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Provisions on the scope of maternity insurance reimbursement

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Provisions on the scope of maternity insurance reimbursement


        

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  • 2024-05-26 14:01:14

    1. Maternity medical expenses. The examination fee, midwifery fee, operation fee, hospitalization fee and medicine fee of female workers' childbirth shall be paid by the maternity insurance fund. The medical business expenses and drug expenses (including the drug expenses for self funded drugs and nutritional drugs) that exceed the provisions shall be borne by the employees themselves.

    After female employees leave hospital after childbirth, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; Medical expenses for other diseases shall be handled in accordance with the provisions on medical insurance benefits. If female employees need rest and treatment due to illness after their maternity leave expires, they shall be treated in accordance with the relevant provisions on sick leave benefits and medical insurance benefits.

    2. Maternity allowance. The maternity allowance enjoyed by female employees during maternity leave according to law shall be calculated and paid according to the average monthly salary of the employees of the enterprise in the previous year and shall be paid by the maternity insurance fund.

    [Legal Basis]

    According to Article 56 of the Social Insurance Law, employees who have any of the following circumstances may enjoy maternity allowances in accordance with national regulations:

    (1) Female employees enjoy maternity leave after childbirth;

    (2) Enjoy family planning surgery leave;

    (3) Other circumstances stipulated by laws and regulations.

    The maternity allowance shall be calculated and paid according to the average monthly salary of the employees of the employer in the previous year.

    h***

    2024-05-26 14:01:14

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