How to pay Shenzhen medical insurance?

Shenzhen social security is divided into three grades, and the proportion of pension, work injury, unemployment and maternity payment remains unchanged. It is mainly divided into medical insurance, basic medical care, basic medical care and basic medical care. Its treatment, treatment and adaptation to the crowd are different. 202 1 Shenzhen social security charging standard for the first, second and third tranches: Shenzhen 1 tranche 9 15. 10 yuan; Non-deep household second gear 7 17. 10 yuan; Non-deep household third gear 690.48 yuan; Shenhu 1 file 1 1 13.87 yuan. Each form of medical insurance corresponds to different insured people.

If you are hospitalized, what is the treatment?

1, 95% or 90% of the expenses above the deductible line can be reimbursed for hospitalization with Class I and Class II medical insurance.

2. For the third-level medical insurance insured, we can be hospitalized in the settlement hospital bound to the social health center, or referred to the hospital for hospitalization through the settlement hospital. Expenses incurred here that exceed the hospitalization deductible line can be reimbursed, and the reimbursement ratio is as follows: 85% for staying in a first-class hospital, 80% for staying in a second-class hospital, and 75% for staying in a third-class hospital.

If you are hospitalized directly in a hospital other than the settlement hospital without referral, you will be reimbursed according to 90% of the hospitalization payment standard of the hospital.

The above is about the retirement benefits of Shenzhen social security first, second and third files.

legal ground

labour law

Article 72 Employers and laborers must participate in social insurance and pay social insurance premiums according to law.

Social insurance law

Tenth employees should participate in the basic old-age insurance, and employers and employees should pay the basic old-age insurance premium.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employer and other flexible employees can participate in the basic old-age insurance, and individuals pay the basic old-age insurance premium.

The measures for the endowment insurance of civil servants and staff managed by reference to the Civil Service Law shall be formulated by the State Council.

Article 12 The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of employees stipulated by the state and record it in the basic old-age insurance pooling fund.

Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.

Thirteenth employees of state-owned enterprises and institutions to participate in the basic old-age insurance, the basic old-age insurance premiums payable during the payment period shall be borne by the government.

When the basic old-age insurance fund is insufficient to pay, the government gives subsidies.