在青島繳納的生育保險,去外地生育,能享受生育保險待遇嗎?10日,記者從青島市人社局獲悉,參保職工需到青島市統籌范圍外生育的,須在產前向社保經辦機構提出異地生育,經審核備案后,生育后可按規定享受生育保險待遇。
異地生(sheng)(sheng)(sheng)育(yu)(yu)備(bei)案如何(he)辦理?青島(dao)市人社(she)(she)局工(gong)作人員(yuan)表示,參保職(zhi)工(gong)到(dao)本級統籌區(qu)域外醫院進行診(zhen)療(liao)(liao)或生(sheng)(sheng)(sheng)育(yu)(yu)的(de),應(ying)在產前(qian)攜(xie)帶本人申請、單位出(chu)(chu)具的(de)外地診(zhen)療(liao)(liao)或生(sheng)(sheng)(sheng)育(yu)(yu)證明、社(she)(she)保卡、身份證、計生(sheng)(sheng)(sheng)部門(men)出(chu)(chu)具的(de)合(he)法(fa)生(sheng)(sheng)(sheng)育(yu)(yu)證明材料,到(dao)各區(qu)社(she)(she)會勞動(dong)保險經辦機構(gou)辦理異地生(sheng)(sheng)(sheng)育(yu)(yu)備(bei)案手續。(計生(sheng)(sheng)(sheng)部門(men)出(chu)(chu)具的(de)合(he)法(fa)生(sheng)(sheng)(sheng)育(yu)(yu)證明材料包(bao)括:《計劃生(sheng)(sheng)(sheng)育(yu)(yu)服務手冊》、《生(sheng)(sheng)(sheng)育(yu)(yu)一孩優惠政(zheng)策告知(zhi)單》、《生(sheng)(sheng)(sheng)育(yu)(yu)證》、《生(sheng)(sheng)(sheng)育(yu)(yu)政(zheng)策過渡期生(sheng)(sheng)(sheng)育(yu)(yu)子女備(bei)案表》、《流動(dong)人口(kou)生(sheng)(sheng)(sheng)育(yu)(yu)服務登記證明》、《生(sheng)(sheng)(sheng)育(yu)(yu)服務手冊》等)。
對于經(jing)異(yi)地(di)備(bei)案生(sheng)(sheng)(sheng)(sheng)(sheng)產后,如何辦理生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)保險報銷(xiao)?“職(zhi)(zhi)工(gong)(gong)需攜帶社保卡、身(shen)份(fen)(fen)證、計(ji)生(sheng)(sheng)(sheng)(sheng)(sheng)部門出(chu)具的合法生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)證明材料、新生(sheng)(sheng)(sheng)(sheng)(sheng)兒出(chu)生(sheng)(sheng)(sheng)(sheng)(sheng)醫學證明、接診(zhen)醫院蓋章的《轉本(ben)級統籌外生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)證明》、出(chu)院小結(jie)、費(fei)用(yong)(yong)明細單(dan)(dan)、費(fei)用(yong)(yong)發(fa)票、本(ben)人(ren)在(zai)(zai)本(ben)市指定銀行(xing)開設的個(ge)人(ren)結(jie)算(suan)賬戶(hu)等辦理費(fei)用(yong)(yong)報銷(xiao)手續。”人(ren)社局工(gong)(gong)作人(ren)員說。據(ju)悉,女職(zhi)(zhi)工(gong)(gong)符合國家計(ji)劃生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)政策生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)或者實施計(ji)劃生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)手術,且所在(zai)(zai)單(dan)(dan)位按(an)照規(gui)定參加(jia)生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)保險并(bing)連續足額繳費(fei)一年(nian)以上的,可按(an)規(gui)定享受生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)保險待遇(yu)。生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)保險待遇(yu)包括生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)醫療費(fei)用(yong)(yong)和生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)津貼(tie)。生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)津貼(tie)按(an)照職(zhi)(zhi)工(gong)(gong)生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)或流產時所在(zai)(zai)用(yong)(yong)人(ren)單(dan)(dan)位當年(nian)1月(yue)(yue)份(fen)(fen)單(dan)(dan)位生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)保險平(ping)均繳費(fei)基(ji)數計(ji)發(fa)。職(zhi)(zhi)工(gong)(gong)生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)或流引產前(qian)12個(ge)月(yue)(yue)變動工(gong)(gong)作單(dan)(dan)位的,其生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)津貼(tie)按(an)照生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)或流引產前(qian)12個(ge)月(yue)(yue)內工(gong)(gong)作過的各用(yong)(yong)人(ren)單(dan)(dan)位當年(nian)度1月(yue)(yue)份(fen)(fen)單(dan)(dan)位生(sheng)(sheng)(sheng)(sheng)(sheng)育(yu)(yu)(yu)(yu)(yu)保險平(ping)均繳費(fei)基(ji)數的加(jia)權平(ping)均數計(ji)發(fa)。
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