員工服務
— Staff services—
異地生育
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" style="width:500px;"> <tbody> <tr class="firstRow"> <td width="166" valign="center" style="background:#548DD4;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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 style="text-align:left;"> <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;"> <p style="text-align:left;text-indent:15px;"> <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 style="text-align:left;"> <br /> </p> </td> <td width="213" valign="center" style="background:#548DD4;"> <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;"> <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;"> <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;"> <br /> </td> <td width="213" valign="center" rowspan="7" style="background:#548DD4;"> <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;"> <p style="text-align:left;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;"> <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:left;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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;"> <p style="text-align:left;text-indent:28px;"> <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> <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:20px;font-family:arial, helvetica, sans-serif;"><br /> </span> </p> <p> <strong><span style="font-size:14px;font-family:arial, helvetica, sans-serif;">三、合肥異地生育</span></strong> </p> <p> <br /> </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;"><strong><span style="font-size:14px;">1</span></strong><strong><span style="font-size:14px;">、生育備案</span></strong></span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <strong><span style="font-family:arial, helvetica, sans-serif;">線上辦理:</span></strong> </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 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 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;"><br /> </span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="color:#000000;"><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></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:14px;color:#000000;">產前檢查和生育住院的醫療費用由參保對象先行墊付。</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 style="font-size:14px;">生育出院結賬后的4個月內攜帶《合肥市職工生育保險待遇申報表》(可在本頁下載使用)及表中要求的材料到</span><strong><span style="color:#FF0000;font-size:14px;">合肥市醫保中心</span></strong><span style="font-size:14px;">申報生育保險待遇。(含醫療費用和生育津貼)</span></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;"><br /> </span> </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;">3、生育津貼領取</span></strong></span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="color:#000000;"><strong><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span></strong></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;">(1)產前檢查和生育住院醫療費用將于申報后的下一個月30號發放;</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:20px;color:#000000;"><span style="font-size:14px;">(2)</span><span style="font-size:14px;">生育津貼將于申報后的下一個月30號開始逐月發放;</span></span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="color:#000000;font-family:arial, helvetica, sans-serif;font-size:14px;">(3)發放方式:</span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="color:#000000;font-family:arial, helvetica, sans-serif;font-size:20px;"></span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">備案時有社會保障卡的,上述生育待遇發放至您的金融社保卡中。</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:14px;color:#000000;">備案時無社保卡的,上述生育待遇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> </p> <p> <span style="font-size:20px;font-family:arial, helvetica, sans-serif;"><br /> </span> </p> <p> <span style="font-size:20px;font-family:arial, helvetica, sans-serif;"></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> <span style="font-size:20px;font-family:arial, helvetica, sans-serif;"></span> </p> <p style="text-indent:32px;"> <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:#000000;"><strong><span style="color:#FF0000;"><span style="font-size:14px;">【</span><strong><span style="font-size:14px;">注意事項</span></strong><span style="font-size:14px;">】</span></span><br /> </strong></span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <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:14px;color:#000000;">1、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;"><br /> </span> </p> <p> <span style="font-family:宋體;"><br /> </span><strong><span style="font-size:14px;">【表格中涉及的模板如下,請下載使用】</span></strong> </p> <p> <strong><span></span></strong> </p> <p> <a href="http://fesco.s11.reizmedia.com/ueditor/php/upload/file/20201207/1607323457674367.doc"><span style="font-size:14px;">合肥市職工生育保險待遇申報表.doc</span></a> </p> <p> <br /> </p>
其他相關推薦
相關信息查詢 生育假期規定 變更備案醫院
黄瓜影视 - 黄瓜影视app官网下载安装 - 黄瓜影视官网下载地址 - 黄瓜影视无限观看