I. Provisions on Paying Maternity Insurance Fees
Hefei has clear regulations on the payment of maternity insurance, aiming at protecting the reproductive rights and interests of the insured. Specifically, individuals or units need to pay maternity insurance premiums in full and on time in accordance with the prescribed proportions and standards.
Second, the payment period and treatment enjoyment
According to the relevant regulations of Hefei, the insured person needs to pay maternity insurance for 6 months in a row in order to enjoy maternity insurance benefits. This means that the insured can only apply for reimbursement of maternity-related medical expenses after six months of continuous payment.
Third, the scope and process of reimbursement.
The reimbursement scope of maternity insurance usually includes prenatal examination, delivery expenses, family planning operation expenses, etc. The insured shall submit relevant medical bills and reimbursement materials to the unit or social security agency within the specified time. After the examination and approval, the insured can get the corresponding maternity insurance benefits.
Fourth, matters needing attention
Insured people should pay attention to the following points when enjoying maternity insurance benefits: First, ensure that individual maternity insurance payment records are complete and continuous; Secondly, understand and abide by the reimbursement rules and procedures of maternity insurance; Finally, keep relevant medical bills and reimbursement materials for emergencies.
To sum up, in Hefei, maternity insurance needs to be paid continuously for 6 months before you can enjoy maternity insurance benefits. Insured personnel need to understand and abide by relevant regulations and procedures to ensure that they can apply for reimbursement of maternity-related medical expenses in a timely and accurate manner.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 54 provides that:
The employer has paid maternity insurance, and its 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 55 provides that:
Maternity medical expenses include the following items: (1) Maternity medical expenses; (two) family planning medical expenses; (3) Other project expenses stipulated by laws and regulations.