How many years does Nanjing medical insurance have to pay to enjoy life?
1. Employee medical insurance
The accumulated payment period of employee medical insurance (including deemed payment period) must be 25 years for men and 20 years for women, and the actual payment period should be no less than 10 years. After retirement, employees can enjoy medical insurance benefits according to regulations. If it is less than the above payment period, it shall be paid in full in one lump sum according to the longest payment period.
2. Urban and rural medical insurance
Urban and rural medical insurance needs to pay for insurance every year, otherwise you can't enjoy the treatment.
From June 65438+1 October1day, 2023, Nanjing implemented the * * * economic security mechanism for workers' medical insurance outpatient service, and canceled the original outpatient medical insurance co-ordination and outpatient chronic disease qifubiaozhun (ranging from 600 to 2200 yuan), and the new outpatient co-ordination policy did not set qifubiaozhun. The new outpatient co-ordination fee payment limit covers the original outpatient co-ordination and the original outpatient chronic disease fund payment limit, which is generally improved. The annual outpatient fee limit is increased from the original 3333 yuan10.2 million yuan to10.5 million yuan.
The higher the outpatient medical expenses, the higher the proportion of overall fund payment; And appropriate to the primary medical institutions and retirees, the cost is below 1 ,000 yuan (inclusive), and the fund payment ratio is 40%-60%; 1000 yuan (excluding)-5,000 yuan (including), and the fund pays 60%-85%; 5000 yuan (excluding)-1.5 million yuan (including), and the fund pays 65%-90%.
In addition, from June 5438+ 10, 2023, the basic medical insurance premium paid by individuals will be included in the personal accounts of on-the-job employees, and the inclusion standard is 2% of the insured payment base. From June 5438+ 10, 2023, the personal account of retired (retired) personnel will be transferred to the monthly quota according to the amount allocated in my personal account in February 2022; In 2023, the new retirees in that year will be transferred according to 5.4% of the pension in the month of retirement, which will be included in the quota in that month. If the employee's medical insurance insured person turns to retirement on the job, after going through the relevant formalities, the employee's medical insurance retiree's personal account will be included in the implementation measures from the next month.
Generally speaking, the insured should pay medical insurance on time to avoid the failure of payment, which will affect the reimbursement of medical insurance, and avoid the trouble of not being able to enjoy lifelong medical insurance treatment because of insufficient payment period when retiring. That's all. I hope it helps you.