurance for one year and comply with the family planning policy, you must be in the normal state of purchasing social security when you are four months pregnant (when you need to go through the formalities with the Social Security Bureau), and you can enjoy the same treatment of Guangzhou maternity insurance. A: you can get reimbursement for delivery in other places, but you can still get the Guangzhou maternity allowance of more than 10000 yuan. If you need to give birth in another place, you should go through the procere of giving birth in another place. The employer provides the form, the indivial takes it back to the designated Maternity Hospital of his choice, goes through a confirmation (seal) procere, and then submits the data back to the employer, and the employer goes to the social security bureau to go through the relevant proceres
How to buy insurance, which is better, hand in hand to teach you to avoid these "pits" of insuranceGenerally speaking, childbearing in other places can also enjoy maternity insurance benefits. Among them, including maternity allowance, maternity medical expenses, one-time childbirth expenses, one-time subsidies, etc., the specific reimbursement amount is determined by the social security center
taking Guangzhou maternity insurance policy as an example, the materials required for reimbursement of off-site maternity insurance include: my medical insurance card, ID card, unit certificate, pregnant woman's manual, as well as the relevant admission records, medical orders and operation records stamped with the official seal of the hospital in the off-site maternity hospital. Generally, the data ignored by pregnant women are household register, marriage certificate, family planning service certificate, birth certificate, etc
the specific reimbursement process of Guangzhou off-site maternity insurance is as follows:
If citizens buy Guangzhou maternity insurance, they may not be able to enjoy the reimbursement of maternity insurance. One of the key conditions is whether the pregnant woman has applied to the medical insurance center for off-site delivery before delivery
If a pregnant woman applies for the procere of delivery in another place in the medical insurance center and fills in the relevant forms before delivery, the pregnant woman's unit can assist in applying for maternity reimbursement in Guangzhou Medical Insurance Center. However, it should be noted that pregnant women must bring relevant information to apply for reimbursement within one month after the birth of the baby, which cannot exceed the specified period. But if you don't apply for delivery in other places in advance, even if you buy insurance in Guangzhou, you can't enjoy the reimbursement of maternity insurance
if the unit gets the reimbursement from the municipal medical insurance center, the specific amount of the reimbursement needs to be approved by the medical insurance center before it can be determined
1、 Reimbursement process
1. For the maternity medical expenses within the reimbursement scope of sporadic medical expenses of maternity insurance, the indivial insured shall pay in advance and go through the declaration proceres within 5 months from the date of discharge (or settlement of medical expenses)
2. The agent of the unit should carry relevant information to the designated window of the comprehensive service hall of medical insurance business on the fourth floor of the municipal medical insurance center to handle the reimbursement proceres< (2) reimbursement scope and information
} if there is no confirmation certificate for medical treatment of maternity insurance for enterprise employees in Guangzhou (hereinafter referred to as "medical certificate") and there is no "birth certificate" or "family planning service certificate" in emergency abortion or childbirth, a certificate from the Street Family Planning Department of both husband and wife shall be issued
1. Original and of hospital medical records
2. The original and of the diagnosis certificate of the hospital
3. Special receipts or invoices for medical expenses printed by financial and taxation departments
4. Detailed list of medical expenses (or manual record list with hospital seal) consistent with the receipt (invoice) amount
5. Original and of birth certificate or original and of family planning service certificate< (1) the original and of the medical certificate; and< (2) written report issued by the insured or his / her family members (1) written report issued by the insured or his / her family members (2) postpartum complications (3) medical expenses of maternity insurance under various special circumstances recognized by the Municipal Medical Insurance Center (3)< (2) information required by the municipal medical insurance center according to various conditions
the reimbursement process of maternity insurance refers to the procere in which the employer and the employee submit reimbursement to the maternity insurance fund of the overall planning area for the medical expenses, maternity allowance and other expenses of the female employee ring the childbearing period and the nursing leave allowance of the male employee ring the childbearing period of the spouse
the reimbursement process of maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when the pregnant and childbearing women workers temporarily interrupt their labor through legislation, and the state or society provides necessary economic compensation and medical care for the childbearing workers. China's maternity insurance benefits mainly include two items
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