The proportions of personal medical insurance are as follows: 1. Pension insurance: 20% paid by the company and 8% paid by the individual; 2. Medical insurance: 10% paid by the company and 2% paid by the individual plus 3 yuan for serious illness coverage; 3. Unemployment insurance
: The employer pays 1% and individuals pay 0.2%; 4. Work-related injury insurance: The employer pays 1% and individuals do not pay; 5. Maternity insurance: The employer pays 0.8% and individuals do not pay; 6. Housing Provident Fund: The employer pays
The proportion is 12%, and the individual payment proportion is 12%.
After an individual buys medical insurance, if he has not reached the retirement age, he can reimburse 50% of the medical expenses of more than 2,000 yuan after going to the hospital for outpatient services or medical treatment.
For retirees under the age of 70, the reimbursement rate is 70% for expenses exceeding 1,300 yuan.
For retirees over 70 years old, expenses exceeding 1,300 yuan will be reimbursed at a reimbursement rate of 80%.
Regardless of the type of person, the maximum payment limit for large outpatient medical expenses is 20,000 yuan.
Among them, the standards for employee hospitalization reimbursement are related to the hospitals of different levels where the insured persons are located.
For example, the minimum payment standard for a tertiary hospital is 0 to 30,000 yuan, employees pay 15%, and medical insurance reimburses 85%; for medical expenses of 30,000 to 40,000 yuan, employees pay 10%, and medical insurance reimburses 90%; for medical expenses exceeding 40,000 yuan,
Medical insurance can reimburse 95% of the expenses up to the maximum payment limit.
The proportion of personal payment for retirees is 60% of that of active employees, but any payment below the minimum standard will be borne by an individual.
Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, and shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.