How much can maternity insurance be reimbursed? The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. The medical service fee and medicine fee (including self-funded medicine and nutritional medicine) exceeding the prescribed amount shall be borne by the employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; The medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits. The maternity insurance policy emphasizes that if the maternity allowance is higher than my maternity leave salary standard, the employer may not deduct it; If the maternity allowance is lower than my maternity leave wage standard, the difference shall be made up by the employer. For example, the monthly maternity allowance for female employees is 5,000 yuan, while the average monthly salary of employers is 4,500 yuan. After being paid to the unit by the maternity insurance fund, the employer who exceeds the average wage of 500 yuan cannot deduct it; The monthly maternity allowance for female employees is 3,500 yuan, and the average monthly salary of the employer is 4,500 yuan. The difference of 1 0,000 yuan needs to be made up by the employer. For employees who originally participated in maternity insurance, who had given birth or planned parenthood before 2012/kloc-0 and enjoyed maternity leave, but later declared maternity allowance, the maternity allowance shall be calculated according to the new calculation method. Since 20 12, maternity insurance has adjusted the payment items and quota standards of some medical expenses for fertility and family planning operations, and the level of medical treatment has increased by about 20% on the original basis, and it is estimated that the fund expenditure will increase by about 25 million yuan. The expenses of examination, delivery, operation, hospitalization and medicine for female workers in the production process shall be paid by the maternity insurance fund. If the expenses exceed the prescribed reimbursement standard, the excess shall be borne by itself.

Legal objectivity:

Article 55 of People's Republic of China (PRC) Social Insurance Law includes the following items: (1) Maternity medical expenses; (two) family planning medical expenses; (3) Other project expenses stipulated by laws and regulations. Article 56 of the Social Insurance Law of People's Republic of China (PRC) * * * Employees can enjoy maternity allowance in accordance with state regulations in any of the following circumstances: (1) Female employees enjoy maternity leave when giving birth; (2) Enjoy family planning operation leave; (3) Other circumstances stipulated by laws and regulations. Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.