How is maternity insurance reimbursed and how much can it be reimbursed?

Mondo Social Updated on 2024-01-19

Participating in maternity insurance can enjoy the following benefits:

1.Reimbursement of medical expenses: Maternity insurance includes reimbursement of maternity medical expenses, including prenatal examinations, childbirth, postpartum follow-ups, etc. Once you enroll in maternity insurance, you can be reimbursed for these expenses directly at the hospital without having to bear them yourself. 2.Maternity allowance: Maternity insurance also provides maternity allowance, which is to compensate for the loss of income due to rest during childbirth. The amount of the maternity allowance depends on your salary and contribution base and is usually paid in a lump sum. 3.Vacation arrangement: Maternity insurance also provides you with prenatal check-up leave and maternity leave. Antenatal leave is a period of time dedicated to prenatal check-ups, and maternity leave is a period of time when you need to take a break after giving birth. During these holidays, you will be compensated accordingly. 4.Long-term care leave: If you need long-term care after giving birth, maternity insurance also provides long-term care leave. During this time, you can be compensated accordingly. 5.One-time nutrition allowance: For eligible newborns, maternity insurance also provides a one-time nutrition supplement. This fee is used to support the nutrition and health of newborns. In conclusion, enrolling in maternity insurance can provide you with protection and support for medical expenses, loss of income, vacation arrangements, and more during childbirth. Therefore, it is recommended that you enroll in maternity insurance if you have the conditions to protect your maternity rights. The maternity insurance reimbursement process mainly includes the following aspects:

1. After the female employee becomes pregnant, 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 office;

2. After the staff accepts and approves the application, the medical certificate will be issued

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 office to handle the settlement of benefits;

4. After the staff accepts and approves the payment, the maternity medical expenses and maternity allowance shall be paid.

The amount of maternity allowance can be reimbursed is related to the salary level of the unit. If the maternity allowance is higher than the maternity leave salary standard, the employer shall not deduct it;If the maternity allowance is lower than the maternity leave salary standard, the employer shall make up the difference. In other words, the maternity allowance will not be lower than the average unit wage.

Suppose that the maternity allowance of employee A of a certain unit is 4,000 yuan per month, and the average salary of the employer is 4,500 yuan per month, and the difference of 500 yuan needs to be made up by the employer.

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