Ningbo expanded maternity insurance coverage and flexible employment personnel can also enjoy maternity allowances

Employees can also enjoy fertility allowances! The reporter learned from the Ningbo Medical Security Bureau that starting from July 1 this year, the city has expanded the coverage of maternity insurance. In addition, it has also launched a way to pay the medical expenses of unified maternity insurance. Three -child "maternity insurance treatment policy and other series of supporting measures.

Flexible employees can participate in maternity insurance

It is understood that starting from July 1 this year, individual industrial and commercial households, non -full -time employees, and other flexible employees (excluding unemployed workers who participated in the basic medical insurance of the municipal employee as the staff (excluding the unemployed during the period of the insurance premium period And the retirement delay personnel, the following collectively referred to as flexible employment) to participate in maternity insurance simultaneously. Personal employees are subject to personal payment. The payment base is implemented according to their basic medical insurance payment bases. 0.5%), from the adjustment of the basic medical insurance payment base of employees in 2022, the adjustment of the adjustable payment standards will be collected.

Flexible employees who meet the basic medical insurance benefits of the city's employees have maternity or planning for family planning operations (based on fertility or implementation of family planning surgery, the same below), and enjoy maternity insurance benefits in accordance with regulations. Maternity insurance benefits include maternity medical treatment and maternity allowances. Among them, the number of bases for maternity allowances is consistent with the amount of medical insurance payment in the previous year.

The flexible employees who participated in the basic medical insurance of employees who had a child who had children before 2022 still enjoyed maternity medical treatment in accordance with the original regulations.

Unified fertility insurance medical expense payment method

The fertility medical expenses of the basic medical insurance insured person (including pre -delivery inspection, family planning and other medical expenses) shall be enjoyed in accordance with the treatment standards prescribed by the basic medical insurance regulations of the employee. Flexible employees participating in the basic medical insurance of employees can enjoy maternity medical treatment, and the treatment standards are consistent with the employees who are not employed by employees from employees. The maternity medical expenses of the basic medical insurance insurers (including prenatal inspection), in accordance with the treatment standards stipulated in the basic medical insurance regulations of urban and rural residents.

The city has also unified the waiting period of maternity insurance benefits, and the start time of maternity insurance benefits is consistent with the basic medical insurance for employees. Among them, the payment of fertility allowances has not been paid for 6 consecutive months, and after the payment fee is full, they will be paid back.

The level of children's medical security further improves

In order to further do a good job in the insurance work of newborns, and implement the policy of enjoying medical insurance treatment from the date of birth, the medical insurance department has improved the child medical insurance policy of pre -school insurance, and through basic medical insurance, major illness insurance, and medical assistance triple system comprehensive system integration The effective connection between protection with Huimin -type commercial supplementary medical insurance will further improve the level of children's medical insurance.

In addition, the scope of protection of special diseases has also been expanded, and epilepsy and children's autism are included in the management of special diseases for outpatient clinics. After the insured persons go through the regulations, the medical expenses that occur in the treatment of special diseases will be treated in accordance with the regulations. Medical expenses settlement.

■ link

Related policy Q&A

What treatment can I enjoy after participating in maternity insurance?

After participating in maternity insurance, flexible employees can enjoy maternity insurance benefits and job employees, including: maternity medical expenses, maternity allowances, and maternity medical quotas for their unlimited spouses.

How many fertility allowances can be received by flexible employees?

The maternity allowance was issued according to the monthly medical insurance payment base of the previous year when the newborn was born ÷ 30 × statutory maternity leave days. For example, Xiao Wang is a flexible employee in this city. After July 1 this year, he participated in maternity insurance and gave birth to a child for the first time in December. Last year's monthly payment base was 3957 yuan. According to the current policy, the number of maternity leaves that Xiao Wang could enjoy was: 158 days of maternity leave, 15 days of cesarean section, and a total of 173 days. Therefore, the fertility allowance that Xiao Wang can enjoy is 3957 ÷ 30 × 173 = 22818.7 yuan.

What are the conditions for the application of maternity allowances of flexible employment personnel?

Flexible employees who have been fertilized from July 1, 2022 are normal in the city's medical insurance for employees in this city, and they have continuously paid employee medical insurance (including maternity insurance) for 6 months when applying for maternity allowances. Specify maternity allowances.

How to apply for the maternity allowance of flexible employment personnel and the quota subsidy of unlimited spouses?

Eligible flexible employees can apply directly to the medical insurance agency of the Insurance Land, or apply for online application through the "Zhejiang Office" app.

Reporter Sun Meixing Correspondent Xu Mingsui

- END -