What expenses are reimbursed by maternity insurance?

Maternity medical expenses include the following contents:

1, maternity medical expenses;

2. Family planning medical expenses;

3. Other project expenses stipulated by laws and regulations.

The specific process of maternity insurance reimbursement for male employees' spouses is as follows:

1. You need to go to the relevant department to issue a certificate that your spouse has no fixed job, and then prepare marriage certificate, ID card, birth status certificate, birth medical certificate, detailed list of hospitalization expenses and other materials;

2. Go to the maternity insurance reimbursement window of the local social security department, submit the maternity insurance reimbursement application to the staff, fill in the maternity insurance reimbursement application form, and submit relevant materials to the staff;

3. After receiving the submitted application materials for maternity insurance reimbursement, review the applicant's information;

4. After the approval, you can enjoy the maternity insurance reimbursement treatment.

To sum up, only when you are insured during childbirth and have been insured for 1 year can you enjoy maternity allowance. If the accumulative period is less than 12 months, the company may pay the maternity allowance in advance. After payment 12 months, the company will bring all the information to the relevant institutions, and the maternity allowance will be directly credited to the company account. But the company will deduct the part that has been distributed to you, and return the extra part to you. If it is a medical reimbursement, according to the relevant regulations, as long as maternity insurance is paid, it can be reimbursed next month, and the reimbursement will be settled in the hospital immediately.

Legal basis:

Article 54 of the Social Insurance Law of People's Republic of China (PRC)

The employer has paid maternity insurance, and its employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Article 56

Workers in any of the following circumstances can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.