Job Recruitment Website - Social security inquiry - What is the telephone number of Qiqihar Social Security Bureau?
What is the telephone number of Qiqihar Social Security Bureau?
However, according to the relevant policies of the state, individuals who participate in the basic medical insurance for employees can enjoy the basic medical insurance benefits according to the provisions of the state without paying the basic medical insurance premium after retirement if the accumulated payment has reached the prescribed period of time and reached the statutory retirement age.
:
1. What is the proportion of medical insurance reimbursement for retired employees?
Proportion of medical insurance reimbursement for retired employees:
1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance in the year (11October1February 31February) exceeded 2,000 yuan.
2. Settlement ratio: within the contract period, the dispatched personnel will be reimbursed by 50%, and the individual will pay 50%; In a year, the maximum reimbursement for outpatient and emergency services paid to dispatched personnel is 20,000 yuan.
3, in the deductible above the maximum payment limit below the basic medical insurance payment range of hospitalization medical expenses, class A drugs and general medical expenses paid by the on-the-job workers as a whole fund 85%, retirees as a whole fund to pay 90%; 75% of the cost of Class B drugs is paid by the overall fund; 70% of the cost of high-tech examination and treatment is paid by the overall fund.
4, the insured must be properly kept in the designated hospital outpatient medical documents (including receipts, prescriptions, etc.). ), as a medical expense reimbursement certificate.
5. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.
Second, there may be two reasons why there is no money in the health insurance card after retirement:
1. After retirement, the medical insurance fee will be distributed by the whole city as a whole, probably because the allocated funds have not been put in place, and Cary has no money;
2. The personal information in the personal account of the medical insurance card is incomplete or wrong, which leads to the inability to receive medical insurance premiums in time. You can bring your medical insurance card and personal ID card to the window of the local human resources and social security bureau to inquire about the specific reasons.
Three, medical insurance card personal account query has four ways:
1. Check my medical insurance settlement bill in the recent period, with the amount and balance of account expenditure on it;
2. Call 12333, enter the personal ID number and password, and inquire about the real-time information of the account balance;
3. Log on to the website of the Labor and Social Security Bureau or the website of the Human Resources and Social Security Bureau, and inquire through my ID number. Balance information is updated weekly;
4, hold my ID card or "medical insurance calendar" directly to the medical insurance agencies.
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