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2022 Nanchong Social Security Payment Standard and Grade
1. In a settlement year, medical expenses less than 654.38+10,000 yuan that meet the reimbursement scope occur:
(1) The threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan;
(2) The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%;
(3) There is no Qifubiaozhun in the first-class hospital, and the reimbursement rate is 60%;
2. The reimbursement rate of social security card hospitalization is: 90% in the first-class hospital, 87% in the second-class hospital and 85% in the third-class hospital, with a total hospitalization reimbursement of 300,000 yuan. Inpatient deductible line: the standard of the first hospitalization deductible line in a natural year is 1.300 yuan, and 650 yuan every time thereafter;
3. Continuous payment is linked to the reimbursement ratio. After two years of continuous insurance, the reimbursement rate increased to 765,438+0%, and after four years of continuous insurance, the reimbursement rate increased to 72%, and so on. It should be reminded that in different cities, the reimbursement ratio of social security cards is different, which is mainly related to the local medical insurance benefits.
legal ground
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
First, Nanchong city employee insurance payment base
According to the 202 1 average wage standard of employees in all urban units in Sichuan province and the mechanism for determining the upper and lower limits of the basic old-age insurance payment base for employees, recently, our province announced the specific standards for the upper and lower limits of the basic old-age insurance payment base for employees in 2022:
The upper limit of payment is 202 1 year, which is 300% of the average salary of employees in all urban units in the province, that is, 20355 yuan/month;
The lower limit of payment is 202 1 year, which is 60% of the average wage of employees in all urban units in the province, that is, 407 1 yuan/month.
According to the above standards, employers in the province should truthfully declare the basic old-age insurance premiums that should be paid, and the actual payment wages of individual employees should be determined within the upper and lower limits of the payment base stipulated by laws and regulations. Individual industrial and commercial households and flexible employees who participate in the basic old-age insurance for enterprise employees in this province as individuals can choose an appropriate payment base between the upper and lower limits of the payment base, and the specific payment base grade shall be implemented by all localities in accordance with the existing methods.
Second, the unit payment
Payment base
4298.40 yuan ≤ 1. 1 times the previous year's payment base ≤ 10744.80 yuan.
Payment ratio
Pension insurance unit: 20%; Individual: 8%
Medical insurance unit: 7.2%; Personal: 2%
Unemployment insurance unit:1.5%; Individual: 0.5%
Work injury insurance unit:1%; Individual: 0%
Maternity insurance unit: 0.4%; Individual: 0%
Housing accumulation fund unit: 5%; Individual: 5%
Payment process
Municipal insured individuals can pay fees in commercial banks, industrial and commercial banks and China Construction Bank outlets within the jurisdiction of Shunqing. If they pay the arrears in previous years or need to retire in that year, they need to go to the social security payment hall of the city. County (city, district) insured persons pay fees at the relevant bank outlets in the insured area.
Payment address
The business license issued by the provincial and municipal industrial and commercial bureaus shall be handled in Nanchong Human Resources and Social Security Bureau; The business license issued by the District Administration for Industry and Commerce is insured in the area.
Third, personal contribution
Pension insurance payment base:
The standards for individual insured persons to pay endowment insurance premiums in our city are as follows:
The first file, calculated according to 40% of the average wage of employees in the province last year, paid 4298.40 yuan;
In the second stage, 537 1.20 yuan is paid according to 50% of the average wage of employees in the whole province in the previous year;
The third file, calculated according to 60% of the average salary of employees in the province last year, paid 6446.40 yuan;
In the fourth file, 752 1.60 yuan is paid according to 70% of the average wage of employees in the whole province last year;
The fifth file, calculated according to 80% of the average wage of employees in the province last year, paid 8594.40 yuan;
The sixth file, calculated according to 90% of the average wage of employees in the province last year, paid 9669.60 yuan;
In the seventh file, the payment is 100% of the average salary of employees in the whole province last year, and the payment is 10744.80 yuan.
Medical insurance:
If the total annual average wage of employees in the previous year of the employing unit is higher than 300% of the total annual average wage of employees in this Municipality, it will not be used as the payment base; Less than 60%, with 60% as the payment base.
Payment ratio
Endowment insurance: 20%
Payment ratio: 8%
Mutual aid for serious illness: 140 yuan/year
Calculation Method of Personal Social Security Payment in Nanchong City
Payment process
Just deposit the social security fee into the bank's own withholding bank card or passbook.
legal ground
Article 28 of People's Republic of China (PRC) Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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