1. Female employees who have been pregnant for more than 7 months (including 7 months) or who have given birth prematurely for less than 7 months are entitled to maternity allowance for 3 months;
2, dystocia and cesarean section, increase the maternity allowance for half a month, multiple births, each additional baby, increase the maternity allowance for half a month;
3. Those who have miscarried or induced labor for more than 3 months but less than 7 months are entitled to 1.5 months, and those who have miscarried for pathological reasons within 3 months are entitled to 1 month.
(a) maternity insurance fund to compensate the unit in the form of maternity allowance.
The compensation standard is:
1. Female employees who have been pregnant for more than 7 months (including 7 months) or who have given birth prematurely for less than 7 months are entitled to maternity allowance for 3 months;
2, dystocia and cesarean section, increase the maternity allowance for half a month, multiple births, each additional baby, increase the maternity allowance for half a month;
3. Those who have miscarried or induced labor for more than 3 months but less than 7 months are entitled to 1.5 months, and those who have miscarried for pathological reasons within 3 months are entitled to 1 month.
Maternity allowance is based on the average monthly payment salary of maternity insurance for female employees before prenatal or family planning operation 12 months.
(two) maternal 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 participate in maternity insurance in the unit are unemployed, and if they meet the family planning requirements 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 multiple births due to dystocia, and 50% for male employees whose spouses are not included in maternity insurance and meet the family planning requirements.
(four) maternity allowance is compensated by the unit, and the basic salary, bonus and welfare expenses of the insured female employees during maternity leave are paid by the unit.
(5) The cost of family planning operation, including the cost of placing (taking out) IUD, induced abortion, induced labor, burying skin, sterilization and recanalization due to family planning needs, shall be included in the settlement scope of maternity insurance fund.
How much can Foshan social security maternity allowance be reported?
1, Foshan maternity insurance reimbursement rate is based on the average monthly salary of employees in the previous year, and it is paid in one lump sum according to a certain proportion. Among them: natural childbirth is 270%; Dystocia was 320%; Caesarean section was 42.0%.
2, the employer has paid maternity insurance, 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.
3, employees 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.
Foshan's new maternity insurance policy is mainly embodied in six aspects, including:
1. Free choice of delivery hospital
The new method can handle the voucher in the hospital without going to the social security bureau, and only need to choose the maternity hospital instead of the delivery hospital. When giving birth, you can freely choose a hospital according to the situation.
2. You can enjoy maternity insurance benefits without a birth permit.
Without the voucher, there is no original solution. The new method has been paid for one year, and the payment for less than one year is treated as 20% discount. As a reminder, if you get a voucher, you will enjoy more maternity insurance benefits.
3. The starting time of enjoying maternity medical expenses is not limited by 16 weeks.
The original method stipulates that maternity medical expenses can only be accounted for after 16 weeks, and the new method allows the accounting to begin on the day when the voucher is completed.
4. No refund is required for changing the maternity hospital.
The original method stipulated that when changing the hospital, the insured needs to pay the existing check-up expenses at his own expense, but the new method is no longer needed.
5. The number of days of dystocia maternity allowance increased 15 days.
6. Adjustment of calculation method of maternity allowance
According to the new method, compared with the original method, the per capita maternity allowance for natural childbirth is increased by about 150 yuan, and that for dystocia is increased by about 1800 yuan.
1. What is the maternity insurance treatment for employees participating in Foshan?
Foshan's new maternity insurance system has been implemented since June 20 13. The maternity insurance enjoyed by female workers in Foshan includes two parts, one part is the maternity medical expenses, that is, the medical expenses of pregnant female workers for maternity examination and delivery in the hospital they choose, and the other part is the maternity allowance. Among them, the maternity medical expenses can be settled in the hospital immediately after the medical confirmation procedures, but the reimbursement needs to hold the Maternity Insurance Medical Confirmation Certificate. You can apply for this voucher after/0/4 weeks of pregnancy. Choose a maternity check-up hospital and a delivery hospital, and enjoy the reimbursement of maternity medical expenses as soon as possible from/0/6 weeks of 1 day.
Second, how to reimburse the maternity medical expenses of pregnant female employees who are insured in Foshan?
The reimbursement ratio of maternity medical expenses for pregnant women workers can be divided into two situations. One way is to settle accounts at the selected medical institutions in Foshan, and the basic items included in the scope of maternity insurance reimbursement can be reimbursed 100%, and the items that are not included need to be reimbursed at their own expense. The other is produced in a hospital outside Foshan and cannot be settled on the spot. After giving birth, the insured person needs to pay all the expenses first and then go to Foshan Social Security Bureau for sporadic reimbursement, and settle according to the limit of hospitals at the same level in the city; The expenses included in the reimbursement scope of maternity insurance shall be paid according to the limit standard if they exceed the limit standard, and shall be paid according to the actual expenditure if they do not exceed the limit standard. It should be reminded that from June 5438+0 1 day, sporadic reimbursement of maternity insurance for employees needs to be handled through social security cards, and the reimbursement amount will be transferred to their social security card financial accounts.
3. Can the unemployed spouses of Foshan insured employees also enjoy maternity medical expenses subsidies?
Unemployed spouses of Foshan insured male workers who have not enjoyed maternity medical reimbursement in other areas may apply for maternity insurance benefits with relevant information within one year after delivery. The treatment standard is the basic medical insurance subsidy standard for Foshan residents, that is, natural delivery 1000 yuan, caesarean section 1500 yuan.
In addition, the medical expenses for family planning surgery in Foshan are paid by the family planning department. Therefore, maternity insurance does not reimburse medical expenses for family planning operations such as induced abortion.
4. Why is the maternity allowance received by the unit?
Maternity allowance is the salary compensation for female employees during maternity leave or family planning holiday. If the unit has paid maternity leave or family planning holiday wages in full, and the insured person meets the family planning policy and other conditions, after the insured person takes a vacation, the insured unit may apply for maternity allowance to reduce the economic burden of the unit to pay maternity leave wages. So under normal circumstances, maternity allowance is paid to the unit. However, if the maternity leave salary issued by the unit is lower than the maternity allowance, the unit shall give the difference between the allowance and the salary to the insured.
Legal basis:
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, and employees shall not pay maternity insurance premiums.
Article 54 of the Social Insurance Law of People's Republic of China (PRC)
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.
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