How long can Dandong maternity insurance be reimbursed and the reimbursement ratio?

Maternity insurance is a social insurance system in which the state and society provide medical services, maternity allowance and maternity leave when pregnant and pregnant female workers temporarily stop working, and the state or society provides necessary economic compensation and medical care for maternity workers. Maternity insurance benefits in China mainly include two items. One is maternity allowance, and the other is maternity medical care. The Measures for Maternity Insurance in Ministry of Human Resources and Social Security (Draft for Comment) has been open to the public for comments since 2012165438+10. The opinion draft makes it clear that maternity insurance benefits will no longer be limited to household registration, and units that do not pay maternity insurance must pay maternity fees.

What are the reimbursement conditions for maternity insurance in Dandong City?

1. Relevant personnel who meet the family planning regulations of the state, autonomous regions and municipalities directly under the Central Government. (that is, if you get a marriage certificate at the legal age according to state regulations, you can enjoy giving birth to the first or second child within marriage! Children born without legal recognition will not be reimbursed! )

2. Before delivery, the employer has paid maternity insurance in full for the insured person for more than half a year! (According to different regions, the policies will be different. Some areas require more than one year, you can consult the relevant departments where the household registration is located ~)

3, according to the national standard payment ratio as the payment base 1% of the staff!

Dandong maternity insurance reimbursement materials

Necessary materials:

The identity card, medical insurance card, medical insurance manual, receipt, medical certificate and expense details of the insured;

Select materials:

(1) Provide the approval certificate of termination of pregnancy above the second trimester for induced labor;

(2) The fertility provider shall provide a birth registration form for one child (multiple children), a birth medical certificate, an honor certificate of the only child's parents, the original and photocopy of the marriage certificate, and a photocopy of the disease record;

(3) For male employees whose spouses have not participated in maternity insurance, provide medical insurance handbook, medical insurance card, one-child (multi-child) birth registration form, birth medical certificate, honor certificate of the only-child parents, original and photocopy of marriage certificate;

(4) Provide the examination and approval form for the birth of urban workers in Dandong;

(5) Referral provides "Dandong City Maternity Insurance Referral Approval Form".

Dandong maternity insurance handling process

By the employer to fill in the "Dandong city urban workers maternity insurance benefits application form" and hold relevant materials, to the city medical insurance management center to apply for maternity allowance and maternity medical expenses subsidies, and at the same time apply for the male spouse who has participated in maternity insurance health allowance.

How much is the maternity insurance reimbursement in Dandong city?

(1) For normal delivery, the per capita subsidy standard for maternity medical expenses is 1700 yuan (including 400 yuan for prenatal examination);

(2) In case of dystocia, the per capita subsidy standard for maternity medical expenses is 2,200 yuan (including 400 yuan for prenatal examination).

Tips: The medical subsidy for dystocia delivery is limited to breech traction, forceps delivery and fetal head aspiration;

(3) For cesarean section, the per capita subsidy standard for maternity medical expenses is 2,800 yuan (including 400 yuan for prenatal examination);

(4) For multiple births, the per capita subsidy standard for maternity medical expenses will be increased by 300 yuan for each additional baby. Anshan maternity insurance maternity leave treatment and maternity allowance standard

(5) If the pregnancy is less than 3 months (12 weeks) (including spontaneous abortion, induced abortion and drug abortion), the per capita subsidy standard for maternity medical expenses is 200 yuan;

(6) For those who are pregnant for more than 3 months (12 weeks) and less than 7 months (28 weeks), the per capita subsidy standard for maternity medical expenses is 400 yuan.