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How to divide the social security gear?
1, employee social security. The grade of employee social security is determined according to the payment base, and there is no grade. At present, the lowest grade is 60% of the average monthly salary of employees in last year, and the highest grade is 300% of the average monthly salary of employees in last year. And during this period, according to the actual situation of the average monthly salary of employees in that year;
2. Social security for residents. There are 10 grades of social security for residents, ranging from 100 yuan to 1000 yuan respectively. The higher the level of social security payment, the higher the monthly social security premium. But the social security benefits you can enjoy after retirement will be higher. Therefore, when paying social security, you still have to choose according to your actual situation. You must choose a higher grade as far as possible from the treatment after retirement.
The main differences between the first file and the third file are as follows: 1, and the difference in payment: the amount of social security contributions of different grades is different. 2. Difference in treatment: The higher the payment base, the higher the personal account balance and the higher the interest income. Plus the basic pension, because the basic pension is calculated according to the average social wage plus the average payment index wage over the years, the higher the average payment base, the higher the average, the greater the proportion of the average social wage, and the more pensions you receive.
First-class medical insurance does not need to be bound by social security. You can go to any social security designated hospital in the city for treatment and hospitalization, or you can go to a social security designated pharmacy to buy medicine. It is impossible for second-class and third-class hospitals.
The first-level medical insurance has its own independent personal account, and some of the money paid by individuals and companies every month goes into the personal account. There are no personal accounts in the second-level and third-level clinics, and the outpatient limit of the second-level and third-level clinics is only 1 1,000 yuan/social security year;
See a doctor in all social health hospitals can be reimbursed 30%, and medical personal accounts can pay 70%. For example, if the outpatient expenses of an insured person are 100 yuan, then the overall fund can reimburse 30 yuan, and 70 yuan will deduct it from his personal account. If Cary has no money, he has to pay cash.
80% of the outpatient inspection of large equipment can be reimbursed, and the other 20% can be paid in cash. For example, an insured person had his heart examined by color Doppler ultrasound and spent 1000 yuan, which can be directly charged to 800 yuan in the hospital. In addition, the cash given by 200 yuan is directly credited to the account, and there is no need for special application or reimbursement to the Social Security Bureau. If it is a second-level or third-level insured, this 1 0,000 yuan will be paid in full.
I hope the above content can help you. If in doubt, please consult a professional lawyer.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 10
Employees shall participate in the basic old-age insurance, and the employer and employees shall jointly pay the basic old-age insurance premium.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employer and other flexible employees can participate in the basic old-age insurance, and individuals pay the basic old-age insurance premium.
The measures for the endowment insurance of civil servants and staff managed by reference to the Civil Service Law shall be formulated by the State Council.
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