The new policy of medical insurance for Shandong employees will be in 2023 at the latest.

It is understood that the content of the new medical insurance policy for employees in different places is different. Take a city in Shandong Province as an example: the new policy of medical insurance for urban workers is as follows: the medical insurance for urban workers is coordinated at the municipal level, and the policies, standards and processes are unified throughout the city. First, the medical insurance for urban workers shall be coordinated at the municipal level, and policies, standards and procedures shall be unified. Two, the payment base (adjusted once a year) is the average monthly salary of employees in the previous year, which is lower than the minimum payment base determined by the province, and the minimum monthly payment base is calculated according to the minimum payment base of 2300 yuan). Three, the proportion of payment units pay 7%, individuals pay 2%; Particularly difficult, the application is made by the unit, and the unit pays 7%. Individuals do not pay fees, do not establish personal accounts, and only enjoy hospitalization medical treatment. Four, the large payment standard is per person per month 10 yuan, and each unit and individual shall bear the 5 yuan; The monthly 5 yuan payable by retirees is deducted from the personal account. 5. According to the payment base, the allocation ratio of employees under 45 years old (including 45 years old) is 2.4%, and that of employees over 45 years old is 3. 1% (the payment base is provided by the finance and the unit); Retirees are based on personal pensions, and the distribution ratio is 4%. The next month is transferred to the personal account of last month. Six, the insured in the designated hospitals in this city, with the social security card direct settlement, only pay the part that the individual should bear; If you are hospitalized in the provincial settlement platform, you must first go through the registration formalities at the Medical Security Department of the County People's Social Security Bureau, and you can directly settle your personal burden online; If you go to a designated hospital outside the province, you must first register with the county medical security office. After leaving the hospital, you will submit the materials required for reimbursement to the unit, which will report them to the medical security office in a unified way and reimburse them once every quarter. 7. Deductible for hospitalization: 200,600 and 700 yuan for first-,second-and third-class hospitals, respectively, and the second hospitalization reduction within the year 100 yuan. Top bank: the annual basic medical insurance is 654.38+10,000 yuan, and the large amount of assistance is 400,000 yuan, totaling 500,000 yuan. The proportion of reimbursement for basic medical care: 90%, 85% and 80% (expenses within the scope of the policy) for first-,second-and third-class hospitals respectively, and the proportion of reimbursement for retirees increased by 5% respectively. Transferred to designated hospitals in other provinces, non-designated public hospitals outside the province and outside the city were 10%, 15% and 25% respectively. Large reimbursement ratio: 80%, 70%, 60% and 50% of expenses (expenses within the scope of the policy) between 6,543,800 yuan and 200,000 yuan, 200,000 yuan to 300,000 yuan, 300,000 yuan to 400,000 yuan and 500,000 yuan respectively. Need to be transferred to hospital for treatment, must be reported to the medical insurance agency for approval, without approval to the hospital outside the city will not be reimbursed. Eight, 34 kinds of special diseases for employees and 4 kinds of diseases for residents. Organization identification once a year, registered in August and identified in September. Those who are not hospitalized will not be accepted, including those suffering from malignant tumor, leukemia, uremia, organ transplantation, comprehensive treatment after cardiovascular (brain, aorta) diseases, and mental illness after discharge. The insured's medication is limited to the identified diseases, and each dosage is limited to one month. Drugs and checklists issued by private hospitals and clinics will not be reimbursed. If there are complications, you can buy drugs according to the confirmed complications. General diseases can not exceed 4 kinds of drugs, and under special circumstances, it can not exceed 6 kinds of drugs after approval. Once every two years, if the disease is cured or the remission is not up to standard, it will be cancelled. Patients have not incurred medical expenses for 6 months, and their qualifications are automatically terminated. Those who are found to be unqualified may not apply again this year; In the process of identification, if there is fraud, its identification is invalid and it is not allowed to re-apply within two years. Nine, the minimum payment period for retirees is 30 years for men, 25 years for women and 25 years for retired workers. Continuous service in line with national policies before starting medical insurance is regarded as payment period. If the payment period is insufficient, the payment shall be made according to the minimum period, and the base and proportion of payment shall be handled according to the current provisions on charges.