Job Recruitment Website - Social security inquiry - How does Santai County Social Security Bureau pay 20 19 for urban residents' medical insurance?

How does Santai County Social Security Bureau pay 20 19 for urban residents' medical insurance?

The difference between urban residents' medical insurance (300 yuan/year) and individual social security medical insurance is mainly the difference between the premiums paid and the benefits enjoyed (both are paid by individuals).

Social security: including outpatient service and hospitalization, the amount to be paid this year is: based on 2554, outpatient service 1685.64, serious illness relief 9* 12= 108, hospitalization 1838.88, totaling 3632.52 a year.

Medical reimbursement for urban residents: including outpatient service and hospitalization, one-year premium of 300 yuan (original price of 580 yuan, government subsidy of 280 yuan).

Enjoy the treatment difference:

Outpatient clinic:

Individuals pay social security fees, and there is a sum of money in the social security card every year, which is about 800 this year (in fact, it is equal to the premium paid by themselves). If you swipe your card every time you go to the clinic, you will pay in full in your card. After the amount in the card is used up, you need to swipe your card again. From 1000 yuan, you can enjoy reimbursement, with the proportion ranging from 50% to 80% (according to different hospital levels, the higher the level, the lower the proportion, with the highest reimbursement amount of 4,000 yuan).

For medical insurance for urban residents, there is no money in the social security card, and every time they swipe their cards in the outpatient department, the expenses that meet the scope of social security drugs will be borne by 200 yuan, which is more than 200 yuan's reimbursement, with the proportion ranging from 35% to 50% (in principle, the higher the level, the lower the proportion), with the highest 1500 yuan.

Hospitalization:

Personal social security payment: after deducting the minimum payment standard, the expenses that meet the scope of social security drugs will be reimbursed according to a certain proportion. /kloc-within 0/times salary, 80% will be reimbursed before retirement, and the highest average salary is 6 times, which is 654.38+0.8 million this year. If it is more than 6 times, it will be reimbursed by the serious illness relief fund, accounting for 80%, with a maximum of 654.38+0.5 million. The maximum reimbursement is 330,000.

Medical insurance for urban residents: those who are hospitalized by credit card and meet the scope of social security drugs will be reimbursed 60% after deducting the minimum payment standard (the minimum payment standard is half of the individual social security contribution), with a maximum of 6.5438+0.8 million.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.