1. Employees: pay the basic medical insurance premium at 2% of their salary base. Transfer to employee's personal account.
2. Employer: Pay the basic medical insurance premium at 9% of the wage base paid by the employer. The insurance premium paid by the employer is included in the employee's personal account according to the following standards:
(1) Employees under the age of 35 will be transferred to personal accounts according to 0.8% of their monthly salary base;
(2) Employees over the age of 35 and under the age of 45 will be transferred to individual accounts according to 1% of their monthly salary base;
(3) Employees over the age of 45 are included in personal accounts at 2% of their monthly salary base;
(4) Retirees under the age of 70 shall be included in personal accounts according to 4.3% of the average monthly salary of employees in this Municipality in the previous year;
(five) retirees over the age of 70, according to 4.8% of the average monthly salary of employees in this city last year included in the personal account.
The reimbursement conditions of medical insurance are as follows:
1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital;
2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations;
3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Liu Bin¡¯s academic profile