The new provisions for reimbursement of maternity insurance in 2022 are as follows:

1, the employer has paid insurance for employees for more than one year;

2, in line with the national and provincial population and family planning regulations, can apply for maternity insurance reimbursement of maternity insurance benefits for employees, by the employer to the local township population and family planning institutions issued by the relevant proof, to the local social insurance agencies for. Among them, those who apply for the second-child maternity allowance or nutritional subsidy shall also hold the birth, death or termination of pregnancy certificate. According to the relevant laws and regulations, if the employer has paid maternity insurance premiums, its employees will 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.

First, prenatal examination

1, pregnant for more than 3 months but less than 7 months, resulting in miscarriage or induced labor during delivery, the standard of fixed compensation for prenatal examination is 300 yuan;

2, more than 7 months of pregnancy prenatal examination quota payment standard for 400 yuan. Provisions on maternity insurance for employees in 2022

Secondly, maternity allowance.

1, maternity allowance is the salary compensation that employees get in accordance with the relevant provisions of the state and province during maternity leave or family planning operation leave. Maternity allowance is paid according to the number of days of maternity leave or vacation, and the calculation base is the average monthly salary of employees in the previous year divided by 30. If the maternity allowance enjoyed by employees during maternity leave or vacation is lower than their salary standard before maternity leave or vacation, the employer shall make up for it; If the salary is higher than that before maternity leave or vacation, the employer shall not withhold it.

2. Maternity allowance standard Employees enjoy maternity allowance during maternity leave or vacation according to the following standards:

(1), enjoy 128 maternity allowance; Among them, the maternity allowance of 15 days is increased; In the case of multiple births, the maternity allowance will be increased by 1 5 days for each additional birth1baby;

(2) pregnant less than 2 months, enjoy 20 days of maternity allowance; Those who are pregnant for more than 2 months but less than 3 months are entitled to 30 days of maternity allowance; Abortion or induced labor for more than 3 months but less than 7 months, enjoy 42 days of maternity allowance; Induced labor after 7 months of pregnancy, enjoy 98 days maternity allowance;

(3) Those who have tubal ligation are entitled to a maternity allowance of 2 1 day; Vasectomy, enjoy 7 days maternity allowance;

(4) Those who have fallopian tube recanalization surgery are entitled to 2 1 day maternity allowance; Those who have vasectomy are entitled to 14 days maternity allowance;

(5) If the IUD is placed or taken out, you will enjoy 2 days of maternity allowance;

(6) Those who enjoy nursing leave in accordance with the relevant provisions of the state and province shall enjoy maternity allowance 15 days.

Third, the medical expenses of childbirth.

(a) according to the single disease settlement of medical expenses:

1. The maternity insurance fund shall be fully settled with the medical institution according to the unit quota standard and the disease payment standard for the medical expenses such as hospital delivery or abortion, induced labor and family planning operation caused by delivery that meet the requirements of maternity insurance in medical institutions at level 2 and below.

2. For the medical expenses that meet the requirements of maternity insurance in tertiary medical institutions, the maternity insurance fund shall be settled according to the unit quota standard, and 80% of the disease payment standard shall be settled with the designated maternity medical institutions, and the individual employee shall pay 20%;

3. Calculation method of employees' out-of-pocket expenses: After deducting the special service fee from the total medical expenses, when the actual expenses are lower than the settlement standard, the employees pay 20% of the actual expenses; When it is equal to or higher than the settlement standard, the employee pays 20% of the settlement standard.

4. Some complications and complications caused by delivery during hospitalization are not paid according to the disease. Medical expenses that meet the requirements of maternity insurance or medical insurance shall be paid by individual employees at the rate of 20%; The rest that meet the requirements of maternity insurance or medical insurance shall be directly settled by designated medical institutions and medical insurance agencies.

(two) sporadic reimbursement of maternity medical expenses according to the standard of maternity insurance quota and the proportion of personal burden by the medical insurance center and individual settlement reimbursement. The maternity standard for eligible male employees' spouses is 50% of the settlement standard for female employees' maternity quota. Some complications and complications:

1, postpartum hemorrhage

2, puerperal infection

3. Diffuse intravascular coagulation

4, uterine rupture

5. Amniotic fluid embolism

6. Pregnancy eclampsia

7, gestational diabetes mellitus

8, postpartum acute renal failure

9. Acute fatty liver during pregnancy

10, hysteromyoma (including ovarian cyst) was surgically removed.

4. One-time nutrition fee If an employee gives birth or induces labor after seven months of pregnancy, a one-time nutrition subsidy will be issued, and the standard is 2% of the average annual salary of employees in urban non-private units in the last year.

Verb (abbreviation of verb) means of payment Maternity insurance benefits are paid by social insurance agencies to employers and paid to employees participating in maternity insurance according to regulations. Pay useless units directly to individuals. If an individual cannot use a credit card to settle the maternity medical expenses due to the birth policy of medical insurance or the birth settlement procedure, it will be paid directly to the personal bank account after reimbursement.

6. The spouses of unemployed workers who participate in the basic medical insurance for urban residents or the new rural cooperative medical system will enjoy relevant medical treatment according to the basic medical insurance for urban residents, the new rural cooperative medical system and the subsidy policy for pregnant women in rural areas, and the maternity insurance fund will no longer pay their reproductive medical expenses. Unemployed spouses of employees enjoy the treatment of maternity medical expenses according to 50% of the settlement standard of maternity medical expenses stipulated by the employee's insured place. Unemployed spouses of workers enjoy family planning technical services for basic projects stipulated by the state free of charge in accordance with national and provincial population and family planning laws and regulations, and the maternity insurance fund does not pay their family planning medical expenses.

Seven, off-site maternity workers or the implementation of family planning surgery medical expenses, paid in accordance with the maternity insurance benefits. Apply for reimbursement at the medical insurance center. In any of the following circumstances, the maternity insurance fund shall not pay the relevant expenses:

(1) Violating the national and provincial laws and regulations on population and family planning, such as maternity medical expenses, maternity allowance and one-time nutrition subsidy for maternity or family planning operation;

(two) does not meet the maternity insurance drug list, diagnosis and treatment items, medical service facilities and payment standards;

(three) the expenses that should be paid by the basic medical insurance fund;

(four) the expenses that should be borne by public health or other public services and free family planning technical services according to the regulations;

(5) Expenses that should be borne by a third party due to medical malpractice;

(6) Maternity medical expenses incurred abroad and in Hong Kong, Macao and Taiwan;

(7) Newborn disease screening, nursing and medical expenses;

(8) Maternity medical expenses for medical treatment in non-designated medical institutions without approval (except emergency and rescue);

(nine) other expenses that are not paid by the maternity insurance fund stipulated by the state and the province.