Beijing one old one small for the conditions

An old man and a young man insurance conditions: have the city's non-agricultural household registration, and in the city's administrative area; where "an old man" mainly refers to the Beijing urban household registration, belong to the community management within the scope of never participated in the medical insurance, men aged 60 years old, women aged 50 years old old elderly.

I. Contribution standards

One old man: individual contribution of 325 yuan per person per year

One young man: individual contribution of 340 yuan per person per year

Special groups of people enjoy full subsidies for the payment of the fee:

Olderly people, students and children in urban areas who are enjoying the urban minimum subsistence guarantee for the urban residents of the city, as well as those who are entitled to the urban urban residents living in difficult conditions, and those who are enjoying the urban special hardship subsidy. Children, as well as retirees and old activists who are entitled to medical treatment with reference to the city's medical assistance scheme for the urban special hardship case, and other special groups of people will be fully subsidized by their respective districts and counties.

Second, the insurance years

A old: insurance year for January 1 - December 31 each month. From January 1 of the following year to enjoy the treatment of major medical insurance.

A small one: the insurance year is from September 1 to August 31 of the following year. From September 1 of the year of payment, you will be entitled to major medical insurance benefits.

Three, for the location

Place to participate in the insurance:

One old: to the domicile of the street (township) social security office to submit an application for participation in the payment procedures.

One small: participants in schools and child care institutions, the school and child care institutions are responsible for enrollment and payment procedures; diaspora infants and young children by their relatives in the domicile of the street social security office to enroll, payment.

Four, payment time:

One old: September 1 - November 30 each month, according to the payment standard one-time payment of major medical insurance premiums.

One small: school students and children in childcare institutions should pay the major medical insurance premiums in one lump sum from July 1 to September 30 every year according to the payment standard; non-school children and teenagers (except children in childcare institutions) should pay the major medical insurance premiums in one lump sum from June 1 to August 31 every year according to the payment standard.

V. Protection standards:

One old: outpatient, starting payment of 650 yuan, reimbursement rate of 50%, capped at 2,000 yuan; hospitalization, starting payment of 1,300 yuan, reimbursement rate of 70%, capped at 150,000 yuan.

One small: outpatient, starting payment of $650, reimbursement rate of 50%, capped at $2,000; hospitalization, starting payment of $650, reimbursement rate of 70%, capped at 170,000 yuan.

Sixth, medical settlement

Participants must bring their social security cards to the selected designated medical institutions when they fall ill;

Participants hospitalized for 90 days as a settlement period. If the hospitalization period does not exceed 90 days, it will be settled according to the actual number of days of hospitalization; if the hospitalization period exceeds 90 days, it will be settled every 90 days, and it will be regarded as the second hospitalization after the settlement of the bill.

Legal Basis

The Constitution of the People's Republic of China

Article 45 Citizens of the People's Republic of China have the right to material assistance from the State and society in old age, sickness or loss of the ability to work. The State shall develop the social insurance, social relief and medical and health services necessary for citizens to enjoy these rights.

The State and society protect the livelihood of disabled soldiers, provide compassionate care for the families of martyrs, and give preferential treatment to the families of soldiers.

The state and society help to organize the labor, life and education of blind, deaf, dumb and other citizens with disabilities.