The difference between the second and third social security files.

The difference between social security second gear and third gear is as follows:

1, different payment methods:

The second file: the payment base is the average monthly salary of employees in the previous year, and the payment ratio is 0.8%, of which the company pays 0.6% and the individual pays 0.2%;

The third file: the payment base is the average monthly salary of employees in the previous year, and the payment ratio is 0.55%, of which the company pays 0.45% and the individual pays 0. 1%.

2, hospitalization is different:

The second file: the hospitalization report is 90%, and hospitalization needs to be handled in a designated hospital;

Grade III: 85% in the first-class hospital, 80% in the second-class hospital and 75% in the third-class hospital. At the same time, it is necessary to bind community health hospitals. You can open a referral form by binding the hospital, and you can go to a higher level hospital.

Note: The reimbursement rate of hospitals directly thinking about hospitalization without referral slip decreased by 65,438+00%. Take tertiary hospitals as an example, the reimbursement rate can only be 67.5%.

3, the principle of medical treatment is different:

Second-class insured: outpatient service is treated in the binding center, hospitalization is treated in any designated medical institution in the city, and outpatient serious illness is treated in the prescribed medical institution;

Third-level insured: outpatient service is treated in the binding center, and hospitalization and outpatient service are treated in the prescribed serious illness medical institutions.

Legal basis: Article 64 of People's Republic of China (PRC) Social Insurance Law.

Social insurance funds include basic endowment insurance fund, basic medical insurance fund, industrial injury insurance fund, unemployment insurance fund and maternity insurance fund. In addition to the basic medical insurance fund and maternity insurance fund combined accounting, other social insurance funds are accounted for separately according to social insurance types. Social insurance funds implement a unified accounting system throughout the country.

The social insurance fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it.

The basic old-age insurance fund will gradually implement national overall planning, and other social insurance funds will gradually implement provincial overall planning. The specific time and steps shall be stipulated by the State Council.