What is the telephone number of Gongzhuling Medical Insurance Bureau?

Hello, Gongzhuling Medical Insurance Bureau Tel: 0434-50699 16.

Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection when they are sick. It is undertaken by the government and implemented and managed by economic, administrative and legal means.

Social medical insurance includes three levels: basic medical insurance and large medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.

: 1. medical insurance participation mode

You can participate in employee medical insurance in unemployed places.

According to the relevant provisions of the Social Insurance Law, Ministry of Human Resources and Social Security has made specific provisions for the unemployed to participate in medical insurance. During the period of receiving unemployment benefits, the unemployed shall go to the unemployed place to participate in medical insurance for employees in accordance with the regulations, which shall be paid by the unemployment insurance fund and not borne by individuals.

The notice stipulates that the payment standard is determined in principle according to the payment standard of the overall planning area. The payment base can be determined according to a certain proportion of the average wage of employees in the last year in the overall planning area, and the minimum proportion shall not be less than 60%.

If the unemployed participate in the medical insurance for employees, the payment period shall be calculated cumulatively with the payment period before unemployment.

After the unemployed participate in the medical insurance for employees, they will enjoy the corresponding hospitalization and outpatient medical insurance benefits as required from that month. The time limit for enjoying benefits is the same as that for receiving unemployment insurance benefits, and the Medicaid originally paid by the unemployment insurance fund is no longer enjoyed.

The time limit for unemployment insurance agencies to pay medical insurance premiums for them shall be consistent with the time limit for receiving unemployment insurance benefits. The agency shall promptly inform the medical insurance agency and myself of the payment amount, time and other information.

Second, the classification of medical insurance

1, commercial medical insurance

Medical insurance reimbursement and medical insurance compensation.

Medical insurance reimbursement (general medical insurance) means that the medical expenses of patients in hospital are reimbursed by insurance companies. Generally divided into outpatient medical insurance and inpatient medical insurance.

Compensatory medical insurance (special medical insurance) means that the patient is definitely diagnosed by the hospital as suffering from the diseases listed in the contract, and the insurance company pays the treatment and nursing expenses to the patient according to the amount agreed in the contract. Generally divided into single disease insurance (such as cancer insurance) and critical illness insurance (10,20,30 critical illness insurance). The above two kinds of medical insurance have similarities, but there are also differences. Similarly, you can only get insurance money if you are sick. The main difference is that general medical insurance belongs to various types, that is, all kinds of diseases can get insurance benefits. Special medical insurance belongs to a special category, that is, diseases or operations clearly listed in the insurance contract can obtain insurance benefits. Medical insurance introduced by insurance companies often combines some of the above two kinds of insurance.