What is the base number of employees and flexible employees in Qinhuangdao in 2022?

Adjustment of the latest medical insurance payment base in Qinhuangdao in 2022.

Starting this month, Qinhuangdao will be implemented in the whole city!

On-the-job employees and flexible employees

Take 5959 yuan as the payment base.

In-service employee

According to the average monthly salary of employees in the previous year as the base of individual payment wages. In 2022, if the individual payment base is lower than the average monthly salary of employees in full-caliber urban units in Qinhuangdao in 20021year, the payment base will be 5959 yuan, with no ceiling.

retiree

Retirees of the insured units take the average pension of 202 1 month issued by the human resources and social security departments as the payment base.

Flexible employment personnel

Based on the average monthly salary of employees in full-caliber urban units in 20021year.

The monthly payment of the insured who chooses to pay 8.5% of the basic medical insurance is 506.52 yuan;

6.5% of the insured who choose basic medical insurance pay 387.34 yuan per month.

The notice of Qinhuangdao Medical Insurance Center will be implemented from this month.

What changes have been made in medical insurance benefits this year?

Medical insurance bureau of Qinhuangdao City

Basic medical insurance benefits for urban workers in Qinhuangdao in 2022

1. Payment range

The payment scope of basic medical insurance benefits for urban workers includes: hospitalization, outpatient service and outpatient medical expenses for chronic diseases and special diseases that meet the legal requirements.

2. Payment limit

Increase the payment limit of basic medical insurance for employees from 6.5438+0.2 million yuan per person per year to 6.5438+0.5 million yuan. After adjusting the payment limit, the guarantee ability of employees' basic medical insurance has been enhanced.

3. Inpatient deductible line

The first-level designated medical institutions hospitalization deductible line was adjusted from 600 yuan to 400 yuan, and the second-level designated medical institutions hospitalization deductible line was adjusted from 700 yuan to 600 yuan.

4. Hospitalization

Direct designated medical hospitals in the province and Beijing and Tianjin.

Proportion of reimbursement of medical expenses within the scope of the scheme:

Outside the province (excluding the designated hospitals directly under Beijing and Tianjin in our city)

Proportion of reimbursement of medical expenses within the scope of the scheme:

5. Improve the level of outpatient treatment.

6. Increase the payment limit of employee's serious illness insurance.

Increase the annual maximum payment limit of the employee's serious illness insurance fund from 400,000 yuan per person per year to 500,000 yuan.

Break the fixed reimbursement ratio of 90% in the past, so that the higher the cost, the higher the reimbursement ratio, further reducing the burden of seriously ill patients.

7 outpatient chronic diseases and special diseases reimbursement ratio

(1) There is no deductible line for medical expenses that meet the payment scope of chronic diseases and special diseases. After drug negotiation and drug concentration are carried out according to the relevant scheme, the reimbursement ratio of Class A and B medical expenses is uniformly determined to be 80%, retirees are increased by 3%, and medical treatment in different places outside the province is reduced by 5%. Two or more designated medical institutions in the province enjoy the same outpatient treatment plan for chronic diseases and special diseases in our city;

(2) According to the rules of hospitalization management, 90% of outpatient special diseases are paid by the medical expenses pooling fund, retirees are increased by 3%, and medical treatment in different places outside the province is reduced by 5%. Two or more designated medical institutions in the province enjoy the same outpatient payment scheme for chronic diseases and special diseases in our city.