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How much does Shenzhen social security second file pay?
1. The first-level expenses of Shenzhen social security insurance: the first-level payment base is the total salary of last month, and the payment ratio is 8.2%, 9 15. 10 yuan per month, 64.29 yuan for enterprises and 270.438+0 yuan for individuals per month;
2. Second-grade expenses of social insurance in Shenzhen: the base of second-grade payment is the average monthly salary of employees in the previous year, and the payment ratio is 0.8%. 585.62 yuan per month, enterprise 389.6 1 yuan, individual 196438+0 yuan;
3. Third-grade expenses of social insurance in Shenzhen: the base of third-grade payment is the average monthly salary of employees in the previous year, and the payment ratio is 0.55%. 56.92 yuan per month, 378.39 yuan per month for enterprises and 88.53 yuan per month for individuals.
The differences between the first, second and third grades of Shenzhen medical insurance are as follows:
1, the payment standard is different.
The first file: the monthly payment is 8.2% or 7.2% of the total monthly salary of employees, of which individuals only need to pay 2% and the unit pays 6.2% or 5.2%;
The second file: based on the average monthly salary of employees in Shenzhen last year, the payment ratio is 0.8%, of which the unit pays 0.6% and the individual pays 0.2%;
The third stage: based on the average salary of employees in Shenzhen last year, the contribution ratio is 0.55%, of which the unit contribution is 0.45% and the individual contribution is 0. 1%.
2. Hospitalization reimbursement treatment.
Grade I and II: 95% or 90% of medical expenses incurred in designated hospitals can be reimbursed. The reimbursement rate of the third-level insured in different hospitals is different, with 85% in the first-level hospital, 80% in the second-level hospital and 75% in the third-level hospital.
3. General outpatient treatment is different.
The insured who participates in the first file has a personal account of medical insurance, and the balance of the account can be used to pay medical expenses. 70% of the expenses incurred by Dukang Center shall be paid by the individual account and 30% by the overall fund.
If you participate in the second and third gears, there is no individual payment for medical insurance. Class A and B drugs can be reimbursed by 80% and 60% as a whole in outpatient department. 90% of the medical insurance catalogue or medical materials can be reimbursed for a single diagnosis and treatment, and the maximum reimbursement amount does not exceed 120 yuan. The annual payment limit of outpatient medical expenses is 1000 yuan.
Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC).
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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