Maternity insurance does not require individual contributions from employees, but is paid in full by employees.
Maternity insurance needs to be paid continuously 12 months after enrollment, and cannot be interrupted. If it is interrupted, the payment time will be recalculated after the renewal.
Extended data
First, maternity insurance does not require individual contributions from insured employees, but is paid in full by employee units.
Maternity insurance reimbursement conditions:
1, in line with the policy of birth, induced abortion (or family planning surgery);
2. Female employees have participated in maternity insurance when giving birth or induced abortion and paid in full 1 year or more;
3, the implementation of family planning surgery, the unit has participated in maternity insurance and paid for it;
4. If the spouse has not worked for more than 6 months before giving birth and has participated in maternity insurance and paid in full 1 year or more, his spouse can enjoy the treatment of male employees in maternity grants.
note:
* During the period of receiving unemployment benefits, maternity allowance shall be implemented according to the relevant provisions of unemployment insurance.
* Those who have already enjoyed the maternity reimbursement treatment of residents' medical insurance will no longer enjoy the maternity insurance treatment of employees.
Second, maternity insurance reimbursement standards
If the employer pays the maternity insurance premium in full and on time, it shall meet the medical expenses of female workers' childbirth or induced abortion as stipulated in the family planning policy, including prenatal examination fees, delivery fees, operation fees, hospitalization fees and medicine fees, which shall be paid by the maternity insurance fund according to the following standards:
1, 300 yuan, who was pregnant for less than 4 months;
2. Natural delivery or induced labor for more than 4 months of pregnancy 1.600 yuan;
Vaginal surgery is 32,000 yuan;
Cesarean section is 43,800 yuan.
Eligible spouses of male workers enjoy maternity grants at 50% of the standard of maternity medical expenses.
Medical expenses for birth complications shall be reimbursed according to regulations. The scope of drug use, diagnosis and treatment items and standards of medical service facilities shall be implemented in accordance with the relevant provisions of this Municipality's basic medical insurance.
Three, maternity insurance reimbursement need to carry materials are:
1. medical expense declaration form;
2. My ID card or social medical security card;
3. I have a bank card with UnionPay logo;
4. My medical record;
5. Original production cost;
6. Detailed list of expenses;
7. Discharge summary. You'd better take your birth certificate. If someone else picks it up, you need to bring the ID card of the person who picks it up.
Fourth, the way to pay the fees.
The social insurance agency shall, within 15 working days from the date of accepting the application, review the information provided by the employer, and after the completion of the review, allocate the maternity insurance premium to the employer where the employee is located, and the employer shall distribute it to the employee according to the maternity insurance treatment items and standards stipulated in the present Measures.
If the employer fails to handle the maternity insurance procedures for the employees as required, the maternity insurance expenses incurred by the employees shall be paid by the employer in accordance with the maternity insurance treatment items and standards stipulated in these Measures.