The public most concerned about what social security issues

How to apply for basic medical insurance for newborns? What are the benefits? Enterprise workers how to handle retirement procedures? Yesterday, this reporter sorted out the current Jinhua people are most concerned about the top ten popular consulting issues, and asked the Municipal Social Security Bureau experts to answer the policy.

A newborn how to apply for basic medical insurance residents? What kind of treatment?

(A) newborns to participate in the insurance process:

1. Household newborns to the township government where the household registration, street or community committees for insurance registration procedures and issued registration form. Newborns who are not of household registration in the city will go to the district medical insurance agency in their place of residence to register for the insurance with their household registers, residence certificates, and certificates proving that the parents of the insured persons have participated in the basic medical insurance for employees in Jinhua for more than three years.

2. With the registration form issued, you can pay the premium in cash at branches of Industrial and Commercial Bank of China, Agricultural Bank of China, Bank of China, Construction Bank of China, Postal Savings Bank of China, Chengtai Bank of China, and some branches of Bank of Jinhua. Online payment can also be realized through the unified payment platform of Zhejiang government affairs network.

3. After the payment of fees and then provide the participant with a one-inch color photo with white background and a copy of the household register to apply for a social security card at any branch of the Bank of Jinhua. If a newborn baby is hospitalized within 30 days of birth and needs to be reimbursed, he/she can apply for a social security card at the window of Bank of Jinhua on the first floor of the Municipal Social Security Bureau by bringing the above documents and proof of hospitalization (certificate of diagnosis and treatment) and receive the card on the same day.

(2) newborn treatment enjoyment:

newborns in the 30 days after birth for enrollment and payment of the current year's residents of health insurance premiums, from the date of birth to enjoy the residents of medical insurance treatment (such as newborns born on July 1, 2016, July 1, 2016 to July 30, 2016 to enrollment and payment of premiums, the treatment of the 2016 year from July 1, 2016 to June 30, 2017, the treatment of the year from July 1, 2016 to June 30, 2017, the treatment of the year. to June 30, 2017; newborns born on June 30, 2017, enrolled between June 30, 2017 and July 30, 2017, treatment if you want to start enjoying from June 30, 2017, then you have to pay the health insurance premiums for two years, 2016 and 2017, and the treatment will be from June 30, 2017 to June 30, 2018); on more than 30 days after birth and within 180 days for enrollment and payment of the current year's residents' health insurance premiums, from the month following the payment to enjoy the residents' health insurance treatment (such as newborns born on July 1, 2016 and enrolled in the insurance premiums on August 1, 2016, the treatment for the year 2016 from September 1, 2016 to June 30, 2017)

II. How do enterprise employees apply for retirement?

Provide ID cards, social security cards, approval forms for the retirement of enterprise employees (job) (unit seal), pension insurance manuals for those who have pension insurance manuals must also provide pension insurance manuals, and those who have the deemed contribution years must also provide the "deemed contribution years of enterprise staff approved by the human resources and social security administrative departments to determine the" table. Participants who are eligible for retirement can apply to the Municipal Social Security Bureau.

How do flexibly employed people apply for retirement?

Provide ID cards, social security cards, pension insurance manuals for those who have pension insurance manuals, and deemed years of contribution for those who have deemed years of contribution for those who have deemed years of contribution for those who have deemed years of contribution for those who have deemed years of contribution for those who have deemed years of contribution for those who have deemed years of contribution for enterprise staff approved by the administrative department of human resources and social security. Participants who are eligible for retirement can apply to the Municipal Social Security Bureau.

Four, in which medical institutions outside of Jinhua city can I get reimbursed directly by credit card?

You can pay attention to "Jinhua Human Resources and Social Security" WeChat public number to check the designated medical institutions for cross-location medical settlement.

V. Can I be reimbursed for the cost of medicines bought at pharmacies?

When purchasing medicines at designated pharmacies in Jinhua city, insured persons with chronic diseases and insured workers with individual medical account funds can directly settle the bill at pharmacies with their social security cards.

How do I get reimbursed when I go to the hospital?

Participants who are normally entitled to basic medical insurance benefits in urban areas will be reimbursed directly with their social security cards when they visit designated medical institutions in urban areas and those designated medical institutions in the province that have networked settlement for medical treatment in other places.

Medical expenses incurred in other designated medical institutions outside the city that are not settled by swiping the social security card are reimbursed to the Municipal Social Security Bureau for employees, students of universities and high schools in the city (including students of the junior high school of the Jinhua Foreign Language School) and urban and rural residents of the development zones, while urban and rural residents of other districts reimburse them to the medical insurance agencies in their respective districts. Reimbursement is accepted on normal working days. Due to the annual closing of accounts, all invoices of the insured (except for school students) in a medical insurance year will be reimbursed before June 20, and medical expenses incurred from June 20 to June 30 will be used for reimbursement in July of the next medical insurance year.

VII. How do I transfer to another hospital?

If you need to be transferred to Hangzhou or Shanghai for treatment in a Grade 3A hospital due to the limitations of the designated medical institutions in the urban area, you should fill in the following form by the deputy director or above of the hospitals with the qualification of transfer (Central Hospital, People's Hospital, Hospital of Traditional Chinese Medicine, Guangfu Hospital, the Second Hospital (for psychiatric disorders only), Wenrong Hospital (for renal transplants and pre-transplant examinations only), and the Fifth Hospital (for dermatological disorders only)). "Jinhua City Basic Medical Insurance Patient Transfer Approval Form", signed by the director of the department, the hospital medical insurance office audit and seal, employees, municipal universities and high school students (including Jinhua Foreign Language School Junior High School students) and urban and rural residents of the Development Zone to the Municipal Social Security Bureau for approval, and urban and rural residents of other districts to the jurisdiction of the approval of the medical insurance agency. Approval for transfer needs to be done before admission to the hospital, or within 7 working days after admission if there are special circumstances.

VIII. What kind of medical treatment do insured people receive for general outpatient services?

It is paid by the fund of individual account in the year. If the fund of individual account in the year is not enough to pay or if the individual account is not built, 50% reimbursement will be made to those who seek medical treatment at community health service centers in Jinhua city, and 20% reimbursement will be made to those who seek medical treatment at the second level (including) or above medical institutions. The maximum amount to be borne proportionally by the integrated fund and individuals in a medical insurance year is RMB 2,000 for employees and RMB 1,500 for residents. General outpatient medical expenses incurred outside the urban area (except for relocation and transfer to other hospitals in accordance with regulations) are not payable by the integrated fund.

Nine, how to handle the workers' compensation insurance treatment when the employee is injured in an accident?

When an employee is injured in an accident, his/her employer shall apply to the social insurance administrative department for the recognition of work injury within 30 days from the date of the accident. The social insurance administrative department shall make a decision on the determination of work injury within 60 days from the date of accepting the application for the determination of work injury. If an employee is injured at work and has a disability that affects his or her ability to work after the injury has been relatively stabilized by medical treatment, the employee shall have his or her ability to work appraised and submit an application to the social insurance administrative department. After the medical treatment is completed, the employer shall submit an application for treatment to the social insurance administration organization. (The acceptance telephone of work injury appraisal: municipal 82366135, wu city 82350705, jin dong district 82176505, development zone 89150068)

Ten, enjoy maternity insurance treatment conditions?

The employer unit has been in accordance with the provisions of the insurance registration formalities, and continuous payment of maternity insurance premiums for 12 months, and in accordance with the legal conditions of childbirth or the implementation of family planning contraceptive sterilization and re-opening of the operation, you can enjoy the maternity insurance treatment according to the provisions.