Dongguan social security payment base 2023

1. How many years does Dongguan social security have to pay?

Social security has two parts, pension and medical care. Pension is to accumulate 15 years. However, the pension has stopped and medical care can't be bought. Medical treatment stopped before retirement, and then it disappeared. When the pension is stopped, it can accumulate 15 years, and the medical treatment has been stopped for two months. The previous payment is not counted, and it has been cleared. Treatment should last for 25 years. It has stopped, and the pension money can't be taken out. The most cost-effective thing is to start paying at the age of 30, and it is cost-effective to retire at the age of 55, and the old-age medical care has never stopped. But the future national policy is uncertain.

II. Dongguan Social Security Regulations

1, supplementary insurance implementation rules

Supplementary insurance includes hospitalization supplementary medical insurance and personal account of medical insurance. Those who have not participated in the hospitalization supplementary medical insurance cannot choose to participate in the medical insurance account alone.

Flexible employees and students need to pay supplementary insurance.

According to the detailed rules for the implementation of supplementary insurance, employees, urban and rural residents and flexible employees who participate in supplementary medical insurance are selected, and employees are paid by employers, urban and rural residents from villages and flexible employees from individuals to social insurance agencies in their towns.

Supplementary insurance includes hospitalization supplementary medical insurance and personal account of medical insurance. According to the Municipal Social Security Bureau, employers, villages and flexible employees can choose to participate in the medical insurance accounts of all or part of the insured on the basis of participating in the supplementary insurance for hospitalization; Those who have not participated in the hospitalization supplementary medical insurance cannot choose to participate in the medical insurance account alone.

2, the medical insurance account payment base is determined according to personal income.

The "Implementation Rules" clarify that the payment base of hospitalization supplementary medical insurance is determined according to the average monthly salary of urban workers in the previous year. The payment base of medical insurance account is determined according to personal income, and the employees are declared by the employer on a monthly basis according to their salary income, with a minimum of not less than 60% of the average monthly salary of urban employees in this city in the previous year and a maximum of not more than 300% of the average monthly salary of urban employees in this city in the previous year; The monthly per capita net income of rural residents in this city for more than one year is the payment base.

In addition, flexible employees can choose to participate in supplementary medical insurance according to employee standards, and if they participate in medical insurance accounts, their payment base will be declared by individuals according to employee standards. And in accordance with the provisions of the unified selection of college students, primary and secondary school students who did not participate in the basic social medical insurance in this city as a unit to participate in supplementary medical insurance. Among them, those who participate in the medical insurance account, the payment base is determined with reference to the standards of urban and rural residents. The above two types of personnel participate in supplementary medical insurance, and their contributions are borne by individuals.

3. Enjoy basic insurance benefits first, and then enjoy supplementary insurance for hospitalization.

The "Implementation Rules" clarify that the medical expenses incurred by the insured person in hospital or in a specific outpatient clinic that meet the scope of social insurance payment in this Municipality shall be paid in accordance with the relevant provisions of the basic medical insurance, and those who participate in the hospitalization supplementary medical insurance and meet the conditions for enjoying the hospitalization supplementary medical insurance shall be paid in accordance with the relevant provisions of the hospitalization supplementary medical insurance on the basis of enjoying the basic medical insurance benefits.

The insured person is hospitalized due to accidental injury, and the basic medical expenses that meet the requirements are paid by the serious illness insurance fund. The basic medical expenses paid by individuals can be subsidized according to the relevant provisions of the supplementary medical insurance for hospitalization.

4. If you have a medical insurance account, you can go to the community clinic to see a doctor and buy medicine.

If the insured person participates in the medical insurance account at the same time, he can seek medical treatment and purchase medicine in the outpatient department of the designated social insurance hospitals, retail pharmacies and designated community health service institutions in this city, and can directly use the funds in the medical insurance account of the social security card to pay the relevant medical expenses, and the medical insurance pooling fund will no longer pay. If the employer or individual who participates in the medical insurance account stops insurance, interrupts payment or fails to pay in full, he will stop enjoying the medical insurance account treatment from the month when he stops insurance, interrupts payment or owes money, and the balance of his medical insurance account can continue to be used.

5, the detailed rules for the implementation of serious illness insurance

These Detailed Rules shall be implemented from 031October 10 to 061October 10, and shall be valid until September 30, 2006.

Critical illness insurance also includes accidental injury, nutrition protection and drought protection, and the health drugs of the sales bureau cannot be reported.

If the insured person has participated in the basic social medical insurance in this Municipality, it can be regarded as participating in the medical insurance for major diseases at the same time, without additional payment.

After the implementation of the new social security policy, the insured can participate in the basic social medical insurance in this city, which can be regarded as participating in the medical insurance for major diseases at the same time, without additional payment.

The Detailed Rules for the Implementation of Serious Illness Insurance defines the order of treatment enjoyment, that is, the medical expenses incurred by the insured in hospital or in a specific outpatient clinic that meet the relevant provisions shall be paid in accordance with the basic medical insurance, supplementary medical insurance and other medical subsidies and relevant regulations. On this basis, if the compliant medical expenses paid by the insured meet the conditions for enjoying the treatment of serious illness insurance, they shall be paid by the serious illness insurance according to the relevant regulations.

6, three kinds of expenses are not included in the Qifubiaozhun.

However, after the medical expenses of the insured are paid by basic medical insurance, supplementary medical insurance and other medical subsidies, the three types of expenses are not included in the calculation of the deductible line of serious illness insurance. The package includes non-medical related expenses, which refers to the expenses unrelated to diagnosis and treatment during the hospitalization or specific outpatient treatment of the insured; Project cost of nutrition and health care drugs and materials.