Differences between Social Security 1, 2 and 3 files

1, and the payment grade is judged according to the average social index in China. Social security payment units need to pay at least 40%, 1 file 60%, second file 80%, and third file most, and need to pay 100%. The higher the payment grade, the higher the expected pension amount, mainly depending on your current economic situation.

2. In terms of outpatient service, the primary and secondary medical services cost 1 1,000 yuan, but they can only be enjoyed if they are bound to community health hospitals. All hospitals can see the outpatient service of primary basic medical services, but they all use their own personal accounts. When there is no money in the personal account, you need to pay cash. You can report 1000 yuan per year for the second and third grades of basic medical care, which is the money from the overall fund, while the money from the first-level outpatient service of basic medical care is your own money, and only the money from the overall fund can be truly reimbursed.

There are three main advantages at the basic medical level. First, the first file of basic medical care has been insured continuously for more than 12 months, and if the out-of-pocket expenses of outpatient service exceed 3 1 and 3 1 yuan in a medical year, 70% of the excess can be reimbursed; Second, 30% can be reimbursed in all outpatient clinics of social health hospitals; Third, outpatient large-scale equipment inspection can be reimbursed.

3. In terms of hospitalization, the first-level basic medical care and the second-level basic medical care are the same, with a unified report of 90%. For example, all designated hospitals in Shenzhen can directly handle hospitalization, and the reimbursement rate is 90%.

The proportion of reimbursement for tertiary hospitalization in basic medical care depends on the level of the hospital. In a first-class hospital, 85% can be reimbursed, and in a second-class hospital, 80% can be reimbursed. In a third-class hospital, the insured person must go to the bound social health hospital first, but not directly to other hospitals. He can only go to the next higher level hospital if he opens a referral form in the binding hospital.