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. The Measures for Maternity Insurance in Ministry of Human Resources and Social Security (Draft for Comment) has been open to the public for comments since 2012165438+10. The opinion draft makes it clear that maternity insurance benefits will no longer be limited to household registration, and units that do not pay maternity insurance must pay maternity fees.

The reimbursement process of Foshan maternity insurance in 2020

(1), window acceptance;

(2), the staff of the first instance and review;

(3) The Social Security Bureau is in charge of leadership approval;

(4) The window is completed.

Conditions for reimbursement of Foshan maternity insurance in 2020

1. Maternity medical expenses incurred by insured employees who have gone through the examination and approval procedures for medical treatment in different places and have been working in different places for a long time, such as prenatal examination and/or delivery hospitalization in selected medical institutions in different places;

2, has received the "medical confirmation certificate" of the insured workers, in the non-selected medical institutions emergency, rescue delivery or abortion hospitalization or outpatient reproductive medical expenses;

3, approved by the social security institutions of insured workers in medical institutions outside the city of medical expenses.

Materials required for reimbursement of Foshan maternity insurance

1, the original and photocopy of the identity certificate of the person who enjoys the treatment; (required)

2. Original and photocopy of the agent's ID card; (Optional, required by the agent)

3. The original special receipt or invoice for medical expenses stamped with the financial seal of the medical institution printed by the financial and tax department; (required)

4. Original list of medical expenses with receipt (invoice) amount and date; (required)

5, the original certificate of disease diagnosis stamped with the seal of the medical institution; (required)

6, stamped with the seal of medical institutions discharge summary or outpatient medical records and a copy of the original; (required)

The original and photocopy of the family planning service certificate or relevant certificate provided by the family planning department of our city; (required)

8. Original and photocopy of the baby's birth certificate; (required)

9, has received the "medical confirmation certificate" of the insured workers also need to provide the original "medical confirmation certificate"; (required)

10, original and photocopy of social security card for special care recipients. If the social security card has not been received or activated, the original and photocopy of the current passbook of the bank (Bank of China, Industrial and Commercial Bank of China, Agricultural Bank of China and China Construction Bank) or the original and photocopy of the debit card with the name, account number or card number of the issuing bank on the card surface shall be provided; (required)

1 1. If the insured employee rescues delivery or abortion in an emergency in a non-selected medical institution, he must also provide the emergency rescue certificate recognized by the social security agency; (Optional, relevant required)

12. Other materials required by social security institutions. (Optional, relevant required)

Insured employees meet the settlement standards for sporadic reimbursement of medical expenses such as spontaneous abortion, prenatal examination, childbirth, etc. If the expenses stipulated in maternity insurance are lower than the settlement standards of designated medical institutions at the same level in this Municipality, the expenses stipulated in maternity insurance shall be reimbursed truthfully.