Job Recruitment Website - Social security inquiry - Starting October 1, health insurance contribution rates are reduced and reimbursement rates are increased! Another maternity insurance benefits and pension insurance ratio

Starting October 1, health insurance contribution rates are reduced and reimbursement rates are increased! Another maternity insurance benefits and pension insurance ratio

PART

1

Medicare Contribution Rate Reduction

_Shanghai

On September 30th, the Shanghai Medical Security Bureau issued the "Notice of Adjustment of the City's Employee Basic Medical Insurance Premium Rate" (Shanghai Medical Security Regulation [2022]). Notice on Adjusting the Basic Medical Insurance Premium Rate for Employees in the City (Shanghai Medical Insurance Regulation [2022] No. 6). It is clear that the medical insurance contribution rate will be reduced from October 1, 2022 onwards.

The relevant matters are notified as follows:

One, from October 2022, reduce the basic medical insurance unit contribution rate by 0.5 percentage points, from the original 10.5% to 10%. Among them, the proportion of units paying local additional medical insurance premiums was adjusted from the original 2% to 1.5%, and the proportion of units paying basic medical insurance premiums and the proportion of individual contributions were not adjusted.

Second, the city's flexible employees to pay the proportion of employees' basic medical insurance premiums from 11.5% adjusted to 11%.

This notice shall come into force on October 1, 2022, and shall be valid until September 30, 2027.

PART

2

Medicare Reimbursement Ratio Increase

_ Jixi City, Heilongjiang

September 13, 2022 , Heilongjiang Jixi City Government Information Office held a special press conference on the reform of the medical security system, the meeting made it clear that it will be from October 1, 2022, to adjust the basic medical insurance treatment policy in Jixi City.

These two points are worthy of attention:

1, the local hospitalization reimbursement ratio increased

The urban and rural residents health insurance reimbursement ratio increased, urban and rural residents in the city designated medical institutions hospitalization policy scope reimbursement ratio adjusted to "90% of the first class


The city's medical care system has been improved.

The reimbursement rate for urban workers has been increased. The reimbursement rate for urban workers hospitalized in designated medical institutions in the city is adjusted to "90% for Level 1, 87% for Level 2, and 85% for Level 3", and the reimbursement rate for retired workers is increased by 2% in accordance with the corresponding hospital level.

2. The reimbursement rate for hospitalization in other places has been increased

Uniform starting standard for domestic and foreign provinces. Urban workers and urban and rural residents referred to a person, the starting standard uniformly adjusted "within the province and outside the province 1000 yuan".

Adjust the referral hospitalization reimbursement ratio. The urban and rural residents amount of urban workers referral policy within the reimbursement ratio uniformly adjusted to "refer to the same level of fixed-point medical institutions in the city policy within the reimbursement ratio decreased by 10%".

Adjust the reimbursement ratio for out-of-town visits on one's own. The urban and rural residents and urban workers to go out on their own medical policy within the reimbursement ratio unified adjusted to "reference to the city of the same level of fixed-point hospital institutions policy within the reimbursement ratio decreased by 20%".

In addition, there were previous notices in Changsha, Hunan and Xianyang, Shaanxi that explicitly increased health insurance benefits.

_ Changsha City

In July 2022, the Changsha Municipal Bureau of Health Insurance issued the Changsha Municipal Bureau of Medical Security, the Finance Bureau and the Health Commission jointly issued the "Several Measures on Medical Security to Support the Inheritance and Innovative Development of Traditional Chinese Medicine", which formulated 13 aspects from the total amount of tilt, improve the treatment, according to the type of settlement, classical wards, etc. Medical insurance to support the inheritance of Chinese medicine innovation and development of specific measures.

Notice clearly:

Improvement of urban and rural residents in the hospitalization of traditional Chinese medicine hospital medical insurance treatment, urban and rural residents of the basic medical insurance participants in the municipal and the following traditional Chinese medicine hospitals, reimbursement rate increased by 5%. The starting line for hospitalization in a municipal class of fee-charging standard medical institutions is reduced by 200 yuan, and the starting line for hospitalization in a second and third class of fee-charging standard medical institutions is reduced by 100 yuan.

_ Xianyang City

Recently, the People's Government of Xianyang City issued a document to clearly adjust and improve the health insurance treatment again.

1, reduce the standard of hospitalization starting payment for first and second level medical institutions

Township workers' medical insurance, urban and rural residents' medical insurance at the same time to reduce the starting line, respectively, from 220 yuan to 160 yuan, 650 yuan to 550 yuan.

2, reduce the proportion of individual out-of-pocket payments for Class B drugs and specialty drugs

Township workers' health insurance, urban and rural residents' health insurance uniformly more than 5,000 yuan of individual out-of-pocket payments from 25% down to 10% of individual out-of-pocket payments.

3. Increase the reimbursement ratio for hospitalization in tertiary care institutions

The urban and rural residents' medical insurance co-ordination area and other places were increased by 5 percentage points respectively.

4, improve "diabetes, hypertension" outpatient protection level

urban and rural residents health insurance from 50% to 60%, abolish the "two diseases" outpatient starting payment.

PART

3

Maternity Insurance Relationship Transfer and Continuation of Treatment Convergence

_ Chengdu City

September 26th. Chengdu Municipal Bureau of Medical Protection issued "Chengdu Municipal Bureau of Medical Protection on the clarification of the maternity insurance relationship transfer and succession of treatment convergence of the relevant matters notice".

The details are as follows:

If an urban worker's basic medical insurance participant transfers to the city across the integrated region, the actual contribution record of the urban worker's maternity insurance in the place of transfer and the actual contribution record of the Chengdu urban worker's maternity insurance are combined and calculated, and after 6 months of continuous and uninterrupted contributions, he will be entitled to the urban worker's maternity insurance treatment of Chengdu city in accordance with the provisions of the law.

This Notice shall come into effect on the date of its issuance. If there is any inconsistency between the previous regulations and this Notice, this Notice shall prevail.

PART

4

Adjustment of Pension Insurance Unit Contribution Ratio

_ Shenzhen City

Recently, the Shenzhen City Social Insurance Fund Administration official website issued a warm reminder. The details are as follows:

Warm tips:

Hello! With the consent of the relevant departments of the state, our province in 2022 the basic pension insurance unit contribution ratio of enterprise workers continue to be implemented in accordance with the 14%, 2022 social security year the basic pension insurance contribution base limit of enterprise workers continue to implement the 2021 social security year the lower limit of the contribution base standard.

From September 2022, the city's basic pension insurance unit contributions of enterprise employees will be collected in accordance with the proportion of 14%; the portion of the basic pension insurance unit contributions of enterprise employees that have been paid by employers in January-August 2022 in excess of 14% has begun to be returned to the employers one after another.

NO.1

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