How much is the monthly salary of the hospital social security department?

First, the medical insurance payment ratio:

Medical insurance unit contribution rate 10%, individual contribution rate 2%.

Reimbursement conditions

Article 28 of the Social Insurance Law stipulates that medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

According to the basic requirements of the payment of basic medical insurance benefits in China, the insured person who goes to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment generally meets the following conditions:

(1) The insured must go to the designated medical institution of basic medical insurance or to the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital.

(2) The medical expenses incurred by the insured in the process of medical treatment must conform to the basic medical insurance drug list, diagnosis and treatment items, the standard scope of medical service facilities and payment standards, and be paid by the basic medical insurance fund according to regulations.

(III) Among the medical expenses that the insured meets the scope of payment of basic medical insurance, the part that is higher than the Qifubiaozhun of the social medical co-ordination fund and lower than the maximum payment limit shall be paid by the social medical co-ordination fund in a unified proportion.

Reimbursement ratio

1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance in the year (11October1February 31February) exceeded 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.

3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.

4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.

5. Hospitalization.

After paying medical insurance for 20 years, you can enjoy medical insurance reimbursement after retirement.

The scope of medical insurance reimbursement varies from place to place. Please refer to local policies for details.

Second, reimbursement in different places.

Conditions for reimbursement of medical insurance in different places

1. The medical expenses incurred by the insured who have gone through the registration procedures for medical treatment in different places, such as resettlement, visiting relatives, working and studying abroad, are paid in cash at the designated medical institutions of medical insurance in different places.

2, the provincial insured agreed to transfer to Beijing, Shanghai medical insurance designated medical institutions for medical expenses in cash.

Medical insurance reimbursement process in different places

1, to receive or download the Application Form for Working and Living in Different Places of the Municipal Basic Medical Insurance (hereinafter referred to as the Application Form) on the social security website;

2, according to the provisions of the fill in, and by the foreign social insurance (medical insurance) agencies stamped "declaration form";

3 will fill out the "declaration form" back to the social insurance agency responsible for the division of labor for review and confirmation. Need to apply for a medical card in different places in the province, with the "declaration form" after examination and confirmation to the municipal social security center audit department for registration, and then to the social security card management department for the card making procedures in different places in the province;

4. The insured person's personal social security card cannot be used after filing; If the insured person returns for medical treatment, he should go to the municipal social security agency for cancellation of medical registration, and his personal social security card can be used in designated medical institutions from the next day;

5. Implement the principle of reporting changes but not reporting.

Materials needed for reimbursement of medical insurance in different places

1, copy of application form for medical treatment in different places

2. The formal invoice of pharmacy (supervised by State Taxation Administration of The People's Republic of China Finance Department, with the details of purchased drugs listed on the invoice) or the outpatient receipt of designated hospital.

3. Patient ID card and agent ID card

4. My passbook bank card account number (except for rural credit cooperatives) (bank name is required in external account)

Third, how to pay back the money

If the insured person stops enjoying medical insurance benefits and pays medical insurance premiums within 60 days (including 60 days), he will enjoy the treatment of pooling funds from the next month of payment; Suspension of medical insurance for more than 60 days to 180 days (including 180 days), starting from the month of payment, and enjoying the treatment paid by the overall fund after 3 months; If the medical insurance benefits are interrupted for more than 180 days to pay the medical insurance premium, it will be regarded as re-participating in the medical insurance, and the payment time before the interruption will not be included in the continuous payment time.

The required materials and procedures are as follows:

Please bring your employee's medical insurance manual or social insurance certificate, social security card, 1 inch 1 registration photo and 1 copy of your ID card to the personal collection department of the social security agency.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.