Zhangzhou Medical Social Security Payment Standard 2022

Employees who participate in the basic old-age insurance shall determine the payment base according to their average monthly salary in the previous year. Among them, the upper limit of the payment base is determined according to 300% of the average wage of employees in the city at 20 16620.75 yuan/month, and the lower limit is determined according to (2300 yuan/month).

Employees who participate in unemployment insurance shall determine the payment base according to their average monthly salary in the previous year. Among them, the upper limit of the payment base is not limited, and the lower limit is determined according to (2300 yuan/month).

Employees who participate in basic medical insurance, maternity insurance and work-related injury insurance shall determine the payment base according to their average monthly salary in the previous year. The upper limit of payment base is determined according to 300%( 16620.75 yuan/month) of the average wage of employees in 20 17, and the lower limit is determined according to 60%(3324. 15 yuan/month) of the average wage of employees in 20 17.

First, the medical insurance reimbursement process:

1, original ID card or social security card;

2. Original disease diagnosis certificate issued by tertiary or secondary hospitals of designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and printed lists of tax commodity sales;

7. If acting as an agent, provide the original ID card of the agent.

Two, medical insurance reimbursement conditions:

1, the insured person must go to the designated medical institution of basic medical insurance or 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 scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations.

3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.