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What is maternity Medicaid?
Legal subjectivity:

Maternity allowance: the living expenses given to professional women during their absence due to childbirth as stipulated by national laws and regulations. Some countries also call it maternity cash subsidy. There are two payment methods and payment standards of maternity allowance in China: first, in areas where maternity insurance is implemented as a whole, the payment standard is paid according to the average monthly salary of employees in the previous year, and the period is not less than 90 days; Second, in areas where maternity insurance does not implement social co-ordination, maternity allowance is paid by enterprises or units. The standard is the basic salary and price subsidy for female employees before childbirth, and the term is generally 90 days. In some areas, professional women who marry late and have children late are encouraged to extend the period of maternity allowance appropriately. Maternity allowance, whether you can get it after giving birth, is stipulated in the measures. In principle, the maternity allowance shall be applied to the medical insurance agency by the employer, and the one-time maternity grants shall be applied to the medical insurance agency by himself or his client. Workers who use this unit to pay maternity insurance premiums can enjoy the relevant treatment in the Measures from the next month; To apply for maternity allowance or one-time maternity grants, materials such as birth certificate shall be submitted. Among them, if the male employee's spouse has no work unit, the certificate of no work unit issued by the village (neighborhood) Committee where the male employee works and his spouse is located shall be submitted. First, you can enjoy maternity allowance in the next month, and the maternity allowance is applied by the employer. Is it possible to receive maternity allowance after giving birth? In principle, the maternity allowance shall be applied to the medical insurance agency by the employer, and the one-time maternity grants shall be applied to the medical insurance agency by himself or his client. Employees who pay maternity insurance premiums by employers can enjoy the relevant treatment in the Measures from the next month. To apply for maternity allowance or one-time maternity grants, materials such as birth certificate shall be submitted. Among them, if the male employee's spouse has no work unit, the certificate of no work unit issued by the village (neighborhood) Committee where the male employee works and his spouse is located shall be submitted. Different from the past, maternity allowance is paid daily. The daily standard is calculated by dividing the monthly payment salary declared by the unit where the female employee works by 30, which is roughly the monthly salary declared by the unit before you go to work. If the maternity allowance is lower than the salary level of female workers before childbirth or family planning operation, the difference shall be made up by the employer. In addition, the old method does not stipulate the payment standard for family planning surgery. This time, it is pointed out that vasectomy (including examination fee) is a third-level designated medical institution 1.200 yuan/case, and a second-level and below designated medical institution 1.000 yuan/case; Tubal ligation (including examination fee): 2600 yuan/case for the third-level designated medical institutions and 2400 yuan/case for the second-level and below designated medical institutions. 2. What information does Zhengzhou need to provide to apply for maternity allowance? For normal delivery, caesarean section, induced labor or abortion for more than 4 months (including 4 months), the following materials shall be provided when applying: (1) a certificate issued by the family planning administrative department at or above the county level; (two) the birth (death) certificate of the baby; (3) my identity card; (four) my maternity insurance registration card; (five) the relevant certification materials of termination of pregnancy and childbirth issued by the designated medical institutions or the family planning operation certificate issued by the designated family planning technical service institutions; In case of production, induced labor or abortion in non-designated medical institutions due to emergency, in addition to the materials in Items (1), (2), (3) and (4) of this article, the emergency diagnosis certificate, termination of pregnancy certificate, baby birth certificate and other related materials shall also be provided. In case of miscarriage within 4 months, the materials in Items (3), (4) and (5) of this article shall be provided at the time of application.

Legal objectivity:

