First-class insured: any designated medical institution in this city for medical treatment. And the personal account is used to pay the medical expenses within the scope of the insured's general outpatient medical insurance catalogue. Community health center basic medical expenses personal account to pay 70%, the overall fund to pay 30% in accordance with the provisions.
Second-class insured persons: outpatients seek medical treatment in the binding community health center, inpatient departments seek medical treatment in any designated medical institutions in the city, and outpatients seek medical treatment in designated medical institutions for serious illness.
Third-level insured persons: outpatients seek medical treatment in the binding social health center, and inpatients and outpatients seek medical treatment in prescribed medical institutions for serious illness.
The second and third categories of insured persons, belonging to Class A drugs and Class B drugs, shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-grade and third-grade insured within a medical insurance year shall not exceed 1000 yuan.
Shenzhen can pay social insurance through unit payment or social security platform, and local hukou can also pay social insurance as a freelancer. Details are as follows:
Individuals as freelancers pay social insurance: according to the prescribed payment base (local differences), they pay according to a certain proportion, and local regulations are different. Endowment insurance is generally paid at the rate of 18-28%, and medical insurance is generally paid at the rate of 6- 10% of the local average wage level in the previous year. Conditions: Have urban household registration in this city, and meet the conditions for insurance.
Unit payment: that is, the unit and individual pay the same fee, and the unit pays part and the individual pays part, which is paid according to a certain proportion of the average monthly salary of the individual in the previous year. The individual part is paid according to 8% of the average salary of the individual in the previous year, 2% for medical insurance and 0.5- 1% for unemployment insurance.
Non-local residents pay social security:
Social security platform payment. In essence, like employee social security, you can enjoy the protection of five insurances, but individuals need to pay part of the company's expenses and platform service fees.
Legal basis:
"People's Republic of China (PRC) Social Insurance Law" Article 74 The social insurance agency shall obtain the information needed for social insurance work through business handling, statistics and investigation, and the relevant units and individuals shall provide it in a timely and truthful manner. The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement. The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge. Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.