Job Recruitment Website - Social security inquiry - How to handle medical insurance for Kaifeng residents in Henan Province?
How to handle medical insurance for Kaifeng residents in Henan Province?
1. Prepare relevant materials first, including household registration book, original and photocopy of ID card, and one-inch color photo of ID card.
2. Secondly, go to the community (administrative village) neighborhood Committee where the household registration is located or where you live to register for insurance.
3. Then fill in the application form and submit relevant materials.
4. Then receive the payment notice and pay at the designated bank.
5. After the final payment is successful, wait for the medical insurance card.
What is the proportion of hospitalization reimbursement for residents' medical insurance?
1, students, children. In a settlement year, medical expenses less than 6,543,800 yuan+0.8 million yuan that meet the scope of reimbursement occurred. The minimum threshold for tertiary hospitals is 650 yuan, and the reimbursement rate is 50%, with an upper limit of 2,000 yuan. 300 yuan, the lowest threshold for secondary hospitals, has a reimbursement rate of 60%. There is no minimum threshold for primary hospitals, and the reimbursement rate is 65%.
2. At least 70 years old and above. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The minimum threshold for tertiary hospitals is 650 yuan, and the reimbursement rate is 50%, with an upper limit of 2,000 yuan. 300 yuan, the lowest threshold for secondary hospitals, has a reimbursement rate of 60%. There is no minimum threshold for primary hospitals, and the reimbursement rate is 65%.
3. Other urban residents. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The minimum threshold for tertiary hospitals is 659 yuan, and the reimbursement rate is 50%. The upper limit is 2000 yuan. The minimum threshold for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%. There is no minimum threshold for first-class hospitals, and the reimbursement rate is 60%.
To sum up, residents' medical insurance process participants: four groups of people, students from all kinds of primary and secondary schools (including vocational high schools, technical secondary schools and technical schools), children and other residents under the age of 18; /kloc-Non-employed residents aged 0/8 and above; Older people aged 60 and above who do not enjoy pension or pension benefits on a monthly basis.
Legal basis:
social security act
Article 23
Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.
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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