The difference between the first and second social security files.

Legal analysis: 1, payment standard: the first file of medical insurance: the payment ratio is 8.2% (foundation+land compensation), of which the unit pays 6.2% and the individual pays 2%. The first file of medical insurance: the monthly payment is 59.84 yuan, of which the individual payment is 14.96 yuan and the unit payment is 44.88 yuan. 2. General outpatient medical insurance file: Personal account is used to pay the medical expenses within the scope of the insured's general outpatient medical insurance catalogue. Community health center basic medical expenses personal account to pay 70%, the overall fund to pay 30% in accordance with the provisions. The first file of medical insurance: if it belongs to Class A drugs and Class B drugs, it will be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-class insured person in a medical insurance year shall not exceed 1000 yuan. 3. Personal account family * * * medical insurance file: the accumulated amount of personal account exceeds 5% of the average salary of employees in this city in the previous year, and the excess part can be purchased at over-the-counter pharmacies within the scope of medical insurance catalogue; You can pay the basic medical expenses, local supplementary medical expenses, health examination expenses and vaccination expenses for yourself, your spouse and immediate family members to participate in the basic medical insurance in this city. Second grade of medical insurance: none. 4. Personal account is insufficient to pay the first medical insurance: in the same medical insurance year, if the basic outpatient medical expenses and supplementary medical expenses paid by me exceed 5% of the average salary of employees on the job, 70% of the excess will be paid by the overall fund according to regulations (80% for those over 70 years old). Second grade of medical insurance: none. 5. The expenses incurred in the inspection and treatment of large-scale outpatient equipment. The first file of medical insurance: 80% is paid by the overall fund according to the regulations. Second-stage medical insurance: the highest unit price of general diagnosis and treatment items shall not exceed 120 yuan. 6. The first grade of medical insurance for blood transfusion expenses in general outpatient department: 90% shall be paid by the overall fund as required. 7. Medical examination subsidy: one-time 500 yuan after retirement. Medical insurance file of 20 yuan (40 yuan at the age of 70) per person per month 1: none. Medical insurance files outside the city: general outpatient expenses, serious illness outpatient expenses and hospitalization expenses can be reimbursed according to regulations. Medical insurance file 1: general outpatient expenses will not be reimbursed; In accordance with the provisions of the serious illness outpatient expenses and hospitalization expenses can be reimbursed according to the provisions.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.