What is the difference between urban health insurance and social security

1, enjoy the scope of different: social security in the medical insurance can not enjoy hospitalization maternity medical reimbursement, serious chronic disease outpatient (big disease) employees enjoy 17 kinds of diseases, residents enjoy 8 kinds of diseases. 2, reimbursement rate is different: hospitalization reimbursement rate is not the same. The reimbursement rate for hospitalization is 92% for Category A and 70% to 80% for Category B. The reimbursement rate for resident medical insurance is 50% for Category A and 70% to 80% for Category B. The resident medical insurance hospitalization reimbursement rate for a first-class hospital A and B categories for 80% and 70% respectively.

As the saying goes, people eat all kinds of food in their lives and inevitably encounter all kinds of illnesses, but with medical insurance, it will be able to reduce the pressure on the people of our country to seek medical treatment to a great extent. If the urban residents do not have a very stable labor relations, then the medical insurance must be paid by their own, but this kind of medical insurance and social security paid by their own or there is a difference, here we come to understand, urban residents of medical insurance and social security, what is the difference?

A. What is the difference between the urban medical insurance and the social security?

1, the face of the crowd is different.

The urban workers' health insurance is mainly oriented to have a work unit or engaged in the individual economy of the active workers and retirees. The urban residents' health insurance is mainly faced with the urban household registration of the elderly residents who do not have a job, low-income recipients, severely disabled, students and children and other urban non-employed people.

2, different contribution standards and sources.

The urban workers' health insurance is paid by employers and individual workers***, and does not enjoy government subsidies. The urban residents' health insurance contribution standard is generally lower than the workers' health insurance, in the individual contributions on the basis of the government to give appropriate subsidies.

3, different treatment standards.

The urban residents health insurance due to the lower level of financing, medical treatment standards in general slightly lower than the employee health insurance.

4, different contribution requirements.

The urban workers' medical insurance set up a minimum contribution period, to reach the contribution period (male 25 years, female 20 years), no longer pay after retirement can enjoy basic medical insurance treatment; urban residents' medical insurance does not set up a minimum contribution period, must be paid every year, do not pay no enjoyment of treatment.

Second, the urban residents of the medical insurance card balance query:

1, to the local "urban workers basic medical insurance designated medical institutions and designated retail pharmacies" card hospitalization, buy drugs when the balance query.

2, if the local open online inquiry, you can go to the local human resources and social security bureau website, through the personal inquiry system, check the balance of the social security card.

3, call the participating labor security phone 12333 inquiry.

Three, urban residents of medical insurance payment time is when?

1, urban residents health insurance premium payment time: primary and secondary school students and college students for the September 1 to October 31; elderly urban residents, general urban residents and children for the November 1 to December 31st. But each province and city may have some adjustments, specific to the local policy shall prevail.

2, failed to pay the centralized payment time to participate in the premiums dragged to the next year to participate in the premiums, the payment standard is: 1-5 months to participate in the premiums, according to the current year's individual contribution standards; 6-10 months to participate in the premiums, according to the current year's total financing of urban residents' health care individual contributions. after November, will no longer be accepted to participate in the premiums for the current year. The waiting period for urban residents to enjoy medical insurance treatment is two months.

3, the urban residents to participate in the payment of contributions, the interruption of the payment of contributions, re-enrollment in the payment of contributions, will not make up for the interrupted years of medical insurance premiums.

In summary, the urban residents of the urban residents of medical insurance payment time is generally concentrated in November 1 to December 31, can not pay in time, can be in January to May to participate in the payment. If you still do not understand anything, you can go to the local social security bureau to consult.

In summary, the difference between urban residents' medical insurance and social security mainly includes four aspects. Medical insurance is generally for those who do not have a job, meet the national low insurance scope of these groups, although the urban residents of the medical insurance contribution is lower than the social security, but on the contrary, in all aspects of the enjoyment of medical treatment is higher than the social security, which is in line with the national attention to some of the disadvantaged groups of our country, and the two in the number of years of contribution is also a big difference.