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How long can Jinchang maternity insurance be reimbursed and the reimbursement ratio?
Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when pregnant and pregnant female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers. Maternity insurance benefits in China mainly include two items. One is maternity allowance, and the other is maternity medical care. The Measures for Maternity Insurance in Ministry of Human Resources and Social Security (Draft for Comment) has been open to the public for comments since 2012165438+10. The opinion draft makes it clear that maternity insurance benefits will no longer be limited to household registration, and units that do not pay maternity insurance must pay maternity fees.

Reimbursement standard

1. The maternity insurance fund compensates the unit in the form of maternity allowance.

The compensation standard is: female workers who have been pregnant for more than 7 months (including 7 months) and delivered naturally or have been born prematurely for less than 7 months are entitled to 3 months of maternity allowance; In case of dystocia or cesarean section, the maternity allowance will be increased by half a month, and in case of 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.

2, maternity nutrition subsidies and perinatal health care subsidies

Those who meet the requirements of the state and 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.

3. One-time maternity allowance

After the female workers who participate in maternity insurance in the unit are unemployed, they can enjoy a one-time maternity allowance if they meet the family planning requirements during the period of receiving unemployment insurance money.

One-time maternity allowance: 2,400 yuan for miscarriage in 400 yuan and 4,000 yuan for dystocia and multiple births. 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.

4. Maternity leave allowance for employees

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.

5, family planning operation fee

Including the placement (removal) of intrauterine devices, induced abortion, induced labor, skin burial, sterilization and recanalization due to family planning needs, which are included in the settlement scope of maternity insurance fund.

Reimbursement standard of maternity insurance for female employees in jinchang

Reimbursement standard of maternity insurance for male employees in jinchang

Reimbursement conditions

Employees who enjoy maternity insurance benefits shall meet the following conditions:

1. The employer has paid more than 1 year for employees and continues to pay;

2, in line with national and provincial population and family planning laws and regulations.

Reimbursement materials

Fertility:

1. One original and two copies of the marriage certificate;

2. Original 1 copy and 2 copies of the maternity service certificate (it is best for employees who participate in maternity insurance in other places to provide the Beijing maternity service certificate, and if they cannot provide it, they need to provide a formal maternity service certificate in other places);

3. Original birth medical certificate 1 copy and 2 copies;

4. One original and two copies of the medical blueprint;

5. Original diagnosis certificate issued by the hospital 1 copy, 2 copies;

6. Original documents of all hospitals;

7 two copies of the examination and approval form for maternity reimbursement, with official seal;

8. Two copies of Health Form I, both with official seals;

9. Two copies of Health Form II with official seal;

10, maternity reimbursement summary table 1 copy, with official seal.

Family planning:

1, the original marriage certificate and two copies;

2. The original and two copies of the Medical Blueprint;

3. The original and two copies of the diagnosis certificate issued by the hospital (how many weeks does induced abortion take);

4. Original documents of all hospitals;

5. Two copies of the approval form for maternity reimbursement, with official seal;

6 health form in duplicate, stamped with the official seal;

7. Two copies of Health Form II with official seals.

Treatment process

1, after a female worker is pregnant, has an abortion or has a family planning operation, the employing unit or the staff of the street or town labor security service station will bring the application materials to the maternity insurance window of the district social labor insurance for handling;

2, the staff to accept the examination and approval, issued a medical certificate;

3. Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance agency for treatment settlement;

4, workers accept the examination and approval, pay maternity medical expenses and maternity allowance.