Pregnancy Check-up Leave to Enjoy Social Insurance: Required Documents and Where to Obtain Pregnancy Check-up Confirmation for Social Insurance
How many times can a woman on maternity leave take paid prenatal check-ups covered by social insurance?
According to Article 32 of the Social Insurance Law 2014, the policy time for prenatal check-ups is stipulated as follows:
Policy time for prenatal check-ups
1. During pregnancy, female employees are allowed to take leave for prenatal check-ups 5 times, each time for 1 day. In cases where the employee is far from a healthcare facility or the pregnancy has complications or abnormalities, she may take 2 days off for each prenatal check-up.
2. The maternity leave for prenatal check-ups stipulated in this Article is calculated based on working days, excluding holidays, Tet holidays, and weekly days off.
Thus, a woman during maternity leave is entitled to take 5 days off for prenatal check-ups, each time for 1 day.
In cases where she is far from a healthcare facility or the pregnancy has complications or abnormalities, she can take 2 days off for each prenatal check-up.
Maternity leave for prenatal check-ups does not include holidays, Tet holidays, and weekly days off.
Additionally, employees who undergo prenatal check-ups during their annual leave, private leave, or unpaid leave are not entitled to social insurance benefits.
What documents are needed for prenatal check-ups covered by social insurance? Where to get certification for prenatal check-ups covered by social insurance?
What documents are needed for prenatal check-ups covered by social insurance?
Based on Section 2.2, Clause 2, Article 4 of the Procedure for resolving social insurance benefits and paying social insurance and unemployment insurance benefits issued with Decision 166/QD-BHXH in 2019, the process for receiving dossiers and returning results is stipulated as follows:
Receiving dossiers and returning results
2.2. For the maternity policies of those currently paying social insurance: The dossier is according to the provisions of Article 101 of the Social Insurance Law; Clauses 1, 2, 3, 4, 5 of Article 5 of Decree No. 115/2015/ND-CP; Articles 15, 18, 21 of Circular No. 56/2017/TT-BYT; Article 7 of Decree No. 33/2016/ND-CP and Clause 2 Article 15 of Decree No. 143/2018/ND-CP, including Form 01B-HSB prepared by the employer and the following documents:
2.2.1. Female employees taking prenatal check-ups, experiencing miscarriages, abortions, suction abortions, stillbirths, or pathological abortions; employees undergoing contraceptive measures:
a) For inpatient treatment: A copy of the hospital discharge certificate of the employee; in cases of referral during inpatient treatment, an additional copy of the referral document or hospital transfer document is required.
b) For outpatient treatment: A certificate of leave for social insurance; or a copy of the hospital discharge certificate with an indication from the treating doctor for additional leave post-inpatient treatment.
Thus, employees, including women wanting to take leave for prenatal check-ups covered by social insurance, need to obtain a certificate of leave for social insurance after each check-up. This document is also known as the prenatal check-up certificate for social insurance.
Upon obtaining the certificate of leave for social insurance, the employee must submit it to their employer, who will complete the dossier and submit it to the managing social insurance agency.
The deadline for submitting the prenatal check-up certificate for social insurance is 45 days from the date of return to work, according to Article 102 of the Social Insurance Law 2014.
Employees will receive payment for prenatal check-ups within 6 working days from the date the employer submits the complete dossier to the social insurance agency (as per the guidelines in Decision 166/QD-BHXH in 2019).
Payment for prenatal check-ups is usually made by the social insurance agency either in cash at the enterprise or via bank transfer to the employee's personal bank account.
Where to get certification for prenatal check-ups covered by social insurance?
According to Clause 1, Article 20 of Circular 56/2017/TT-BYT on guidelines for the Social Insurance Law and the Occupational Safety and Health Law in the healthcare sector issued by the Minister of Health:
Principles of certifying leave for social insurance
1. Certification of leave for social insurance must meet the following requirements:
a) Issued by a licensed healthcare provider. The practitioner working at this healthcare facility is authorized to sign the certificate of leave for social insurance as assigned by the head of that healthcare facility;
b) Compliant with the professional operation scope of the healthcare facility issuing the certificate of leave for social insurance as approved by the competent authority;
c) Appropriate to the health condition of the patient and in compliance with the professional guidance of the Minister of Health.
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Thus, to obtain a certification for prenatal check-ups covered by social insurance, female employees must visit and get the certification at licensed healthcare facilities authorized to issue this type of certificate.
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