Job Recruitment Website - Social security inquiry - What is the total amount of individual medical insurance every year?
What is the total amount of individual medical insurance every year?
1, the annual limit of medical insurance for on-the-job employees is 2000 yuan.
2. The annual limit of medical insurance for retirees is 2,500 yuan.
At the same time, the medical insurance policies in different regions may be different, so the specific figures of the overall quota may also be different. The overall quota refers to the medical expenses paid by the medical insurance fund. Because the personal account balances of different insured persons are different, the actual pooling amount that each person can use will be different.
The meaning of overall medical insurance payment is as follows:
1. Overall medical insurance payment is the part of medical insurance premium paid by all employers for employees in the overall planning area, which is included in the overall planning account. It can be mainly used to reimburse the insured's hospitalization medical expenses and special outpatient medical expenses;
2. Generally speaking, the medical insurance pooling fund belongs to all insured persons, which is stored in special accounts and earmarked for special purposes, and no unit or individual may misappropriate it. Corresponding to the overall medical insurance account is the personal medical insurance account. The money in the personal account mainly comes from the part paid by the staff in the medical insurance fee, which can be mainly used to pay for general outpatient service and buy medicine in designated medical institutions.
To sum up, different items of medical expenses have different reimbursement rates and capped amounts, so it is necessary to make a reasonable choice according to the specific situation when seeking medical treatment, so as to enjoy the guarantee of medical insurance reimbursement to the maximum extent.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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