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How to inquire about social security payment in Dalian?
1. What are the inquiry methods of social insurance in Dalian?
Dalian social insurance inquiry methods include Dalian old-age insurance online inquiry: click to enter Dalian old-age insurance inquiry system, and the inquiry description: this inquiry can provide citizens with comprehensive information about personal accounts of old-age insurance. The user only needs to input the pension insurance account of the respondent and the ID number of the owner. [Dalian endowment insurance query data provided by Dalian Labor and Social Security Bureau]
Dalian endowment insurance inquiry telephone number: At the same time, you can inquire about endowment insurance handling, pension payment (supplementary payment), pension transfer and other issues.
Dalian Social Insurance Fund Management Center is responsible for the collection and payment of pension, medical care, unemployment, work injury and maternity insurance premiums for all kinds of urban enterprises and their employees, individual industrial and commercial households and flexible employees in the city; Responsible for the expansion of the city's old-age insurance; Responsible for the collection and distribution of special funds for heating subsidies in four districts of the city.
With my ID card and social security card number, go directly to the service hall of Dalian Social Security Bureau; Dalian social insurance fund management center
Second, how is social security calculated?
Social insurance includes five different parts about personal protection, among which work injury insurance and maternity insurance do not need to be paid by individuals, and the insurance benefits of these two parts need to be paid by their work units. The industrial injury insurance that the company needs to pay for its employees is the employee's personal salary, and the maternity insurance that needs to be paid is the employee's personal salary. The pension, medical insurance and unemployment insurance expenses that enterprises need to pay for employees are 20%, 8% and 2% of employees' personal wages respectively, while the three insurance expenses that individuals need to pay for themselves are 8%, 2% and 1 respectively. The personal salary of employees mentioned here is calculated according to the pre-tax salary.
Third, what is the standard of medical social security payment?
1, and the medical social security payment standard is 80%. In addition, employees who apply for outpatient chronic disease management should first register in the social security center and wait for the notice of the social security center for medical appraisal.
The overall fund has a minimum payment standard and a maximum payment limit. The threshold of medical expenses for the first hospitalization is 1000 yuan; For those who have been hospitalized for many times during the year, the cumulative threshold is 1500 yuan. The proportion of retirees' overall fund payment increased by 5 percentage points per paragraph. According to the regulations, the annual Qifubiaozhun for outpatient medical expenses for special diseases included in the payment scope of the overall fund is 1 000 yuan, and 80% of outpatient medical expenses above the Qifubiaozhun are paid by the overall fund.
Commercial insurance hospitalization is a supplement to social security or other commercial insurance in the form of reimbursement. General companies can't directly purchase hospitalization, and hospitalization insurance mostly exists in additional forms. That is, first buy a certain amount of main insurance, and then supplement hospitalization medical insurance. Part of the medical expenses paid by individual outpatient service, drug purchase and hospitalization are directly settled by medical insurance personal account IC card, and the excess expenses are paid by the insured in cash. Within three days of hospitalization, the patient's family members or clients will go to the social security center to register with the medical insurance card.
2. Relevant laws and regulations: According to Article 28 of the 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.
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.
Now people live in a happy society with a sound legal system. Social insurance guarantees the basic guarantee of everyone's life. Social insurance is closely related to people's lives, so we should know some common knowledge and information about social insurance.
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