The operation of Shenzhen social security from second gear to first gear

Shenzhen's second-class and third-class medical insurance can be converted into Shenzhen's first-class medical insurance, which is divided into two situations.

1. The employee account has been moved to Shenzhen.

After Shenzhen employees move into Shenzhen household registration, the employer must participate in the first grade of employee medical insurance, and the grade cannot be changed.

Second, employees did not move into Shenzhen household registration.

You can only apply for a transfer once a year. From July/KLOC-0 to July 20th, you can apply to your work unit to change the medical insurance grade. Please note that flexible employees (freelancers) are not limited by annual grade changes.

1. The second grade of Shenzhen social security was changed to the first grade.

If the enrollment time of Shenzhen Social Security Class II is less than 12 months, it cannot be changed now. After one year of insurance, let the company salesman log on to the social security website and change the insurance directly.

2. Shenzhen social security card has always been the first gear, and it is necessary to change the second gear when changing jobs.

Hello, yes, social security can be changed once a year.

3. Change the level of social security in Shenzhen

The payment base of Shenzhen social security pension can be adjusted once a month, while the change of medical level can only be adjusted once a year in July, and the payment base of provident fund is also adjusted once a year.

4. Level of social security reform

At the end of one payment year, apply to the social security service center for change before the next payment year comes.

5. Shenzhen social security changed from second gear to first gear.

Social security second gear can be converted into first gear, and the specific operation mode is as follows:

(1) Any grade selected is one year and cannot be changed in the middle of the year.

(2) only at the end of the year to declare the next year's grade, re-selection.

Those who stop paying fees and continue to enjoy the basic medical insurance benefits will enjoy the first-class basic medical insurance benefits if they have participated in the first-class basic medical insurance for 15 years, and enjoy the second-class basic medical insurance benefits if they are less than 15 years.

6. Shenzhen hukou changed the third social security to the first social security.

(1) Any grade selected is one year and cannot be changed in the middle of the year.

(2) only at the end of the year to declare the next year's grade, re-selection. The first, second and third files of Shenzhen's basic medical insurance are set according to medical insurance payment and corresponding treatment, which correspond to the original comprehensive medical insurance, hospitalization medical insurance and migrant workers' medical insurance respectively.

Shenzhen social security first and second files.

Level 1: All designated medical hospitals and medical institutions can charge by credit card and reimburse the corresponding expenses.

The second file: binding a hospital or community health. Only when you see the hospital or community health that needs to be bound in the outpatient department can you charge by credit card, and the medical year does not exceed 1 1,000 yuan. However, hospitalization can be swiped in all hospitals, and the reimbursement rate is the same as the first file.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 38 The following expenses incurred due to work-related injuries shall be paid by the work-related injury insurance fund in accordance with state regulations:

(a) medical expenses and rehabilitation expenses for the treatment of work-related injuries;

(2) Hospitalization food subsidies;

(three) transportation and accommodation expenses for medical treatment outside the overall planning area;

(four) the cost of installing and configuring assistive devices for the disabled;

(five) life can not take care of themselves, confirmed by the labor ability appraisal committee of life care costs;

(6) One-time disability allowance and monthly disability allowance for disabled employees of Grade I to IV;

(seven) the one-time medical subsidy that should be enjoyed when the labor contract is terminated or dissolved;

(8) Funeral grants, dependent relatives' pensions and work-related death grants received by survivors of work-related deaths;

(nine) labor ability appraisal fee.

Article 39 The following expenses incurred due to work-related injuries shall be paid by the employing unit in accordance with state regulations:

(a) wages and benefits during the treatment of work-related injuries;

(two) the monthly disability allowance for disabled employees of Grade 5 and Grade 6;

(3) One-time disability employment subsidy that should be enjoyed when the labor contract is terminated or dissolved.

Article 41 Where an employee's employer fails to pay work-related injury insurance premiums according to law, and a work-related injury accident occurs, the employer shall pay work-related injury insurance benefits. If the employer does not pay, it shall pay in advance from the industrial injury insurance fund.

The industrial injury insurance benefits paid in advance from the industrial injury insurance fund shall be repaid by the employer. If the employer fails to repay, the social insurance agency may recover the compensation in accordance with the provisions of Article 63 of this Law.