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The benefits of first-class social security
2. The first-level medical insurance has its own independent personal account, and some of the money paid by individuals and companies every month goes into the personal account. There are no personal accounts in the second-level and third-level clinics, and the outpatient limit of the second-level and third-level clinics is only 1 1,000 yuan/social security year;
3.30% can be reimbursed in all social health hospitals, and 70% can be paid in medical personal accounts. For example, if the outpatient fee of an insured person is 100 yuan, then the overall fund can reimburse 30 yuan and 70 yuan, and the card will be paid in cash if there is no money.
4. 80% of large-scale equipment can be reimbursed for outpatient inspection, and the other 20% can be paid in cash. For example, an insured person who spends 1000 yuan for a heart color ultrasound examination can be directly charged to 800 yuan in the hospital, and 200 yuan gives cash, which is a direct charge, and there is no need for special application or reimbursement to the social security bureau. If it is a secondary or tertiary insured, this is 1 000.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
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.
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