Job Recruitment Website - Social security inquiry - Is there a difference between a social security card coordinated payment and a personal account payment?
Is there a difference between a social security card coordinated payment and a personal account payment?
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1, medical insurance co-ordination
Medical insurance co-ordination refers to all the employers in a co-ordinated area for the employees to pay medical insurance premiums deducted into the individual account of the remaining part. The medical insurance fund belongs to all insured persons and is centrally managed and uniformly adjusted by the social insurance agency. It is mainly used to pay for the medical, surgical, nursing and basic examination fees of insured employees. The medical insurance fund shall be used exclusively for this purpose, and shall not be misappropriated by any unit or individual.
2, medical insurance co-ordination freeze is what it means
Coordination of the freeze, that is, the insured person is not paid, interrupted payment, in the waiting period of medical insurance, has been included in the blacklist of medical insurance and so on one of the cases, can not enjoy hospitalization, special outpatient clinic, but can enjoy the general outpatient clinic and purchase of medicines, that is, hospitalization can not be entered into the co-ordination for the time being.
3, social security card integration freeze how to solve
Social security card integration freeze is usually due to the employer or the user did not pay the social security card in a timely manner and lead to arrears of social security card, the specific as follows:
① urban workers social security: the user needs to contact the employer social security personnel in a timely manner and to make up for the payment.
2 urban workers or urban and rural residents of social security: users need to go to the social security center to pay.
4. What is the reimbursement rate of the medical insurance system
The reimbursement rate of the medical insurance system:
①Medical expenses up to 100,000 RMB that are eligible for reimbursement: There is no starting standard for hospitals of the first level, and the reimbursement rate is 60%. Secondary hospital hospitalization starting standard of 300 yuan, the reimbursement rate of 55%; tertiary hospital starting standard of 659 yuan, reimbursement rate of 50% of the upper limit of 2000 yuan;
② medical insurance card is divided into two accounts, the integrated account and personal account. Their own monthly payroll deduction is included in the personal account, buy drugs and so on can be used. The company's payment belongs to the co-ordinated account, hospitalized with the invoice reimbursement of money from the co-ordinated account.
5, medical insurance to pay from where to deduct money
Medical insurance account. There are two accounts in the health insurance, one is personal account and the other is the coordinated account, the unit and the insured employees pay the health insurance fee according to a certain proportion into the two accounts respectively. When eligible for reimbursement, the self-payment portion is deducted from the individual account, and the reimbursable portion is deducted from the co-ordinated account, which is funded by the co-ordinated fund of the health insurance.
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