Shantou City, Shantou City, the worker retired, health insurance social security to handle the relevant formalities

If you have just retired and have not yet gone to the social security center of the participating area or county to handle the in-service-to-retirement formalities, you should first go to the social security center to handle the in-service-to-retirement formalities by holding the following documents: (1) "Basic Medical Insurance Participant Reduction Form" (Form IX); (2) "Retirement Approval Form"; (3) "Approval Form for the Determination of Deemed Years of Contributions to the Basic Medical Insurance"; (4) other relevant documents; ((5) the need to make up for the payment of medical insurance premiums should also be filled in the "Basic Medical Insurance Replacement Payment Status Form" (Form X). 5) need to make up for the payment of medical insurance premiums, should also fill out the "basic medical insurance to make up for the payment of the table" (Table X).

If you have already gone through the above procedures, please look back.

If you are hospitalized due to illness, you should go to the medical insurance office of the designated hospital with your medical insurance card to go through the hospitalization procedures. If you are too late to go through the procedures due to the urgency of your condition, you can be hospitalized first and then go through the procedures again, and the designated medical institution will file the record in the county social security center within 2 working days of the hospitalization of the insured person. The medical expenses incurred at the time of discharge from the hospital will be paid by the participant and reimbursed in the following month. After the operation of the medical insurance network, the insured person only needs to pay the part of personal burden, and the expenses to be paid by the integrated fund will be settled by the hospital and the medical insurance center. For medical expenses covered by the medical insurance, retired employees bear 16% of the personal burden. Active employees bear 18%.

Conditions for retired insured workers to enjoy basic medical insurance benefits

1. Contribution period

Participating workers who have made contributions for a cumulative total of years as stipulated by the state when they reach the retirement age can still enjoy the basic medical insurance benefits after retirement, but they do not need to continue to pay the basic medical insurance premiums. At present, there is no unified national regulation on the minimum contribution period, which is determined by each co-ordination area according to the local situation, and is generally thirty years for male workers and twenty-five years for female workers. In the more economically developed regions, the minimum contribution period is shorter, for example, in Beijing, it is twenty-five years for male workers and twenty years for female workers.

2, the insured workers who have not reached the state's required contribution period at the time of retirement, you can contribute to the state's required period of time, the cost of making up for the difference between the actual contribution period and the minimum contribution period stipulated by the state, should be paid by the employing unit and the individual's full medical insurance costs.

Retired workers medical insurance treatment standards

I. Participating in the city's urban workers' basic medical insurance unit insured, according to the policy provisions of the retired do not need to continue to pay the basic medical insurance premiums, the original employing unit after retirement owes the basic medical insurance premiums or has no active employees to participate in the insurance premiums, does not affect the enjoyment of their basic medical insurance benefits.

Two, participate in the city's urban workers basic medical insurance participants, the basic medical insurance contributions after retirement has not reached the required number of years, still need to continue to pay the basic medical insurance premiums, by the individual in accordance with the individual participants in the insurance premiums standard continue to contribute to the required number of years; or in the retirement procedures at the same time as the individual participants in the previous year's premiums standard one-time payment of a full number of years, the contribution standard is The contribution standard is: average monthly salary of Chengdu employees in the previous year at the time of retirement × 80% × 9.5% × the number of months to be paid, and the accounting standard of individual account after the one-time contribution is implemented in accordance with the relevant regulations.

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