Job Recruitment Website - Social security inquiry - What's the difference between social security unification and unification?
What's the difference between social security unification and unification?
I. Personal account:
Unified no personal account;
Under two 35 years of age (including) unified according to the basic medical insurance payment base of 3% included; 35-45 years old (inclusive) included in the basic medical insurance payment base of 3.5%; Over 45 years of age into the basic medical insurance payment base of 4%.
Second, outpatient subsidy measures:
In accordance with the provisions of medical insurance outpatient medical expenses within 3000 yuan, employees at their own expense in 500 yuan, retirees at their own expense in 300 yuan, by the overall fund to give 40% subsidies.
In line with the basic medical insurance payment scope of the unified II outpatient medical expenses, paid by personal accounts. When the personal account funds are used up in that year, the outpatient medical expenses that meet the requirements of medical insurance are less than 3,000 yuan, the on-the-job personnel pay 500 yuan, the retirees pay 300 yuan, and the overall fund gives 50% subsidies.
Third, the hospitalization expenses:
Unified hospitalization reimbursement is consistent, and the first hospitalization Qifubiaozhun in the settlement year is 1000 yuan; The second hospitalization is 80% of the first qifubiaozhun, and there is no qifubiaozhun for the third and subsequent hospitalization within the settlement year. The proportion of overall fund payment is (taking tertiary hospitals as an example) 1 0,000 (excluding)-20,000 yuan, accounting for 81%; 20,000 yuan (excluding) to 40,000 yuan, accounting for 85%; 40,000 yuan (excluding) to 65,000 yuan, accounting for 89%; More than 65000 yuan, paid by the supplementary medical insurance 85%. The insured person carries the citizen card, the original invoice of medical expenses, and provides the expense list, discharge summary and other materials, and goes through the reimbursement review procedures at the window of the medical office of the Municipal Social Security Bureau.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.
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