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How is the medical insurance base calculated?
The social system of medical insurance and social mutual assistance reflects the new social relationship of "one party in trouble and all parties support" by sharing the risk of disease costs among the insured, which is conducive to promoting social civilization and progress. I hope it will help everyone. First, how to calculate the payment base of social security and medical insurance? The payment base of on-the-job employees is my average monthly salary in the previous year. I last year's average monthly salary is higher than the average monthly salary of employees in this city by 300%, and the excess is not included in the payment base; If it is lower than 60% of the average monthly salary of employees in this Municipality in the previous year, 60% of the average monthly salary of employees in this Municipality in the previous year shall be the payment base. On-the-job employees pay the basic medical insurance premium according to the proportion of 2% of their base pay. Retirees do not pay the basic medical insurance premium. The payment base of the employer is the sum of the payment bases of the employees of the unit. The employer shall pay the basic medical insurance premium according to the proportion of its payment base 10%, and pay the local additional medical insurance premium according to the proportion of its payment base of 2%. Second, the medical insurance process in different places (1) is suitable for the insured person 1, and the insured unit is abroad; 2, long-term living in the field of insured retirees; 3, in the field of employment, as an individual or urban and rural residents insured; 4. Minors who participate in medical insurance live in other places with their parents for a long time; 5. Women who participate in medical insurance for urban and rural residents, have children and live in other places for a long time. (2) Procedures for medical registration 1, and obtain or post the * Application Form for People Working and Living in Different Places in the Municipal Basic Medical Insurance (hereinafter referred to as the "Application Form") on the social security website; 2, according to the provisions of the fill in, and by the foreign social insurance (medical insurance) agencies stamped "declaration form"; 3 will fill out the "declaration form" back to the social insurance agency responsible for the division of labor for review and confirmation. Need to apply for a medical card in different places in the province, with the "declaration form" after examination and confirmation to the municipal social security center audit department for registration, and then to the social security card management department for the card making procedures in different places in the province; 4. The insured person's personal social security card cannot be used after filing; If the insured person returns for medical treatment, he should go to the municipal social security agency for cancellation of medical registration, and his personal social security card can be used in designated medical institutions from the next day; 5. Implement the principle of reporting changes but not reporting. (III) Handling window According to the municipal and district division of labor management measures, the insured units under the jurisdiction of the municipal social security institutions shall be handled by counters 33 and 34 of the medical expenses audit and settlement department of the municipal social security center; Insured units under the jurisdiction of the district social security institutions are insured, as well as insured persons who are employed in different places, participate in urban and rural residents' medical insurance, minor medical insurance and live in different places for a long time. The nearest district social security agency is responsible for the confirmation and filing procedures. If you need medical treatment in different places in the province, you can apply for a medical treatment card in different places in the province. After the insured person confirms the filing procedures, he/she will go to the counters No.33 and No.34 of the medical expense audit and settlement department of the Municipal Social Security Center for confirmation with the declaration form, and then go to the social security card management department to handle the card-making procedures for remote networking cards in the province. Third, how to reimburse for medical treatment in different places 1. First of all, you need a referral certificate from a hospital above the county level. Take the medical insurance in a small town as an example. If you want to go to a different place for medical treatment, you must first go to a hospital at or above the county level. There are usually county-level hospitals in the town, where doctors can issue referral certificates. 2. Stamp the social security window of the hospital. The social security window of the hospital is generally located at the toll gate, and you can go to the window with the referral certificate. 3. Go to the local social security bureau or social security office to register for out-patient treatment. 4. After going out for treatment, get it back to the county-level social security bureau for reimbursement. After completing the above three steps, you can go to a hospital in a big city. When you have cured the invoice, medical book, social security card and household registration book, you can wait for your superior social security bureau to reimburse you! The above is the whole content of this article. I hope it will help you and answer your questions. They are online 24 hours a day and can answer your legal questions at any time.
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