The latest regulations on the number of years of medical insurance contributions in Henan Province

The latest regulations on the number of years of payment for health insurance in Henan Province are as follows:

1. The number of years of payment for men is not less than 25 years, and that for women is not less than 20 years;

2. The insured persons who have reached the age of 60 years old for men, or 55 years old for women, have paid for the number of years of payment for men is not less than 25 years, and for women is not less than 20 years, among which, the actual number of years of payment of basic medical insurance premiums must be not less than 15 years, you can enjoy medical insurance benefits after retirement. If you do not meet the minimum number of years required before retirement, you can make up the actual number of years of contributions to the medical expenses in a lump sum;

3. If you have only paid 15 years of social security and not enough medical insurance, you can only receive a pension after retirement, but you can not be reimbursed for medical treatment.

The reimbursement rates for employee health insurance are as follows:

1. Hospitalization reimbursement: 85% for medical expenses between 1,300 yuan and 30,000 yuan, 90% for medical expenses between 30,000 yuan and 40,000 yuan, 95% for medical expenses between 40,000 yuan and 100,000 yuan, 85% for medical expenses between 100,000 yuan and 300,000 yuan, and 85% for hospitalization reimbursement. The reimbursement rate is 85%, and the threshold for inpatient reimbursement is 1,300 yuan;

2. Outpatient reimbursement: The reimbursement rate for community outpatient clinics is 90%, and the reimbursement rate for non-community outpatient clinics is 70%. The starting line for outpatient reimbursement is 1,800 yuan, and the maximum reimbursement limit is 20,000 yuan.

Legal basis: Article 10 of the Social Insurance Law of the People's Republic of China

Employees shall participate in basic pension insurance, and the employer and the employee*** shall pay the basic pension insurance premiums together.

Individual industrial and commercial households without employees, part-time employees who have not participated in basic pension insurance with their employing units, and other flexibly employed persons may participate in basic pension insurance and pay basic pension insurance premiums by themselves.