員工服務
— Staff services—
本地生育
時間: 2020-12-08
<p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-weight:bold;font-size:14px;">一、</span><strong><span style="font-size:14px;">生育保險待遇標準</span></strong></span> </p> <table border="2" bordercolor="#000000"> <tbody> <tr class="firstRow"> <td width="166" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;text-indent:59px;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">項 &nbsp;目</span></strong> </p> </td> <td width="121" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:justify;"> <br /> </p> <div style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">醫療費用</span></strong> </div> <strong> <div style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">(最高結算標準</span></strong> </div> </strong> <p> <br /> </p> <p style="text-align:left;text-indent:28px;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">單位:元)</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:15px;text-align:justify;"> <br /> </p> <div style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">生育津貼</span></strong> </div> <strong> <div style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">(單位:月)</span></strong> </div> </strong> <p> <br /> </p> </td> <td width="214" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;text-indent:44px;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">生育津貼標準</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">產前檢查</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;text-indent:28px;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">800</span></strong> </p> </td> <td width="96" valign="center" style="text-align:left;background:#548DD4;" class="selectTdClass"> <span style="font-size:14px;">&nbsp; &nbsp; &nbsp; &nbsp; </span><strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">&nbsp; /</span></strong> </td> <td width="232" valign="center" rowspan="7" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">按照職工所在用人單位上年度職工月平均工資計發。★★由社保局系統自動核算、發放。</span></strong> </p> <p style="text-align:left;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">備注:</span></strong> </p> <p style="text-align:left;"> <span style="font-family:宋體;color:#FFFFFF;font-size:14px;">①女職工流產享受生育津貼限于1次</span> </p> <p style="text-align:left;"> <span style="font-family:宋體;color:#FFFFFF;font-size:14px;">②機關事業單位、領取失業保險金期間的女性失業人員、靈活就業人員不享受生育津貼待遇</span> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">順產</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">3000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">5</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">自愿剖宮產</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">3000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">5</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">剖 宮 產</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">5000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">5.5</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">門診流產</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">300</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">1</span></strong> </p> </td> </tr> <tr> <td width="166" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">3個月以下住院流產</span></strong> </p> </td> <td width="121" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">500</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">1</span></strong> </p> </td> </tr> <tr> <td width="166" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">3個月以上7個月以下</span></strong> </p> <p style="text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">住院流產</span></strong> </p> </td> <td width="121" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">1000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋體;color:#FFFFFF;font-size:14px;">1.5</span></strong> </p> </td> </tr> </tbody> </table> <p> <br /> </p> <p> <br /> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;"><strong>二、</strong></span><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">生育待遇享受對象</span></strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">(下述三類對象,簡稱“參保對象”)</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">1、女職工連續參加醫療保險滿6個月后生育的(計算月份不含補繳月份生育保險);</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">2、女性失業人員在領取失業保險金期間生育的;</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">3、參加我市職工醫保的靈活就業人員連續足額繳費滿6個月后生育的。</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">&nbsp;</span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">三、合肥</span></strong><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">本地生育</span></strong> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><strong><span style="font-size:14px;">1</span></strong><strong><span style="font-size:14px;">、生育備案</span></strong></span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span></strong> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="color:#000000;font-size:14px;"><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">網上辦理:</span></strong></span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;color:#000000;"></span> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">生育備案參保對象自確診懷孕后3個月內,準備以下材料關注“合肥醫保”微信公眾號線上辦理備案:</span> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">關注“合肥醫保”微信公眾號并登陸—“服務大廳”—“生育報銷”—“生育備案”—按照要求填寫信息,上傳材料進行備案:</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">①本人社會保障卡;②生殖保健服務證或生育證;③結婚證;④孕產婦保健手冊。</span> </p> <p> <br /> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、</span></strong><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">產檢費用和生育住院費用</span></strong><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">報銷</span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">員工在備案的定點醫院出示本人社會保障卡原件實時結算報銷。具體流程請咨詢備案醫院醫保部門。</span> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">3、生育津貼領取</span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">備案時有社會保障卡的,生育津貼將于出院結賬后的下一個月30號開始逐月發放至您的金融社保卡中。</span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">備案時無社保卡的,生育津貼將于出院結賬后的下一個月30號開始發放,生育津貼逐月發放至徽商銀行花園街支行,本人憑身份證原件到銀行領取。</span><strong></strong> </p> <p class="MsoNormal"> <strong><br /> </strong> </p> <p class="MsoNormal"> <strong>流產津貼領取</strong> </p> <p class="MsoNormal"> <span>醫療終結或產假后</span><span>1個月內帶以下材料到合肥市醫保中心生育經辦窗口辦理。</span><span>(</span><span style="color:#E53333;">6月30日前前臺可以受理,之后在合肥醫保微信公眾號申請,合肥醫保-進入服務大廳-業務辦理-生育保險-定點醫院流產的津貼申報-按要求上傳相關材料原件照片</span>) </p> <p> <br /> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">4、變更生產醫院</span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">可通過</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">“合肥醫保” 微信公眾號 “服務大廳”—“生育保險”—“備案轉移” 變更備案醫院。</span> </p> <p> <br /> </p> <p> <br /> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;color:#FF0000;"><strong><span style="font-size:14px;">【</span><strong><span style="font-size:14px;">注意事項</span></strong><span style="font-size:14px;">】</span></strong></span> </p> <p style="font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="color:#000000;font-family:arial, helvetica, sans-serif;font-size:14px;">1</span><span style="color:#000000;font-family:arial, helvetica, sans-serif;font-size:14px;">、出國、赴港、澳、臺地區生育的,不屬于保障女職工生育期間基本生活和基本醫療保健需要,不能辦理備案。</span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">2、在定點醫院生育且備案的參保對象無需再到醫保中心辦理備案,生育津貼也無需再到醫保中心申報;</span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">3、不管是定點醫院生育還是異地生育,都需備案成功之后才能報銷產前檢查費用。</span> </p> <p> <span style="font-family:宋體;"></span> </p> <p> <br /> </p>
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