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When is the annual payment time of Fuzhou medical insurance?
With the improvement of China's insurance system and the development of national economy, medical insurance has made great progress. By paying a certain medical insurance fee, citizens can make medical reimbursement after seeing a doctor, thus improving the medical system. So when is the annual payment time of medical insurance in Fuzhou, and what medical insurance matters need to be understood? Let me give you a detailed introduction.
1. When is the annual payment time of Fuzhou Medical Insurance?
According to the Notice of the General Office of Fuzhou Municipal People's Government on Forwarding the Implementation Plan of Urban and Rural Residents' Basic Medical Insurance Policy Integration by the Municipal Medical Reform Office and other departments (Rongzhengban [2015] No.233). Through research, starting from 20 17, the payment period of basic medical insurance for urban residents in our city was adjusted from 20 1 September 6 1 to1February 2, and the enrollment year was adjusted from1to February 365438.
Two, Fuzhou medical insurance payment base
1, upper limit of employee contribution base: 300% of the average salary of employees in the previous year;
2. Lower limit of employee payment base: 70% of the average salary of employees in the previous year.
3.2065438+In 2006, the upper limit of the monthly payment base of the insured workers in Fuzhou is 156 19.50 yuan, and the lower limit is 3644.55 yuan.
4. The minimum monthly payment base of maternity insurance is not less than 3 123.90 yuan and the maximum is not more than 156 19.50 yuan.
5, flexible employees to participate in the basic medical insurance for employees, the monthly payment base is 3644.55 yuan.
6. Retirees can't reach the payment period stipulated in the basic medical insurance for employees, and the monthly payment base is 3 123.90 yuan. (The above are reference data)
Social insurance law
Tenth employees should participate in the basic old-age insurance, and employers and employees should 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.
Eleventh basic old-age insurance to implement the combination of social pooling and individual accounts. The basic old-age insurance fund consists of employers, individual contributions and government subsidies.
Three, Fuzhou medical insurance reimbursement conditions
The applicant went through the insurance procedures, paid the medical insurance premium in full, and went to the designated medical institution of cooperative medical care for medical treatment, and the drugs used were within the scope of reimbursement.
(1) If you have a social security card, you can directly charge it for reimbursement when you see a doctor.
(2) In order to use the medical insurance card, manual reimbursement is required, as follows.
1. Medical expenses of designated medical institutions that cannot swipe their cards due to computer failure (indicated by the hospital and stamped with the official seal);
2, medical insurance information system data annual carry-over downtime (1 month 1-3) medical expenses;
3, approved to go abroad for medical treatment and hospitalization expenses;
4, critically ill patients need to settle medical expenses;
5. Medical expenses that occurred during the period when the social security card was frozen and can be settled according to regulations after thawing;
6. Medical expenses incurred during the period of not receiving the social security card;
7. Medical expenses incurred by resettlement personnel in designated hospitals;
8, travel or visiting relatives and friends suffering from acute diseases in different places need to be hospitalized in the local medical expenses.
To sum up, the annual medical insurance payment time in Fuzhou is generally from the beginning of July to the end of 65438+February, but it is changed from the beginning of September to the end of 65438+February. During this time, Fuzhou citizens should remember to pay medical insurance premiums. Only by paying enough medical insurance expenses on time can you enjoy the service of medical insurance reimbursement, which needs the attention of the insured.
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