Job Recruitment Website - Social security inquiry - What do you mean by medical insurance level 1, 2 and 3? What exactly do medical insurance levels one, two and three mean?
What do you mean by medical insurance level 1, 2 and 3? What exactly do medical insurance levels one, two and three mean?
2. If you want to check the specific medical insurance grade, you need to check the specific rules and regulations formulated and published by the provincial and municipal social security bureaus or other competent units.
3. For example, Jinan City, Shandong Province:
From (1) 201565438+1October1,Jinan's urban residents' medical insurance and the new rural cooperative medical system have been fully integrated, and the payment standards are unified into three grades: one is 80 yuan, a "student and child file"; Second, 300 yuan, the "first file for adult residents", is equivalent to the payment standard for adult residents who originally participated in urban residents' medical insurance; Third, the "second file for adult residents" is 100 yuan, which is equivalent to the payment standard for adult residents who participated in the original new rural cooperative medical system.
(2) Different payment grades have different reimbursement rates. Taking hospitalization in secondary medical institutions as an example, the proportion of hospitalization reimbursement paid by children and adult residents according to the first-class standard is: 65% paid by residents' basic medical insurance fund and 35% borne by individuals. According to the second standard, the proportion of hospitalization reimbursement for adult residents is: 60% paid by residents' basic medical insurance fund and 40% borne by individuals.
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