The difference between social security medical and urban residents medical insurance

The difference between urban and rural residents' medical insurance and social security is as follows:

Urban residents' medical insurance takes urban minors who are not enrolled in urban workers' medical insurance and residents who do not have a job as the main objects of the medical insurance system; social security social insurance is a kind of social and economic for providing income or compensation for the population who are incapable of working, temporarily lose their working positions, or suffer losses due to health reasons. system.

The two are very different from the definition, the object of protection is different, the protection of the project is also different, the scope of social security is obviously wider, the main items of social insurance, including pension insurance, medical insurance, unemployment insurance, work injury insurance, maternity insurance. Urban health insurance is only medical insurance.

One, the enjoyment of the scope is not the same:

Social security in the medical insurance can not enjoy hospitalization maternity medical reimbursement, serious chronic disease outpatient (serious illness) employees enjoy 17 kinds of diseases, residents enjoy 8 kinds of diseases.

Two, the reimbursement rate is not the same:

One is the hospitalization reimbursement rate is not the same. Employee health insurance active employees hospitalization reimbursement rate of 92% for Category A, Category B 70-80%; retired employees hospitalization reimbursement rate of 92% for Category A, Category B 70-80%; resident health insurance hospitalization reimbursement rate of 80%, 70% for Category A and B of the first-class hospitals, 70%, 60% for Category A and B of the second-class hospitals and 60% and 50% for Category A and B of the third-class hospitals, respectively.

The second is that the outpatient reimbursement rate for serious chronic diseases (major diseases) is not the same: 75% of the employee health insurance reimbursement rate, 50% of the urban residents' health insurance.