Legal analysis: The standard of personal medical insurance account transfer, the scope of personal medical insurance account use and the proportion of outpatient reimbursement are specified in detail, which is related to the personal medical insurance benefits of on-the-job personnel and retirees. 1. On-the-job employees' monthly personal medical insurance accounts are composed of the enterprise as a whole and individual contributions. Divide the proportion of monthly accounts by age. Divided into two grades with 45 years old as the dividing line. Among them, the proportion of accounts under 45 years old is 3%, and the proportion of accounts over 45 years old is 3.5%. Personal medical insurance account credit amount = individual contribution base × enterprise proportion+individual proportion 2. Retired employees will be credited at a fixed rate of 4% based on the local full-caliber monthly salary in the previous year. On-the-job employees cancel part of the enterprise account transfer ratio and only keep the individual contribution part. The standard for the quota transfer of retirees in 222 is 15 yuan/month. That is to say, after the adjustment, the amount of money transferred to personal accounts by employees and retirees of enterprises has decreased every month.
Legal basis: "Implementation Measures for Establishing and Perfecting the Economic Security Mechanism for Outpatients with Basic Medical Insurance for Employees in Anhui Province"
Article 5 The personal accounts of employees in the whole province are included in the basic medical insurance premiums paid by individuals, and the inclusion standard is controlled at 2% of the base of their own insurance contributions in principle; In principle, the individual accounts of retired workers shall be allocated by the overall fund according to the quota, and the allocated amount shall be gradually adjusted to about 2% of the average level of basic pension in the year when the overall planning area implements the reform according to these measures. The basic medical insurance premiums paid by the unit are all included in the overall fund.
article 11 the expenses incurred by employees in the general outpatient service of designated medical institutions in a natural year and those within the scope of the policy of purchasing drugs outside the prescription of qualified designated retail pharmacies, which exceed about 3% of the per capita disposable income of urban and rural residents in the overall planning area in the previous year, shall be paid by the overall planning fund according to the regulations.
Article 12 The proportion of expenses paid by employees within the policy scope starts from 5%, and the proportion paid by retired employees is 5% higher than that of employees. With the strengthening of the affordability of medical insurance funds, the level of protection will be gradually improved. According to the level of designated medical institutions, differential payment ratio is set to support the implementation of graded diagnosis and treatment system.