The reimbursement amount of maternity insurance is designed based on the different guarantees in maternity insurance.

Maternity insurance generally covers maternity allowances, maternity medical expenses, and surgical expenses incurred during family planning. Therefore, when we reimburse maternity insurance, we must prepare relevant materials so that we can obtain the claim in the shortest possible time.

Maternity insurance reimbursement standards 1. The maternity insurance fund will compensate the unit in the form of maternity allowance.

The compensation standard is: If a female employee gives birth normally for more than 7 months of pregnancy (including 7 months) or gives birth prematurely for less than 7 months of pregnancy, she will enjoy 3 months of maternity allowance; if she has a difficult delivery or a cesarean section, half a month will be added.

Maternity allowance: for multiple births, for each additional baby, the maternity allowance will be increased by half a month; for those who have had a pregnancy of more than 3 months (inclusive) and less than 7 months of pregnancy or induced labor, they will enjoy one and a half months of maternity allowance.

Subsidy, if you miscarry due to pathological reasons within 3 months of pregnancy, you will enjoy 1 month of maternity allowance.

Maternity allowances are calculated based on the average monthly maternity insurance paid wages of female employees in the 12 months before childbirth or family planning surgery.

2. Maternity nutrition subsidy and perinatal health care subsidy. Female employees who meet the national regulations for maternity leave of more than 90 days (inclusive) can enjoy a maternity nutrition subsidy of 300 yuan and a perinatal health subsidy of 700 yuan.

3. One-time maternity subsidy. Female employees who originally participated in maternity insurance in their unit after losing their jobs can enjoy one-time maternity subsidy when receiving unemployment insurance benefits and complying with family planning regulations: 400 yuan for miscarriage, 2,400 yuan for normal delivery, difficult labor and

4,000 yuan for multiple births. Male employees who participate in maternity insurance and whose spouses are not included in the scope of maternity insurance and have their first child in compliance with family planning regulations can enjoy 50% of the one-time maternity subsidy.

4. Maternity allowances are compensated to the unit, and the basic salary, bonus and welfare fees of insured female employees during their maternity leave shall be paid by the unit as usual.

5. Family planning surgery expenses, including the expenses incurred for the insertion (removal) of intrauterine devices, abortion, induction of labor, skin embedding, sterilization and recanalization due to family planning needs, shall be included in the maternity insurance fund settlement

scope.

Reimbursement standards for women in maternity insurance 1. Maternity allowance Maternity allowance = monthly salary paid by the unit per capita; 30 (days)

The one-child leave will be increased by 35 days; (3) Late maternity leave will be increased by 15 days; 3. Childbirth medical expenses (1) The medical expenses for medical treatment after confirming the childbirth medical status will be settled by the Municipal Labor and Social Security Bureau and the hospital at a fixed amount (more than 10,000 yuan)

The above part shall be settled based on the approved amount).

(2) Medical expenses for delivery in other places will be reimbursed according to the actual amount if they are lower than the quota; if they are higher than the quota, they will be reimbursed according to the quota.

4. One-time childbirth nutritional subsidy for normal births and miscarriages over 7 months of age; the average monthly salary of municipal employees in the previous year × 25%; 5. One-time subsidy for births in first- and second-level hospitals, a one-time increase of 300 yuan per person

subsidy.

Maternity insurance male standards 1. Insured male employees who meet the following conditions can apply for a one-time maternity subsidy: (1) Meet the national family planning policy and legal fertility conditions; (2) When the spouse gives birth or miscarriages due to pathological reasons,

The employer has participated in maternity insurance and has paid maternity insurance premiums (excluding back payment, arrears and interrupted payments) for male employees for more than 10 months; (3) The spouse is not included in the maternity insurance coverage and has given birth to the first child

.

2. Male employees who meet the above conditions can apply for one-time maternity subsidy as follows: 200 yuan for miscarriage; 1,200 yuan for normal delivery; 2,000 yuan for difficult labor or multiple births.

3. After the spouse gives birth or has a miscarriage due to pathological reasons, the male employee shall hold his and his spouse's resident ID card, "Marriage Certificate", "Certificate of Fertility Status" or "First Child Birth Certificate" issued by the family planning department, and the "Birth Medical Certificate" for the newborn.

Certificate", discharge record, detailed list of expenses (all the above materials require originals and copies), my medical card, original invoice, and proof of no employment and no fixed source of income issued by the street (town) where the spouse's household registration is located, to my unit

The municipal and district social security agency where the social security relationship is located shall handle the application procedures for one-time maternity subsidy.

After review, the social security agency will print out the "One-time Maternity Subsidy Settlement Form for Male Employees", and the male employee will receive the subsidy amount after signing for confirmation.

4. The "Certificate of Childbirth Status" or "Birth Certificate of the First Child" must be issued by the Family Planning Commission.