Job Recruitment Website - Social security inquiry - How to divide the medical insurance co-ordination areas?

How to divide the medical insurance co-ordination areas?

In principle, administrative regions above the prefecture level (including prefectures, cities, prefectures and leagues) are defined as the overall planning units, and counties (cities) with a certain population can also be used as the overall planning units. All units and employees should participate in the basic medical insurance in their overall planning areas in accordance with the principle of territoriality, implement unified policies, and implement unified collection, management and use of basic medical insurance funds.

First, the basic medical co-ordination refers to the hospitalization expenses paid by the co-ordination fund in the hospitalization medical insurance expenses of each social security year, that is, reimbursement expenses. The balance of basic medical co-ordination refers to the remaining amount of the co-ordination fund in this social security year.

Second, medical treatment has nothing to do with household registration. The insured who participates in the basic medical insurance can be hospitalized in the designated medical institutions in our city with the social security card. If the insured person continuously pays the basic medical insurance premium less than 1 year, the annual cumulative payment limit of hospitalization basic medical insurance benefits is 2. 50,000 yuan; If the basic medical insurance premium is paid continuously for more than 1 year, the annual cumulative payment limit of hospitalization basic medical insurance benefits is 10. 50 thousand yuan.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 6 The State exercises strict supervision over social insurance funds. The State Council and the people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall establish and improve the supervision and management system of social insurance funds to ensure the safe and effective operation of social insurance funds. People's governments at or above the county level shall take measures to encourage and support all sectors of society to participate in the supervision of social insurance funds.

Article 7 The administrative department of social insurance in the State Council is responsible for the management of social insurance throughout the country, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties. The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.