How to check the maternity allowance in the medical insurance ce
processing process of maternity allowance:
1. Deliver materials 1-5 to the human resources department of the woman's unit within 3 months after delivery
2. Fill in the information registration form of XX City applying for maternity allowance and seal it by the unit
3. Take this form to your partner's company, seal it and sign it by both parties, and return it to your partner's company
4. The woman's unit should report the social security from the 5th to the 25th of each month, and send the fund to the company account
there are two kinds of payment methods and standards of maternity allowance in China:
first, in areas where social co-ordination of maternity insurance is implemented, the payment standard is based on the average monthly salary of employees of the enterprise in the previous year, with a period of no less than 98 days
Second, in areas where social co-ordination of maternity insurance is not carried out, maternity allowance is paid by the enterprise or unit, and the standard is the basic wage and price subsidy for female workers before giving birth, and the period is generally 98 days. In some areas, the incentive policy of appropriately extending the payment period of maternity allowance is implemented for professional women who marry late and have children late. In other areas, the spouses of male employees in enterprises participating in maternity insurance are given one-time subsidies
extended data:
maternity leave allowance:
1. The new labor law of 2012 stipulates that the normal maternity leave is 98 days (including 15 days of prenatal examination), which is 8 days more than the previous 90 days
2. Late childbearing leave will be increased by 30 days (there is no late childbearing leave in the new labor law, and the local childbearing measures may increase this leave)
3. Dystocia. Cesarean section and third degree perineal rupture increased maternity leave by 15 days; Suction delivery, forceps delivery and breech delivery increased by 15 days
4. Maternity leave for multiple births increased by 15 days for each additional baby
Abortion leave: less than 2 months and 15 days of pregnancy; Pregnant less than 4 months 30 days; 42 days from more than 4 months (including 4 months) to less than 7 months; In the case of stillbirth, stillbirth and premature delivery, the fetus did not survive for 75 daysreimbursement standard:
1. The medical expenses for confirming the medical status of maternity in the medical insurance center shall be settled by the Municipal Bureau of labor and social security with the hospital (the part exceeding 10000 yuan shall be settled according to the approved amount)
2. For the sudden abortion before 16 weeks of pregnancy, the obstetric complications ring emergency and maternity leave in non designated hospitals should be reimbursed according to the approved amount
3. The medical expenses of delivery in different places, which are lower than the quota standard, should be reimbursed according to the actual situation; Higher than the quota standard, according to the quota standard reimbursement
source of reference: Internet fertility allowance
in some places, the maternity allowance is paid directly in cash
it's not a medical insurance card. aqui te amo
Insurance editor to help you answer, more questions can be answered online
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
The maternity insurance benefits of the insured are no longer transferred by the unit, but directly distributed to the bank account of the insured
from January 1, 2018, the provincial level medical insurance participants can directly apply for maternity insurance benefits (including maternity medical expenses and maternity allowance) from the provincial medical insurance center. The social payment of maternity insurance benefits is implemented. The maternity insurance benefits of the insured are no longer transferred by the unit, but directly distributed to the bank account of the insured
if the employer normally pays the maternity insurance premium and swipes the card for settlement in the local designated medical institution, the insured does not need to go to the provincial medical insurance center to apply for the maternity allowance. The provincial medical insurance center will directly pay the maternity allowance to the insured's bank account at the end of the next month after the insured goes through the card for settlement
if the medical expenses of off-site childbirth, emergency or family planning operation are not settled directly by swiping the card, the insured should bring the corresponding materials to the provincial medical insurance center within 12 months from the date of childbirth or within 6 months from the date of family planning operation to apply for maternity insurance benefits according to the regulations
extended data
calculation method of maternity allowance
1. Calculation formula of maternity allowance: average monthly payment salary of the employer / 30 * days of maternity leave The payment base of employees shall be calculated according to the average salary of the employer in the previous month
2. If it is lower than 60% of the average monthly wage of the city's employees in the previous year, it shall be calculated according to 60% of the average monthly wage of the city's employees in the previous year
3. If it is more than 3 times higher than the average monthly wage of the city's employees in the previous year, it shall be calculated according to 3 times of the average monthly wage of the city's employees in the previous year
4. If the average monthly wage of the previous year cannot be determined, it shall be calculated according to the average monthly wage of the city's employees in the previous year
First, the implementation of maternity allowance is the recognition of women's reproctive valuewomen's childbearing is the need of social development. While they carry on the family line, they also make efforts for the reproction of social labor force, which should be compensated by the society. Therefore, the protection of women's reproctive rights and interests is accepted and supported by most countries. 135 countries in the world have passed legislation to protect women's legitimate rights and interests in childbearing
Second, the implementation of maternity allowance is the guarantee for the basic life of female workersfemale workers can not work normally because they leave their jobs ring childbirth. The state has formulated relevant policies to ensure that they can enjoy relevant treatment when they leave their jobs. These include maternity allowance, medical services and special protection policies when pregnant women can't work normally. In the aspects of life security and health security, it creates favorable conditions for the smooth delivery of pregnant women
① receipt of hospitalization medical expenses< (2) diagnosis certificate (with special seal)
③ the original and of the first child registration card, and the original and of the second child birth permit< (4) original and of medical certificate of birth (not for termination of pregnancy)< (5) original and of ID card< (6) medical insurance card (remote certificate or remote record form)
7. The original and of the "honor certificate for parents of only child" received ring maternity leave< (8) the employee leave slip issued by the company< (9) the Insured Employee shall provide death certificate in case of death under maternity allowance
the special administrator of the employer shall go to the agency for reimbursement with the following valid information on the 1st-10th of each month
data carried by non designated medical institutions ring reimbursement:
1. Data required for reimbursement of outpatient maternity medical expenses: diagnosis certificate (with special seal), outpatient bills, expense details, and relevant inspection reports
2. Data required for reimbursement of medical expenses for in-patient childbirth: bills for in-patient medical expenses, summary sheet of expense details (with hospital seal), diagnosis certificate (with special seal), first page of medical records, operation records and copies of delivery records.
