Routine prenatal examination items can be reimbursed, mainly including urine routine, ultrasound routine examination, placental maturity detection, fetal heart monitoring and so on. Items that need to be examined at their own expense include: Down's screening, amniocentesis, genetic examination, etc. If you choose a local designated hospital, you can settle the account directly with the social security card.
Maternity insurance reimbursement standard
The formulation of reimbursement standards for maternity insurance is a standard for different protection items in maternity insurance. The items guaranteed by maternity insurance generally include maternity allowance, maternity medical expenses and expenses incurred by employees due to the implementation of family planning operations. Therefore, when reimbursing maternity insurance, it is necessary to prepare relevant materials in order to get compensation quickly.
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; For dystocia and cesarean section, the maternity allowance will be increased by half a month, and for 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.
Maternity nutrition subsidies and perinatal health care subsidies, who meet the requirements of the state to 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.
One-time maternity allowance. Female employees who participate in maternity insurance in the unit are unemployed, and if they meet the 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 and 4,000 yuan for multiple births in difficult labor.
Male employees who participate in maternity insurance, whose spouses are not included in the scope of maternity insurance, can enjoy a one-time maternity allowance of 50% if they have their first child in line with family planning regulations.
Maternity allowance shall be compensated by the unit. During the maternity leave of the insured female employees, my basic salary, bonus and welfare expenses shall be paid by the unit.
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.