Reimbursement Standards
The reimbursement standards for prenatal checkups and outpatient family planning surgeries for female workers are as follows:
(1) prenatal checkups: 300 yuan per person
(2) abortions: 200 yuan (induced abortions: 600 yuan)
(3) intrauterine placement of a birth control ring: 50 yuan, and removal of a birth control ring: 25 yuan.
Female workers who give birth, hospitalized childbirth medical expenses and hospitalized family planning surgery reimbursement standards are:
1. 1,000 yuan for a normal delivery
2. 1,500 yuan for artificial intervention in childbirth (refers to forceps-assisted delivery, fetal suction)
3. 2,500 yuan for a cesarean section
4. 200 yuan for a flat rate for each additional person for multiple births.
The maternity allowance for female workers is paid in accordance with the average monthly salary of the workers in the employer's organization in the previous year, and the specific standards are as follows:
(1) If the pregnancy is terminated at less than 12 weeks of gestation, the worker will be entitled to a maternity allowance of 15 days.
(2) If the pregnancy is terminated after 12 weeks but less than 16 weeks, the maternity allowance is 30 days.
(3) If the pregnancy is terminated after 16 weeks but less than 28 weeks, a 42-day maternity allowance shall be granted.
(4) In case of termination of pregnancy of 28 weeks or more and normal childbirth, 90 days of maternity allowance.
Requirements for reimbursement
1. Participating in maternity insurance and paying maternity insurance premiums in full and on time for six months;
2. Complying with the provisions of the state and the city's family planning policy.
3. Existence of labor relations with the contributing unit.
Reimbursement materials
Materials for applying for maternity insurance benefits
1.Xiangyang Municipal Maternity Insurance Application Form for Medical Treatment filed by the social security agency
2.Marriage certificate (original and copy)
3.Certificate of birth (original and copy)
4.Birth certificate (death certificate) (original and copy)
5. ID cards of both parties (original and copy)
6. Discharge summary
7. Original hospitalization invoice and one-day list of expenses (outpatient medical records and prescriptions are required if treatment is provided on an outpatient basis)
8. Prenatal checkups with (maternity health care booklet) blood and urine tests, ultrasound reports and other related materials
9. Spouse of a male employee without a If his spouse does not have a work unit, he should also provide a certificate issued by the village (neighborhood) committee of his spouse's location that he does not have a work unit
Materials for reimbursement of medical expenses for childbirth in a different place
1. birth certificate
2. birth certificate
3. marriage certificate
4. original ID card and its photocopies.
5. Hospitalization invoice
6. Discharge summary "one day list"
Processing
Maternity insurance treatment application process
1. First of all, the unit in the online download maternity medical filing form, select the maternity hospitals and maternity hospitals stamped with a record of the Industrial Accident and Maternity Section. The first step is to download the online maternity insurance filing form.
2. After the birth of a child, bring the above information to the Industrial Accident and Maternity Section for acceptance and review, and generate a monthly settlement, and then pay the following month.
Process of reimbursement of medical expenses for childbirth in other places
Declaration by unit→acceptance→entry of documents→audit and signature of section chief→audit and signature of supervisor→settlement section
Time limit and address
Time limit for processing:
Time limit for processing:
Address for processing:
Social Insurance Administration for Urban and Rural Residents, Fancheng District, Xiangyang City
Address: Xiangyang City, Xiangyang, China p>Address: Fancheng District, Xiangyang City
Baokang County Social Insurance Administration
Tel: (0710) 5812757
Address: No. 25, Dong Houjie
Nanzhang County Rural Social Insurance Administration
Address: 157, Bianhe Road, Nanzhang County, Xiangyang City, Hubei Province
Expanded Readings: How to buy insurance. Which is good, hand in hand to teach you to avoid the insurance of these "pits"