How long does it take for Shenzhen social security to change from second gear to first gear?

The effective time of transferring Shenzhen social security from the second file to the first file is the month after submitting the file transfer application.

The difference between the first and second social security files in Shenzhen.

First, the payment standards are different.

(1) 1st gear (basic+land compensation)

1, payment ratio:

(1) unit: 6%+0.2% (non-enterprise unit); Personal: 2%

(2) Unit: 5%+0.2% (enterprise unit); Personal: 2%

2. Share proportion:

(1) Under 45 years old: 5%

(2) Over 45 years old: 5.6%

3. Payment base: total monthly wages of employees. The maximum is 3 times the social wage, and the minimum is 60% of the social wage.

(2) the second file (basic+land compensation)

1. Payment proportion: unit: 0.5%+0.1%; Individual: 0.2%

2. Share ratio: 0

3. Payment base: monthly social wage.

Second, the insured population is different.

(1) First gear:

1. On-the-job personnel with local household registration;

2. After reaching the statutory retirement age, those who move into this city and do not receive pension benefits or pensions on a monthly basis may apply for basic medical insurance;

3, enjoy the minimum living allowance of non employed residents to participate in the basic medical insurance;

4, the city's household registration of one to four disabled residents to participate in the basic medical insurance;

5. The social insurance institutions of Guangdong Province and Beijing Municipality pay monthly pension insurance benefits to the Shenzhen units that participated in the original pension insurance industry as a whole, and have participated in the social medical insurance of this Municipality before retirement.

6, other personnel stipulated by the municipal government.

Note: Non-registered employees can participate in the first file of basic medical insurance, but it depends on whether the employer purchases it.

(2) Second gear:

1. Shenzhen1Non-employed residents under the age of 8 participate in the second file of basic medical insurance;

2. Non-employed residents who have registered in this city before reaching the statutory retirement age and have reached the age of 18 can participate in the first or second grade of basic medical insurance;

3. Unemployed persons who receive unemployment insurance benefits participate in the second grade of basic medical insurance;

4. Persons who receive employee pension insurance benefits or pensions on a monthly basis in this Municipality shall participate in the first or second grade of basic medical insurance in accordance with the provisions of Articles 14 and 15 of these Measures;

5. Those who have reached the statutory retirement age and continue to pay the old-age insurance premiums in this city may choose to participate in the first or second file of the basic medical insurance.

6. Non-employed employees

Third, reimbursement treatment.

(a) a file and two file hospitalization reimbursement treatment is the same.

1. The basic medical expenses and local supplementary medical expenses incurred by the insured above the first/second deductible line of basic medical insurance shall be paid according to the following provisions:

(1) If the insured person has received the employee's pension insurance benefits on a monthly basis in this city and paid the basic medical insurance premium at 1 1.5%, the payment ratio is 95%;

(2) If the employee fails to receive the pension insurance benefits of this Municipality on a monthly basis, the payment ratio is 90%;

2. Special medical materials and disposable medical materials with a unit price of more than 1 000 yuan, as well as the installation or replacement of artificial organs used by the insured in hospital, shall be paid by the basic medical insurance serious illness pooling fund according to the following provisions, but the maximum payment amount shall not exceed the public price announced by the municipal social insurance administrative department:

(1) 90% of the actual price is paid for domestic materials;

(2) The imported materials shall be paid at 60% of the actual price.

3. The inpatient bed fee of the insured person shall be paid by the basic medical insurance serious illness pooling fund according to the actual inpatient bed fee, but it shall not exceed the following standards: the maximum payment amount is the first file of the government-guided price for the bed fee of Class A rooms in general wards of non-profit medical institutions determined by the municipal price management department.

(2) Outpatient reimbursement treatment

1, 1 file:

The personal account of the insured person of basic medical insurance can be used to pay the insured person's outpatient basic medical expenses and local supplementary medical expenses, and purchase drugs within the scope of medical insurance catalogue at designated retail pharmacies with the prescription of doctors in designated medical institutions in this Municipality. The part of the personal account that is insufficient to pay shall be paid by the individual;

If the accumulated amount of personal account exceeds 5% of the average wage of employees in this city in the previous year (currently 4,488 yuan), the excess can be used to pay the following expenses;

(1) The expenses for purchasing non-prescription drugs within the scope of basic medical insurance and local supplementary medical insurance drugs list at designated retail pharmacies;

(2) the basic medical expenses and local supplementary medical expenses paid by myself, my spouse and the immediate family members who have participated in the basic medical insurance in this Municipality when visiting the designated medical institutions;

(3) I and my spouse, immediate family members to participate in the city's basic medical insurance physical examination, vaccination costs.

2. Second gear:

The outpatient medical expenses incurred by the second-class insured of basic medical insurance in the selected community health centers in this Municipality shall be handled in accordance with the following provisions:

(1) Class A drugs and Class B drugs in the basic medical insurance drug list are paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively;

(2) 90% of the items of single diagnosis and treatment or medical materials in the basic medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment shall not exceed 120 yuan.

(3) Precautions

A, the insured due to illness by the settlement hospital referral to other medical institutions of outpatient medical expenses, or on business in non settlement hospital emergency rescue outpatient medical expenses, by the community outpatient co-ordination fund in accordance with the provisions of the preceding paragraph shall be reimbursed; Other circumstances in the non-settlement hospital outpatient medical expenses community outpatient co-ordination fund will not be reimbursed.

B, community outpatient co-ordination fund in a medical insurance year ((from July of that year 1 day to June 30th of the following year)) to pay each insured person the second grade basic medical insurance outpatient medical expenses, the total amount shall not exceed 1000 yuan.

Cost source/msfw/zjfw/zcfg/201107/t 2010714 _1/kloc-0.