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1, medical insurance as a whole
Medical insurance co-ordination refers to the remaining part of medical insurance premiums paid by all employers for employees in a co-ordination area after being deducted from personal accounts. The medical insurance pooling fund belongs to all the insured persons, and is managed and adjusted by the social insurance agency. It is mainly used to pay the medical expenses, operation expenses, nursing expenses and basic inspection expenses of the insured employees. The overall medical insurance fund shall be earmarked, and no unit or individual may misappropriate it.
2. What does it mean to freeze medical insurance as a whole?
Co-ordination freezing refers to one of the situations in which the insured person has not paid, interrupted payment, is in the waiting period of medical insurance and has been included in the blacklist of medical insurance. You can't enjoy hospitalization and special disease outpatient service, but you can enjoy general outpatient service and medicine purchase, but you can't enter the overall planning for the time being.
3. How to solve the overall freezing of social security cards?
The overall freezing of social security cards is usually due to the employer or user failing to pay social security in time, resulting in arrears of social security cards, as follows:
① Social security for urban workers: users need to get in touch with the social security personnel of the employer in time to make up the payment.
② Social security for urban flexible employees or social security for urban and rural residents: users need to pay by themselves at the social security center.
4. What is the overall reimbursement ratio of medical insurance?
Proportion of overall reimbursement of medical insurance:
① Medical expenses below 6.5438+10,000 yuan that meet the scope of reimbursement: there is no minimum threshold for first-class hospitals, and the reimbursement ratio is 60%. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; The threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan;
② The medical insurance card is divided into two accounts, the overall account and the personal account. The money deducted from the salary every month is included in the personal account, which can be used to buy medicine or something. The company's payment belongs to the overall account, and the money reimbursed by the invoice after hospitalization comes from the overall account.
5. Where can I deduct the money paid by medical insurance?
Medical insurance pooling account. There are two accounts in medical insurance, one is personal account and the other is overall account. The medical insurance expenses paid by the unit and the insured employees are divided into two accounts according to a certain proportion. When eligible medical insurance is reimbursed, the money in the individual account is deducted from the conceited part, and the money in the overall account is deducted from the reimbursable part. The funds come from the medical insurance pooling fund.