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What is the difference between urban and rural residents' medical insurance and social security medical insurance?
Legal analysis: First, the scope of enjoyment is different: in social security, medical insurance can't enjoy the reimbursement of hospitalization maternity medical care, employees have serious chronic diseases (serious diseases) to enjoy 17 diseases, and residents enjoy 8 diseases. Second, the reimbursement ratio is different: First, the hospitalization reimbursement ratio is different. The proportion of medical insurance reimbursement for employees is 92% for Class A, 92% for Class B, 70-80% for retired employees and 70-80% for Class B; The reimbursement rate of residents' medical insurance hospitalization is 80% and 70% in first-class hospitals, 70% and 60% in second-class hospitals, and 60% and 50% in second-class hospitals. Second, the proportion of reimbursement for serious chronic diseases (serious illness) is different: the proportion of reimbursement for medical insurance for employees is 75%, and that for urban residents is 50%.
Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in the basic medical insurance for employees, and both employers and employees shall pay the basic medical insurance premium according to the provisions of the state. 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.
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