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What is the reimbursement rate of Nanjing medical insurance in 2023?
Medical insurance is one of the basic social security policies in China, which provides basic protection for the health of China residents. Generally speaking, the economic development in different regions is different, so the reimbursement ratio is different. The following is an explanation of the proportion of employees' medical insurance in Beijing. After receiving medical insurance, if they are on-the-job employees, the medical expenses above 1800 yuan can only be reimbursed, and the reimbursement rate is 50%. For retirees under the age of 70, the expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 70%. For retirees over 70 years old,180% of the expenses above 300 yuan can be reimbursed. Unemployed people can also pay medical insurance and endowment insurance. As long as they pay medical insurance, hospitalization can be reimbursed. What is the proportion of medical insurance reimbursement for unemployed people in Beijing? The general reimbursement rate is 70%. However, some drugs and inspection items are not covered by medical insurance, and doctors should be informed when checking and using drugs. Doctors know that all you have to do is tell them what kind of health insurance you have. The amount of medical insurance paid by the unemployed in Beijing is calculated according to the local social wages of the previous year, which varies from year to year. For example, the average salary of a prefecture-level city is 20,000, then the pension insurance payment is 20,000 * 20% = about 4,000/year, and the medical care is 20,000 *10% = about 2,000/year. In addition, the medical insurance for the unemployed also stipulates the lowest grade and the highest grade. The lowest grade shall not be less than 60% of the average monthly salary of social workers, and the highest grade shall not be less than 300% of the average monthly salary of employees. Generally, the lowest grades are mostly. When paying, you can go to the Social Security Bureau yourself or rely on talent and employment agencies to continue to pay in the form of freelancers. Take Beijing as an example. If you are unemployed, you will continue to pay medical insurance as a freelancer. Freelancers can only apply for medical insurance and endowment insurance, but maternity insurance, unemployment insurance and public works insurance cannot. In principle, the base of Beijing's endowment insurance for freelancers is the average social wage of the previous year, and the contribution ratio is 20%, of which 8% goes into personal accounts and 12% goes into the overall fund. However, if you are in financial difficulties, you can apply for the base of 60% of the average social wage, and there is a five-year transition period (the minimum pension base in 2007 is 40% of the average wage, in 2008 it is 45%, in 2009 it is 50%, 10 is 55%, and10 is 60%). Then it is calculated with the average monthly salary of 2734 yuan in 2005. Monthly payment of endowment insurance in 2007: 100% calculation: 2734*0.2=546.8 yuan 60% calculation: (2734*0.6)*0.2=328 yuan 40% calculation: (2734 * 0.4) * 0.2 = 2/kloc. No personal account: medical insurance paid in 2007: 2734*4.9%= 134 yuan, so if social insurance is paid in 2007, the maximum monthly payment is 546.8+ 134=680.8 yuan, and the minimum is 2 18.8 yuan. If the social security salary in 2006 is not 2734 yuan, what is the proportion of medical insurance reimbursement for the unemployed in Beijing? The proportion of medical insurance reimbursement is unified throughout the country, and it will not be different because the insured has a proper job. On this issue, everyone can rest assured.
Legal objectivity:
People's Republic of China (PRC) social insurance law
Article 23
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
People's Republic of China (PRC) social insurance law
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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