The insured has continuously paid the basic medical insurance premium for more than 6 months (inclusive) on the date of production, and paid the medical insurance premium on time one month before giving birth. Insured persons who have paid basic medical insurance premiums for less than 6 months in a row cannot enjoy maternity medical treatment. If the basic medical insurance premium has been paid continuously for less than 6 months 12 months, it will be paid at 30% of the fixed standard. If the basic medical insurance premium has been paid continuously for more than 12 months, it will be paid at 100% of the fixed standard.

Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when pregnant and pregnant female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers. Maternity insurance benefits in China mainly include two items. One is maternity allowance, and the other is maternity medical care. Its purpose is to help working women recover their working ability and return to work by providing them with maternity allowance, medical services and maternity leave.

The expenses that can be reimbursed for maternity insurance are around 20,000-30,000, but the situation in each region is different, so the expenses for reimbursement will be different, depending on the actual reimbursement situation. Generally speaking, maternity insurance reimbursement refers to the medical expenses of childbirth and the maternity leave expenses after childbirth. In some places, maternity leave is a basic salary, and in some places it is paid according to maternity allowance, so the regulations in different regions will be different. Before reimbursement, you can consult the person in charge of the employer, or you can directly call the staff of the social security agency to get a definite answer.

legal ground

Article 53 of the Social Insurance Law of People's Republic of China (PRC) * * * Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, but employees shall not pay maternity insurance premiums.

Fifty-fourth employers have paid maternity insurance premiums, and their employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Article 56

Workers in any of the following circumstances can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.