The Social Security Association will co-ordinate the social security funds paid by all employers for employees in a region, some of which are medical insurance funds. The medical insurance fund is to pay certain medical expenses for patients, which is what we often call reimbursement of medical expenses. The money for medical insurance was finally saved. Everyone is old and ill in hospital. That will come in handy. The unit contribution rate is generally about 6% of the total wages of employees.
The basic medical insurance premium paid by the employer is divided into two parts, one part is the overall fund and the other part is the personal account. Personal accounts account for about 30%. The personal contribution rate is generally 2% of my salary income. If an individual is employed across the overall planning area, his basic medical relationship will be transferred with him, and the payment period will be calculated cumulatively. The insured must go to the designated medical institutions of basic medical insurance for medical treatment, purchase medicines or purchase medicines at designated retail pharmacies.
The full name of the social security fund is the National Social Security Fund, which is managed by the National Social Security Fund Council. The sources of social security funds include, in addition to individual and enterprise contributions, funds transferred from the reduction of state-owned shares and equity assets, funds transferred from the central government, funds raised by other means approved by the State Council and their investment income.
What is the overall payment?
Overall payment is to use the funds in the overall account to pay the relevant medical expenses of the insured. Account payment, that is, using the insured's medical insurance card to swipe the card at the pharmacy or clinic. The overall management of medical insurance consists of individual accounts and overall accounts. Differences in the standard of overall payment: The basic medical expenses incurred by the insured directly to the town (street) community health service center for emergency treatment outside the designated outpatient hours shall be paid by the overall fund according to regulations.
The basic medical expenses of the insured person directly to the town (street) community health service center outpatient rescue, and the overall fund shall be paid according to the regulations; The proportion of basic medical expenses incurred by direct visits to designated outpatient clinics and outpatient rescue in medical institutions outside the town (street) community health service center will be reduced by 10%.
Designated outpatient referral to the community health service center, the overall fund in accordance with the provisions of payment; Transferred to the outpatient department of the town (street) designated hospital headquarters or the outpatient department of the municipal designated specialized hospital headquarters, the proportion of overall fund payment decreased by10%; Transfer to the outpatient department of the designated tertiary hospital in the city, and the payment ratio will be reduced by 20%; Transferred to other medical institutions, the overall fund will not be paid.