Job Recruitment Website - Social security inquiry - What is the difference between provincial social security and municipal social security?
What is the difference between provincial social security and municipal social security?
1, the nature of the units paid is different. The units that pay provincial medical insurance are all provincial units, that is, units that are managed vertically by the province, such as: Provincial Statistics Bureau, Provincial Development and Reform Commission, Provincial Economic Commission, Provincial Ethnic Affairs Commission, Provincial Population and Family Planning Commission, and Provincial Education Department. They have a special provincial medical insurance center to handle medical insurance affairs. Relatively speaking, the scope of enterprises paid by municipal medical insurance is relatively wide, and foreign-funded enterprises, joint ventures and private enterprises are mostly paid by municipal medical insurance;
2. The appropriate designated hospitals are different. Generally speaking, the scope of medical treatment of provincial medical insurance is wider than that of municipal medical insurance. Municipal medical insurance can only be treated in designated hospitals in the city where it is located. If you need cross-city medical treatment, you need referral, but provincial medical insurance does not. As long as you are treated in a designated hospital in the province, you don't need to refer.
3. The reimbursement rate is also different. Generally speaking, the reimbursement rate of provincial medical insurance is higher than that of municipal medical insurance. Generally speaking, the out-of-pocket proportion of provincial medical insurance will not exceed 30%, while most municipal medical insurance is above 40%. Because of the different nature of the units that pay, the proportion of natural payment is also different. Generally speaking, provincial medical insurance is paid according to the highest standard, while municipal medical insurance is generally the lowest or middle proportion.
Legal basis: Article 4 of People's Republic of China (PRC) Social Insurance Law.
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Article 58
The employing unit shall, within 30 days from the date of employment, apply to the social insurance agency for social insurance registration for its employees. If the social insurance has not been registered, the social insurance agency shall verify the social insurance premium it should pay.
Employees-free individual industrial and commercial households who voluntarily participate in social insurance, part-time employees who do not participate in social insurance in the employing unit and other flexible employees shall apply to the social insurance agency for social insurance registration.
The state establishes a national unified personal social security number. Personal social security number is a citizen's identity number.
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