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Yantai: How to calculate the income of social security card medical insurance account for employees?

According to the principle of "giving priority to efficiency, giving consideration to fairness and taking proper care of the elderly", personal account funds are temporarily included in the following standards:

1, monthly payment of employees under 35 years old (excluding 35 years old) = my monthly payment salary × 2.3%.

2, more than 35 years old to less than 45 years old (excluding 45 years old) on-the-job workers monthly delimit amount = my monthly salary × 2.7%.

3. The amount included for employees over 45 years old = my monthly payment salary × 3.4%.

4. Monthly payment of retirees = my age × 1.5.

If the insured person goes abroad to settle down, the medical insurance relationship is transferred out of the overall scope or dies, he may apply for a one-time payment of medical insurance personal account.

Note: The municipal administrative department of human resources and social security shall timely adjust and publish the transfer coefficient of individual account funds according to the social and economic development, the age structure of the insured and the fund income and expenditure.

Proportion of hospitalization reimbursement for Yantai employees' medical insurance

In a medical year, the medical expenses incurred by employees who are hospitalized due to illness and meet the relevant laws and regulations will be included in the medical insurance reimbursement above the deductible standard, as follows:

First-class hospital: 90% of the part above the deductible standard to the highest payment limit.

Secondary hospital: 90% of the part above the deductible standard to the highest payment limit.

Level III hospital: The reimbursement system is implemented in stages, and the maximum payment limit is 90%.

Note: Retirees will increase by 5 percentage points on the basis of the above payment ratio.