How long does it take for Chengdu social security to enjoy medical insurance?

In daily life and work, people are also very concerned about how long Chengdu social security can enjoy medical insurance. Many people may only have a certain understanding of it, but they may not be clear. Next, I will bring you an answer to how long Chengdu Social Security can enjoy medical insurance. I hope it will help you.

1. How long does it take for Chengdu Social Security to enjoy medical insurance?

There are three different situations:

1. After paying medical insurance for half a year, you can enjoy medical insurance reimbursement;

2. Men who have worked for 25 years and women who have worked for 20 years can enjoy medical insurance benefits after retirement;

3. Only enjoy welfare after retirement, and don't pay. According to the relevant laws and regulations, individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement if they reach the statutory retirement age and the accumulated payment reaches the number of years stipulated by the state.

Enjoy the basic medical insurance benefits in accordance with the provisions of the state, and if it fails to reach the prescribed time limit, it can pay the fees within the prescribed time limit. If the payment period of medical insurance is not reached when reaching retirement age, the payment period of medical insurance can be supplemented at one time before retirement according to the existing regulations.

Two, Chengdu medical insurance reimbursement standards

According to the Measures of Chengdu Municipality on Basic Medical Insurance for Urban Workers:

Article 11 (Qifubiaozhun for Overall Fund)

The qifubiaozhun of the overall fund is determined according to the hospital level. The qifubiaozhun for the community health service centers (including township hospitals, the same below) that meet the requirements and have signed hospitalization service agreements with medical insurance agencies is 160 yuan, and the qifubiaozhun for referral outside the city is 2000 yuan. Under any of the following circumstances, the Qifubiaozhun can be reduced or exempted:

(1) If the insured is hospitalized several times in a natural year, it will be reduced by 100 yuan, but the minimum is not less than 160 yuan;

(II) The hospitalization expenses incurred by the insured in designated medical institutions due to mental illness or AIDS that meet the reimbursement scope of basic medical insurance are not included in the Qifubiaozhun of the overall fund;

(3) Insured persons of 65,438+0,000 or above who meet the reimbursement scope of basic medical insurance due to illness in designated medical institutions are not included in the Qifubiaozhun of the overall fund;

(4) The insured suffers from malignant tumor surgery, radiotherapy and chemotherapy, dialysis transplantation for renal failure, anti-rejection therapy after liver, kidney and bone marrow transplantation, chronic leukemia, severe aplastic anemia and other diseases.

Myelodysplastic Syndrome, Myelodysplastic Diseases and Systemic Lupus Erythematosus have been hospitalized for many times in designated medical institutions, and those who meet the reimbursement scope of basic medical insurance shall be calculated once a year. Qifubiaozhun is determined according to the level of the designated medical institution where the insured person lives for the first time in the year;

(5) If the insured person is transferred from a low-level designated medical institution to a high-level designated medical institution or from a specialized hospital to a general hospital due to illness, it will only make up the difference between the Qifubiaozhun of the overall fund; From a high-level specialized hospital to a general hospital at the same level or lower level, or from a high-level designated hospital to a qualified community health service center, there is no need to calculate the Qifubiaozhun of the overall fund.

Insured persons who have implemented Qifubiaozhun according to the provisions of this article shall pay Qifubiaozhun in accordance with the provisions of the Measures for the Administration of Special Diseases and Family Beds in Outpatient Department of Chengdu Basic Medical Insurance.

Article 12 (Maximum Payment Limit of Overall Fund)

In a natural year, the medical expenses paid by the overall fund for individuals shall not exceed 4 times the average salary of employees in Chengdu last year.

Article 13 (Proportion of Overall Fund Payment)

One-time hospitalization medical expenses incurred by the insured in designated medical institutions that meet the provisions of the present Measures, whose amount is above the Qifubiaozhun of the overall fund, shall be paid by the overall fund in proportion according to the hospital level after deducting the expenses paid by the individual first:

85% of tertiary hospitals, 90% of secondary hospitals, 92% of primary hospitals and 95% of community health service centers have signed inpatient medical service agreements with medical insurance agencies. On this basis, those who have reached the age of 50 will increase by 2%.

Those who have reached the age of 60 will increase by 4%, those who have reached the age of 70 by 6%, those who have reached the age of 80 by 8%, and those who have reached the age of 90 by 10%. According to the reimbursement ratio of medical expenses after aging, it shall not exceed 100%.

100 years old and above, the reimbursement rate of hospitalization medical expenses incurred by insured persons in designated medical institutions that meet the scope of reimbursement of basic medical insurance is 100%.