How many files are there in social security?

First of all, the classification and specific content of social security basic medical insurance are different in different provinces and cities. The reason is that different provinces and cities have different provincial conditions and different levels of economic development. Therefore, the specific grades and contents of social security medical insurance formulated by provinces and cities are also different.

If you want to look at the specific medical insurance grade content, you need to look at the specific rules and regulations formulated and issued by the provincial and municipal social security bureaus or other competent units.

For example, Jinan City, Shandong Province:

From 20 15 65438+ 10/0, the medical insurance for urban residents and the new rural cooperative medical system in Jinan were fully merged, and the payment standards were unified into three grades: one was 80 yuan, a "student and child file"; Second, 300 yuan, the "first file for adult residents", is equivalent to the payment standard for adult residents who originally participated in urban residents' medical insurance; Third, the "second file for adult residents" is 100 yuan, which is equivalent to the payment standard for adult residents who participated in the original new rural cooperative medical system.

The reimbursement ratio is different with different payment grades. Taking hospitalization in secondary medical institutions as an example, the proportion of hospitalization reimbursement paid by children and adult residents according to the first-class standard is: 65% paid by residents' basic medical insurance fund and 35% borne by individuals. According to the second standard, the proportion of hospitalization reimbursement for adult residents is: 60% paid by residents' basic medical insurance fund and 40% borne by individuals.