The reimbursement scope and standard of Foshan maternity insurance, Foshan maternity insurance must be paid continuously for more than 12 months without interruption. Maternity insurance must be paid normally during the period of receiving maternity allowance, otherwise maternity allowance will be stopped. The reimbursement scope and standard of Foshan maternity insurance.

Scope and standard of Foshan maternity insurance reimbursement 1 scope of Foshan maternity insurance reimbursement standard

1. 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.

2. Maternity nutrition subsidies and perinatal health care subsidies. Female employees who meet the national regulations and enjoy maternity leave for more than 90 days (including 90 days) can enjoy maternity nutrition subsidies in 300 yuan and 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.

4. Maternity allowance shall be compensated by the unit, and my basic salary, bonus and welfare expenses shall be paid by the unit during the maternity leave of the insured female employees.

5, family planning operation fees, including due to the needs of family planning, the implementation of the placement (removal) of intrauterine devices, induced abortion, induced labor, skin burial, sterilization and recanalization surgery costs, included in the scope of maternity insurance fund settlement.

How much can Foshan maternity medical expenses be reimbursed?

1. The medical expenses for medical treatment after the maternity medical treatment is confirmed shall be settled by Foshan Labor and Social Security Bureau and the hospital (the part exceeding 10000 yuan shall be settled according to the approved amount).

2, the medical expenses of off-site delivery, lower than the quota standard according to the actual reimbursement; Above the quota standard, according to the quota standard reimbursement.

3. One-time childbirth nutrition subsidy: normal childbirth, abortion for more than 7 months; Last year, the average monthly salary of employees in the city was × 25%;

4. One-time subsidy: If a child gives birth in a first-class or second-class hospital, each person will receive a one-time subsidy to 300 yuan.

Scope and standard of Foshan maternity insurance reimbursement 2 documents to be prepared for Foshan maternity insurance reimbursement

1. Original and photocopy of pregnant woman's ID card

2. Original and photocopy of marriage certificate

3, family planning service certificate and a copy.

4, pregnancy diagnosis certificate (be sure to open a pregnancy certificate in the designated hospital of your choice)

5. 1 One-inch recent color bareheaded photo (background color is not limited)

6. The "Declaration Form for Confirmation of Maternity Insurance for Employees in Foshan City" (click to download: Declaration Form for Choosing Designated Hospitals for Maternity Insurance (download)) needs to be stamped with the official seal of this unit. Need two copies.

Measures of Foshan Municipality on Settlement of Maternity Insurance Expenses

1. Normal medical treatment settlement: immediate settlement and centralized payment by the Municipal Social Security Bureau.

2. Special medical settlement: if the designated medical institution is changed midway, the medical expenses fund before the change will not be paid;

3. Those who meet the sporadic reimbursement conditions shall go through the sporadic reimbursement procedures within 12 months.

Processing address

Foshan social insurance fund management bureau

Address: Building 2, No.7 Tongji West Road, Chancheng District, Foshan

Postal code: 528000

Fax number: 0757-82981110.

Office hours: 65438+ 0-25th of each month (postponed on holidays), 8: 30am-65438+02: 00pm-5: 30pm from Monday to Friday.

Scope and standard of reimbursement of Foshan maternity insurance 3 Foshan maternity insurance must be paid continuously for more than 12 months without interruption. Only when maternity insurance is paid normally during childbirth can you enjoy maternity reimbursement.

Insured employees meet the settlement conditions for applying for spontaneous abortion, prenatal examination, childbirth and other sporadic reimbursement of medical expenses, and the expenses that meet the requirements of maternity insurance are lower than the settlement standards of designated medical institutions at the same level in this Municipality, and the expenses that meet the requirements of maternity insurance are reimbursed truthfully; If it is higher than the settlement standard of designated medical institutions at the same level in the city, it will be reimbursed according to the settlement standard.

Reimbursement materials

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. The original list of medical expenses consistent with the amount and date of the receipt (invoice); (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)