First, individual contributions
The payment of personal medical insurance in Shanghai is mainly based on personal salary income. Shanghai Medical Insurance Bureau will determine the payment base and proportion of medical insurance every year according to the local economic development level and residents' income level. Individuals need to deduct medical insurance premiums from their wages in accordance with the prescribed proportion. This expense is mainly used for personal basic medical security, including reimbursement of hospitalization, outpatient service, medicines and other expenses.
For students, freelancers and other residents who have no fixed income, there are also corresponding medical insurance payment regulations. They can choose to pay according to the minimum payment base, or they can choose other payment methods that suit them.
Second, the unit payment
The payment of medical insurance in Shanghai is mainly based on the number of employees and total wages. Units shall pay medical insurance premiums for employees in accordance with the prescribed proportion. This part of the expenses is mainly used to supplement personal medical security and improve the overall medical security level.
In addition, some special types of units, such as institutions and social organizations, also have corresponding medical insurance payment regulations. These units may be different in the payment ratio and payment base, but generally follow the principles of fairness, rationality and sustainability.
Unit payment is not only a legal obligation, but also a care and guarantee for the health and well-being of employees. Through unit payment, a more perfect and sustainable medical security system can be established to provide better medical services for citizens.
Third, the relationship between payment and treatment.
The payment amount of individuals and units is closely related to the medical insurance benefits they enjoy. Generally speaking, the higher the payment amount, the better the treatment you enjoy. Shanghai Medical Insurance Bureau will formulate corresponding reimbursement policies and standards according to the payment situation and medical needs to ensure that citizens get timely and effective medical protection.
At the same time, Shanghai actively promotes the reform and innovation of medical insurance system, and constantly improves the level of medical insurance protection and operational efficiency by improving policies, optimizing services and strengthening supervision.
To sum up:
Individual and unit payment of Shanghai medical insurance is an important part of Shanghai medical security system. Individuals and units pay medical insurance premiums in accordance with the prescribed proportion and base, and enjoy corresponding medical security benefits. This system not only guarantees the basic medical needs of citizens, but also promotes the fairness and accessibility of medical services. At the same time, Shanghai is constantly promoting the reform and innovation of the medical insurance system to better meet the medical needs of citizens.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23 provides that:
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Measures of Shanghai Municipality on Basic Medical Insurance for Employees
Article 8 provides that:
The employer shall pay the basic medical insurance premium according to a certain proportion of the total wages of its employees, and the employees shall pay the basic medical insurance premium according to a certain proportion of their own wages.
The basic medical insurance premiums paid by employees are all included in individual medical accounts; The basic medical insurance premium paid by the employer shall be included in the individual medical account and the overall fund respectively in accordance with the relevant provisions.
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