1. The employee's unit has continuously paid maternity insurance in full 12 months or more.
2. The family planning operation produced or implemented by employees conforms to the national, provincial and municipal family planning policies.
Guangzhou maternity insurance project: maternity insurance medical expenses and maternity allowance.
Guangzhou maternity insurance reimbursement treatment standard:
Maternity insurance medical expenses: The maternity medical expenses incurred by the insured who meet the requirements of maternity insurance shall be settled by Guangzhou Medical Insurance Bureau and designated medical institutions according to the average quota standard of medical expenses for maternity and family planning operations.
Maternity allowance: if the insured has participated in Guangzhou maternity insurance 1 year, the maternity allowance he should enjoy shall be paid to the employer by the social insurance agency on a monthly basis.
Note: If the insured fails to pay maternity insurance in Guangzhou for 1 year, he can apply to pay maternity allowance within 1 year after the accumulated payment is over 12 months.
The specific calculation formula of maternity allowance = the average salary of employees in the previous year of the employer where the insured person gives birth or performs family planning surgery /30* holiday days.
Attachment: Guangzhou maternity insurance reimbursement related issues
1, the insured person is given family planning incentive leave, and does not enjoy maternity allowance, and the employer pays maternity leave wages according to relevant regulations.
2. During the period of enjoying maternity insurance benefits, if the employer stops paying maternity insurance premiums for the insured, it will stop paying maternity allowance to the employer from the month when the payment is stopped, and the maternity leave salary of the insured will be paid by the employer.
There are some details that we must pay attention to in practical application.
1. Pregnant women need to go to the community hospital for filing, and fill out and receive the Guangzhou Maternal and Child Health Manual after 7-8 weeks. Pay attention to the need to seal the community hospital, otherwise the designated hospital will not recognize it.
2. About12 weeks, 13 weeks, before Down's screening and blood drawing, the file was completed, that is to say, the hospital for prenatal examination was selected and the maternity insurance procedures were handled in the medical insurance window.
According to the above order, all the expenses that should be insured during pregnancy and childbirth can be insured to the maximum extent.