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Medical social security to pay for how many years before you can normally enjoy the basic medical insurance benefits?
Medical social security to pay 10 years to be able to enjoy the normal basic medical insurance benefits, and need to be in the actual payment of basic medical insurance premiums before retirement for 10 years, after retirement do not continue to pay medical insurance can make the medical insurance benefits will not be affected. If the actual number of years of medical insurance payment is not less than the above standard, the employee can no longer pay medical insurance after retirement.
One, how many years do I have to pay for medical insurance before I can normally enjoy basic medical insurance benefits?
1, the medical social security to pay 10 years before you can normally enjoy the basic medical insurance treatment According to the "Medical Insurance Regulations" Article 37 retirees in the actual payment of basic medical insurance premiums before retirement for 10 years, the original unit does not pay the basic medical insurance premiums, does not affect the enjoyment of the retiree's basic medical insurance treatment under the provisions of these regulations. Retirees who have actually paid basic medical insurance premiums for less than 10 years before retirement, and whose original units do not pay basic medical insurance premiums after retirement, are not entitled to the basic medical insurance benefits for retirees under these regulations. 2. If the actual number of years of medical insurance contributions at the time of retirement is less than 10 years, but together with the deemed contribution period of 30 years for males and 25 years for females, then no longer pay medical insurance after retirement, you can also enjoy the normal medical insurance benefits. According to the Regulations on Medical Insurance Article 35 The contribution period stipulated in these regulations includes the actual contribution period and the deemed contribution period. The deemed contribution period referred to in the above paragraph refers to the number of consecutive years of service or years of work in compliance with the state regulations before the implementation of these Regulations. Article 36 If a practitioner retires after the implementation of the amendments to these Regulations, and has paid basic medical insurance premiums for 30 years for men and 25 years for women, the standard of basic medical insurance benefits shall be implemented in accordance with the provisions of these Regulations after retirement. If the practitioners have not paid the basic medical insurance premiums for as many years as stipulated in the preceding paragraph when they retired, the basic medical insurance benefits enjoyed by them after retirement shall be reduced by 5% on the stipulated treatment standard for each year of contribution less than one year. 3. If the actual number of years of medical insurance contribution is not less than the above standard when the employee retires, he/she can no longer pay medical insurance after retirement. According to the Social Insurance Law Article 27 of the basic medical insurance for employees, individuals who have reached the legal retirement age, the accumulated contributions to the state specified number of years, after retirement, no longer pay the basic medical insurance premiums, in accordance with the provisions of the state to enjoy the basic medical insurance benefits; not reached the state specified number of years, you can pay the contributions to the state specified number of years.Two, the basic medical insurance treatment is how?
The Medical Insurance Regulations Article 27 The personnel of the employer who pays the basic medical insurance premiums in accordance with these regulations, enjoy the basic medical insurance treatment. Article 28 The individual account is used to pay for medical expenses outside the scope of payment of the integrated fund; the individual account is not enough to pay for, at their own expense. Article 29 The medical costs of hospitalization for serious illnesses are paid in the following ways: (a) The starting standard is controlled in principle in the city, county, autonomous county employees in the previous year, the average annual social wage of 9% -11%. (b) The maximum payment limit is in principle controlled in the city, county, autonomous county practitioners in the previous year 3-5 times the average annual social wage. (c) Medical fees above the starting standard and below the maximum payment limit are mainly paid by the coordinated fund, with a certain percentage borne by individuals. The proportion of medical expenses borne by retirees is appropriately taken care of. The scope of serious illnesses, the specific criteria for the starting standard and maximum payment limit, and the proportion of medical expenses above the starting standard and below the maximum payment limit shall be determined by the provincial people's government. Article 30 The integrated fund shall not pay for medical expenses below the starting standard and above the maximum payment limit. Article 31 The proportion of individual out-of-pocket payments for diagnostic and treatment items and drugs in the Class B list for which the basic medical insurance fund pays part of the costs shall be determined by the provincial people's government. Article 32 The medical expenses of Category A infectious diseases such as cholera and plague shall be fully paid by the integrated fund. The medical expenses of outbreaks and epidemics of infectious diseases recognized by the administrative department of health shall be settled by the people's government with special funds. Citizens who pay medical insurance, if they go to a designated hospital after getting sick, then they can enjoy the corresponding medical insurance treatment. If a citizen wants to retire without paying medical insurance can continue to enjoy the relevant medical insurance benefits, you need to pay medical insurance before retirement to the statutory period.- Previous article:Will Datun Street Social Security Office go to work tomorrow?
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