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Does the medical insurance payment base affect the reimbursement ratio?
1, the proportion of medical insurance reimbursement remains unchanged, and the medical insurance base has a certain relationship with salary and length of service. To participate in medical insurance for urban and rural residents, the reimbursement rate is 50%. If it is employee medical insurance, the reimbursement ratio is 70%;
2, the medical insurance payment base refers to the medical insurance insured to pay medical insurance fees in accordance with a certain proportion of the base. At present, the payment base of medical insurance in China is generally determined by my salary. If my total monthly salary exceeds 300% of the average monthly salary of employees in this city last year, it will be paid according to 300% of the average monthly salary of employees in this city last year. If the total monthly salary is lower than 60% of the average monthly salary of employees in this Municipality last year, it shall be paid according to 60% of the average monthly salary of employees in this Municipality last year. However, due to the actual situation in different places, the specific deposit base is determined according to the local actual situation. Once the payment base is determined, it shall not be changed within one year.
Legal basis: Article 26 of People's Republic of China (PRC) Social Insurance Law.
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 4
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require 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.
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