Hello everyone, today the editor will answer the following questions for you. Many people don’t know how to reimburse maternity insurance, the reimbursement process and usage of maternity insurance. Now let us Let’s take a look!
Contents of this article
- Xiamen maternity insurance reimbursement and maternity allowance reimbursement process
- Maternity insurance reimbursement process and usage
- 2023 maternity insurance reimbursement process
- Maternity insurance reimbursement process and fee standards
- How to reimburse maternity insurance Apply online
1. Xiamen maternity insurance reimbursement and maternity allowance reimbursement process
Xiamen residents’ maternity insurance reimbursement process is as follows:
1. Purchase maternity insurance. Go to the local social security department or social security agency to purchase maternity insurance and pay the premium.
2. Apply for reimbursement before delivery. Before giving birth, fill out the maternity insurance reimbursement application form at the local social security department or social security agency, provide relevant materials, such as prenatal examination reports issued by the hospital, delivery medical expense invoices, etc., and pay the personal out-of-pocket portion.
3. Review the reimbursement application. The social security department or agency will review the application form and related materials to confirm that the reimbursement conditions are met.
4. Reimbursement is received. After review, the reimbursement will be transferred to the personal bank account.
1. Apply for maternity allowance within 10 working days after delivery. Go to the local social security department or social security agency, fill out the maternity subsidy application form, and provide relevant materials, such as delivery medical expense invoices, household registration books, etc.
3. Reimbursement is received. Reimbursement payments will be transferred to personal bank accounts.
It should be noted that the reimbursement application time and materials for maternity insurance and maternity allowance are different, and the specific local regulations shall prevail.
2. Maternity insurance reimbursement process and usage
After reviewing the maternity insurance reimbursement process and usage, the following is:
1. The maternity insurance reimbursement process refers to the maternity medical expenses, maternity allowances and other expenses incurred by the employer and the employee during the childbirth period of the female employee, and the maternity insurance reimbursement process for the male employee during the childbirth period of the spouse. Nursing leave allowance is a procedure for reimbursement to the coordinating regional maternity insurance fund.
1. After a female employee becomes pregnant or before she has a miscarriage or family planning surgery, the employer shall reimburse her. Or the staff of the subdistrict or town labor and security service station bring the application materials to the maternity insurance window of the district social labor insurance office;
2. After the staff accepts and approves the application, they will issue a medical Certificate;
3. Within 30 days of maternity leave for female employees who give birth, the employer or the staff of the street or town labor security service station should bring the application materials to the district social labor insurance Go to the maternity insurance window to handle benefit settlement;
4. After the staff accepts and approves the application, pay the maternity medical expenses and maternity allowance.
2. When insured employees meet the following conditions at the same time, they can enjoy maternity insurance benefits in accordance with regulations:
(1) In compliance with the national , provincial and municipal family planning policies and regulations;
(2) When giving birth or undergoing family planning surgery, the employer has participated in maternity insurance and paid continuously and in full Maternity insurance premiums for 12 months or more
(3) Prenatal examination fees and production expenses, the parties concerned should bring their marriage certificate, social security card (citizen card) and the street issue. Please go to the designated hospital for maternity insurance to pay by card directly with your family planning certificate.
(4) To declare maternity allowance and one-time nutritional subsidy, you need to fill in the \”Maternity Insurance Benefit Declaration Form\”. Stamp the official seal of the unit, provide marriage certificate, only child certificate (for the child), discharge summary and other materials, and go to the Fertility Department of the Municipal Medical Insurance Center to complete the declaration procedures on the working days between the 1st and 10th of each month (relevant procedures should be done at Processed within one year after delivery)
3. 2023 maternity insurance reimbursement process
1. Application materials that employers need to submit:
2. Table of increase and decrease in personnel participating in basic pension, work-related injury and maternity insurance;
3. Basic pension, work-related injury and maternity insurance declaration summary form for enterprise employees
2. Female employees need to submit. Application materials:
1. Family planning certificate (original and copy) issued by the family planning department;
2. Infant birth (death) certificate issued by the medical department (original and copy);
3. Female employees who have given birth, family planning surgery Employee’s personal ID card (original and copy);
5. Application form for family planning surgery medical certificate for enterprise employees;
6. Application form for reimbursement of maternity medical expenses for enterprise employees;
7. Approval settlement form for maternity insurance benefits for enterprise employees;
8. Application form for enterprise employee maternity insurance for medical treatment in other places;
9. Invoices and fees for maternity medical expenses Original data such as checklist, outpatient medical records, discharge summary;
4. Maternity insurance reimbursement process and cost standards
1. Determine whether you meet the requirements for maternity insurance reimbursement. The company meets the relevant policies of family planning and has paid in full for maternity insurance for one year or more.
2. Know what maternity insurance benefits include. Maternity leave, maternity allowance, maternity medical expenses, and medical services.
3. After childbirth , prepare maternity insurance insurance information
1) Letter of introduction for maternity insurance collection stamped with the official seal of the unit;
2) Copy of the female employee’s ID card (fill in her social security number and her mobile phone number);
3) The original and copy of the family planning service manual with the official seal;
4) The baby’s birth medical certificate and copy;
5) Invoices for relevant expenses, invoices for childbirth expenses, and invoices for various expenses for prenatal inspection and supervision;
6) A copy of the first page of the female’s hospitalization medical record and the medical order (for those with birth complications, a detailed list of hospitalization expenses must be provided, and two copies of all reimbursement information must be prepared). If the birth occurs in a non-designated medical institution, it must be The first page of the medical record should be stamped with the official seal of the hospital.
4. Submit the maternity insurance reimbursement information to the maternity insurance agency and apply for benefits. After the application is approved, a detailed benefit will be provided. Details, if you fail, you can prepare relevant materials as required and apply for benefits again.
5. Wait for the maternity insurance reimbursement review. This process usually takes 15 working days.
6. Receive maternity insurance. The new version of the social security card and the financial function has been activated will be sent directly to the card; the social security card does not have financial functions, so you can apply for it according to the social security card. To handle the relevant requirements, a relevant SMS will generally be sent.
5. How to apply for maternity insurance reimbursement online
1. Open the Alipay app and click to enter \”City Services\”;
2. Click on \”Maternity Insurance\” I have applied for reimbursement. Among the parts that cannot be reimbursed by maternity insurance, only the woman can enjoy maternity medical treatment.
This is the end of sharing about how to reimburse maternity insurance. can help you.