According to the provisions of the Social Insurance Law, in order to improve the maternity insurance system, further promote women's fair employment, and ensure that female workers can get economic compensation and basic medical services during childbirth, Ministry of Human Resources and Social Security drafted the Maternity Insurance Measures (Draft for Comment) (hereinafter referred to as the Draft for Comment), which mainly stipulated the scope of application of maternity insurance, the collection and use of maternity insurance funds, maternity insurance benefits, the management and supervision of maternity insurance handling and related legal responsibilities. Expanding the scope of application of maternity insurance is an important part of social insurance. At present, the trial measures for maternity insurance for enterprise employees are only applicable to urban enterprises and their employees. In accordance with the legislative spirit of the Social Insurance Law and the requirements of the Twelfth Five-Year Plan for Social Security on accelerating the establishment of a social security system covering urban and rural residents, the draft for comment defines the coverage of maternity insurance as various employers and their employees such as state organs, enterprises and institutions, individual economic organizations with employees and other social organizations, which will be conducive to the unification of the maternity insurance system and the fairness of social security. The payment base of maternity insurance is unit payment, and individuals do not pay. The exposure draft stipulates that the employer shall pay the maternity insurance premium according to a certain proportion of the total wages of the unit, and the individual employees shall not pay the fee. This provision is mainly considered as follows: First, it conforms to the provisions of Article 53 of the Social Insurance Law; Second, it is consistent with the provisions of social insurance projects such as pension and medical care, which is conducive to the implementation of the provisions of Article 59 of the Social Insurance Law on "unified collection of social insurance premiums"; Thirdly, taking the total salary of the unit as the payment base shows that no matter whether the unit recruits male or female employees, it must participate in maternity insurance according to law, which embodies the concept that maternity is not only a personal matter for female employees, but also a family and even social responsibility. Especially in the background that women's employment is more difficult than men's, the establishment of maternity insurance system to take risks is conducive to balancing the burden of maternity expenses among employers, eliminating gender discrimination in employment and ensuring women's equal employment rights. The draft for soliciting opinions on the principle of raising funds for maternity insurance and the proportion of contributions stipulates that maternity insurance funds shall be raised and used in accordance with the principle of "fixed income by expenditure and balance of payments" (Article 5). According to the income and expenditure of maternity insurance fund in recent 20 years and the proportion of maternity insurance expenditure to total wages, the employer is required to pay maternity insurance premium according to a certain proportion of the total wages of its employees, and the payment ratio generally does not exceed 0.5%, which is significantly lower than the current regulation of 1%. The specific payment ratio shall be put forward by the overall planning areas according to the local actual situation and implemented after the approval of provinces, autonomous regions and municipalities directly under the central government. In order to effectively control the payment burden of employers, the exposure draft also stipulates that if the payment ratio exceeds 0.5%, it should be reported to Ministry of Human Resources and Social Security for the record (Article 6). Maternity insurance benefits and standards According to Article 54 of the Social Insurance Law, the exposure draft stipulates that maternity insurance benefits include maternity medical expenses and maternity allowance (Article 11). If the maternity medical expenses incurred by the personnel participating in maternity insurance in the agreed medical service institutions meet the standards of maternity insurance drug list, diagnosis and treatment items and medical service facilities, they will be paid by the maternity insurance fund, that is, no individual needs to pay the expenses; In case of emergency or rescue, you can seek medical treatment in a non-agreement medical service institution (Article 13). It is stipulated that maternity allowance is the salary compensation that employees get in accordance with state regulations during maternity leave or family planning operation leave. In accordance with the provisions of the Social Insurance Law, it is clear that maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year (Article 14). Considering that public health services have been included in some maternal examination items, the exposure draft clearly stipulates that maternity medical expenses paid by public health services or the basic medical insurance fund shall not be paid by the maternity insurance fund (Article 16). Clarify the management and supervision of maternity insurance In order to standardize the behavior of maternity insurance service providers and protect the rights of employees to enjoy maternity insurance, the exposure draft stipulates that medical service institutions with maternity insurance agreements should abide by the relevant provisions of maternity insurance, strictly fulfill their service agreements, and provide reasonable and necessary medical services to those who participate in maternity insurance in a timely manner (Article 19). In order to ensure the timely payment of maternity medical expenses and facilitate the insured, the exposure draft stipulates that the maternity medical expenses that should be paid by the maternity insurance fund shall be directly settled by the agency and the agreed medical service institution (Article 20). In order to strengthen the administrative supervision of maternity insurance fund, the exposure draft stipulates that the social insurance administrative department shall supervise and inspect the income and expenditure and management of maternity insurance fund. The exposure draft also clearly stipulates that the inspection results should be regularly announced to the public and subject to social supervision. (article 22). Clarify the relevant legal responsibilities. The exposure draft stipulates that if the employer fails to pay maternity insurance premiums for employees according to law and employees cannot enjoy maternity insurance benefits, the employer will pay their maternity insurance benefits. At the same time, it is stipulated that if the employer fails to pay maternity insurance premiums for employees according to law, it shall be handled in accordance with Articles 63 and 86 (Article 24) of the Social Insurance Law. Employers, contracted medical service institutions and other units or individuals who defraud maternity insurance funds and maternity insurance benefits shall be provided with corresponding legal liabilities (Article 25).