Proportion of reimbursement for maternity insurance

I. Proportion of reimbursement for maternity insurance for female employees

The expenses for examination, delivery, operation, hospitalization and medicine of female employees are paid by the maternity insurance fund. Medical service fees and medicine fees (including self-funded drugs and nutrition drugs) that exceed the requirements shall be borne by the employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; Medical expenses for other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits.

the reimbursement rate of maternity insurance 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:

1. The natural delivery rate was 27%;

2. The dystocia rate was 32.%;

3. The caesarean section rate was 42.%.

As the reimbursement rate of maternity insurance is not uniformly stipulated by the state, the reimbursement rate of maternity insurance may vary from region to region, so the insured should consult the local social security bureau and take the local social security center as the standard.

List of reimbursement standards for maternity insurance quota services

II. Proportion of reimbursement for male maternity insurance

Reimbursement conditions

1. Compliance with national family planning policies and statutory maternity conditions;

2. When the spouse gives birth or miscarries due to pathological reasons, the employer has participated in maternity insurance and has paid maternity insurance premiums for male employees for more than 1 months;

3. The spouse is not covered by maternity insurance, and gives birth to the first child.

reimbursement standard: male employees who meet the above conditions can apply for a one-time maternity allowance: 2 yuan who has miscarried; 12 yuan for natural delivery; 2 yuan for dystocia or multiple births.

Further reading: How to buy insurance, which is better, and teach you how to avoid these "pits" of insurance.