The basic medical insurance premium for urban workers shall be paid by both the employer and the employees. The total wages of the insured employees in the previous year shall be the base of payment, and the base of payment shall not be less than 60% of the average wages of employees in the whole city in the previous year. If it is less than 60%, it will be paid by 60%, and if it is higher than 300%, it will not be used as the payment base.
Units pay at the rate of 6%, individuals pay at the rate of 2%, and at the same time pay a large amount of medical assistance per person per month in 5 yuan or pay 2% of civil service subsidies (supplementary medical insurance for enterprises). Flexible employees can choose the average wage of employees in this city or 60% of the average wage of employees in the previous year as the payment base. Pay according to the proportion of 8%, and each person will pay a large amount of medical assistance in 5 yuan every month.
Extended data:
Proportion of medical insurance reimbursement:
1. Pay by first gear?
First-class hospitals pay 80% for implementing the basic drug system (90% for basic drugs) and 60% for not implementing the basic drug system; Secondary hospitals pay 58%; The tertiary hospital pays 45%. ?
2. Pay in second gear?
The first-class hospital pays 85% (90% for essential drugs), the second-class hospital pays 70% and the third-class hospital pays 60%. ?
Minor residents and special groups enjoy second-rate medical insurance benefits. ?
Outpatient chronic diseases are divided into two categories: A and B, and the threshold is 300 yuan. ?
3. Reimbursement ratio:?
Pay according to the first level: 40% for chronic diseases in Class A outpatient service and 35% for chronic diseases in Class B outpatient service. ?
Pay by two levels: 60% for chronic diseases in Class A outpatient service and 50% for chronic diseases in Class B outpatient service. ?
Linyi human resources and social security bureau-what is the payment standard of basic medical insurance for employees?