The payment standard of medical insurance and social security depends on the level of hospitals, including 50% of outpatient expenses in tertiary hospitals, 60% in secondary hospitals and 70% in tertiary hospitals. The starting point of compensation is the accumulated excess over 500 yuan. In hospital, the compensation limit of the basic medical insurance fund is 50 thousand yuan. Employees who participate in social security should go to a designated hospital to see a doctor, so that they can reimburse their expenses.

1. What are the standards for medical insurance and social security payment?

For the insured who seek medical treatment in outpatient and emergency departments, the compensation ratio is: 18 years old and under 60 years old; if the annual accumulated medical expenses of outpatient and emergency departments exceed that of 500 yuan, the residents' medical insurance fund will pay 70%; Secondary medical institutions pay 60%; Tertiary medical institutions pay 50%. Patients hospitalized, people under the age of 60 in the community health service center (or a first-class medical institutions) hospitalized, pay 80%; Secondary medical institutions pay 75%; Third-level medical institutions pay 60%. In addition, the insured urban and rural residents are hospitalized during the insured year, and the maximum payment limit of the basic medical insurance fund is adjusted from 40,000 yuan to 50,000 yuan. Increase the annual maximum payment limit of general outpatient expenses, and increase the annual maximum payment limit of general outpatient expenses of insured urban and rural residents from 100 yuan to 130 yuan.

Second, can I pay the old-age insurance in one lump sum now?

Those who participate in the basic old-age insurance for employees can pay less than 15 years when they reach the statutory retirement age, and the payment can be extended to 15 years. If the insured before the implementation of the Social Insurance Law and the extension of payment is less than 15 years after 5 years, it can be paid to 15 years in one lump sum. For those who do not continue to pay after the deferred payment or the accumulated payment period is still less than 15 years, they can apply to transfer to the new rural social endowment insurance or urban residents' social endowment insurance and enjoy the corresponding pension insurance benefits. Unwilling to extend the payment to 15 years or transfer to the new rural social endowment insurance or urban residents' social endowment insurance, you can apply for a one-time payment of personal account storage.

Individuals who participate in the basic old-age insurance for employees to leave the country and settle down before reaching the statutory retirement age will keep their personal accounts; Those who have reached the statutory retirement age shall enjoy the corresponding pension insurance benefits in accordance with state regulations. At the same time, it is clear that if an individual who participates in the basic old-age insurance for employees dies, the balance in his personal account can be fully inherited.

To sum up, there is an important insurance in social security, that is, medical insurance. Employees with medical insurance cards can pay part of the expenses from the social security fund. If it is an ordinary outpatient and emergency department, the compensation ratio ranges from 50% in a tertiary hospital to 70% in a first-class hospital. In the case of hospitalization, employees can also get medical expenses compensation of up to 50 thousand yuan per year.