Medical insurance refers to the basic medical insurance premium paid in full and on time by employers and employees according to the principle of compulsory social insurance through national legislation. If it is not paid in full and on time, the basic medical insurance fund will not pay its medical expenses regardless of individual accounts. Take the proportion of medical insurance payment in Beijing as an example: the employer pays 10% of its total payment base every month, and the employee pays 2% of his salary as a whole for serious illness+3 yuan.

Medical insurance is insurance to compensate medical expenses caused by diseases. Social insurance in which employees are provided with necessary medical services or material assistance by society or enterprises due to illness, injury or childbirth. For example, free medical care and labor insurance medical care in China. The medical expenses of employees in China are shared by the state, units and individuals to reduce the burden on enterprises and avoid waste. Insurance liability accidents need to be handled, and the insurance money will be paid in proportion.

Standards within the scope of maternity insurance reimbursement

First, the maternity insurance fund compensates the unit in the form of maternity allowance. The compensation standard is: female employees who have been pregnant for more than 7 months (including 7 months) and delivered naturally or who have been born prematurely for less than 7 months will enjoy a maternity allowance of 3 months; In case of dystocia or cesarean section, the maternity allowance will be increased by half a month, and in case of multiple births, the maternity allowance will be increased by half a month for each additional baby; Those who have miscarried or induced labor for more than 3 months but less than 7 months are entitled to 1.5 months' maternity allowance, and those who have miscarried for pathological reasons within 3 months are entitled to 1 month's maternity allowance. Maternity allowance is based on the average monthly payment salary of maternity insurance for female employees before prenatal or family planning operation 12 months.

Two, maternity nutrition subsidies and perinatal health care subsidies, who meet the requirements of the state to enjoy maternity leave for more than 90 days (including 90 days) can enjoy maternity nutrition subsidies in 300 yuan, perinatal health care subsidies in 700 yuan.

3. One-time maternity allowance: female employees who take part in maternity insurance in our company are unemployed, and if they give birth in accordance with family planning regulations during the period of receiving unemployment insurance benefits, they can enjoy one-time maternity allowance: 2,400 yuan for miscarriage in 400 yuan, 4,000 yuan for dystocia multiple births, and 50% for male employees whose spouses are not included in maternity insurance and give birth to their first child in accordance with family planning regulations.

Four, maternity allowance compensation to the unit, the insured female workers during maternity leave my basic salary, bonus and welfare expenses paid by the unit.

Five, the cost of family planning operation, including the implementation of placing (taking out) IUD, induced abortion, induced labor, skin burial, sterilization and recanalization surgery due to family planning needs, included in the settlement scope of maternity insurance fund.