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2021-2022 Employee Maternity Insurance Reimbursement Standards and Settlement Methods in Foshan, Guangdong

The reimbursement standard of maternity insurance in Foshan, Guangdong is that maternity medical expenses will be reimbursed based on the settlement standard of 3,000 yuan for normal delivery and 5,000 yuan for cesarean section.

In addition, unemployed persons can apply for sporadic reimbursement for maternity medical expenses incurred while receiving unemployment insurance benefits and for which maternity medical expenses were not settled at designated medical institutions in the city for special reasons.

After employees go through the medical confirmation procedures during pregnancy, the medical expenses for prenatal examinations incurred at selected medical institutions in the city will be settled directly by the selected designated medical institutions. The maternity insurance fund will not pay for prenatal examination expenses before medical confirmation.

Reimbursement standards for employee maternity insurance in Foshan, Guangdong: Calculated according to local standards in the insured place. If you have already enjoyed local maternity medical expense benefits in another place, you can deduct the maternity medical expense benefits you have enjoyed in another place and then pay the difference.

maternity medical expenses.

Childbirth medical expenses will be reimbursed according to the settlement standard of 3,000 yuan for normal delivery and 5,000 yuan for cesarean section.

In addition, unemployed persons can apply for sporadic reimbursement for maternity medical expenses incurred while receiving unemployment insurance benefits and for which maternity medical expenses were not settled at designated medical institutions in the city for special reasons.

Maternity allowance holiday for female employees: 98 days for normal delivery; 30 days for difficult delivery; 15 days for each additional baby for multiple births; 15 days for miscarriage if less than 4 months pregnant; 15 days for more than 4 months of pregnancy

Abortion, 42 days.

During the period when an employee is enjoying maternity leave or family planning surgery leave in accordance with regulations, the employer will advance the maternity allowance monthly according to the employee's original salary standard, and then the social security institution will allocate it to the employer.

If an employee has enjoyed maternity allowance, it will be deemed that the employer has paid the corresponding amount of wages.

If the maternity allowance is lower than the employee's original salary standard, the difference shall be made up by the employer.

The settlement method of employee maternity insurance in Foshan, Guangdong: A designated medical system is implemented for prenatal examination. If an employee who has participated in maternity insurance for one year has given birth, he should select a medical institution for prenatal examination in advance among the designated medical institutions for maternity insurance in Foshan City.

And apply for medical confirmation procedures.

If employees of the unit who are stationed in other places for a long period of time (more than 180 days) or who live in other places for a long time need to undergo physical examination in another place, they can also go through the confirmation procedures for medical treatment in other places.

After employees go through the medical confirmation procedures during pregnancy, the medical expenses for prenatal examinations incurred at selected medical institutions in the city will be settled directly by the selected designated medical institutions. The maternity insurance fund will not pay for prenatal examination expenses before medical confirmation.

If an employee or employer fails to apply for maternity insurance benefits within 12 months from the date the employee gives birth or undergoes family planning surgery, the maternity insurance fund will not pay.

The "Draft of Opinions" stipulates that maternity insurance premiums shall be paid by the employer on a monthly basis. If individual employees do not pay maternity insurance premiums, the employer shall pay 0.9% of the total employee wages of the unit last month on a monthly basis.