Unit 20%, individual 8%;

Medical insurance: 8% for units and 2% for individuals;

Unemployment insurance: 2% for the employer and 0/%for the individual.

Industrial injury insurance and maternity insurance are entirely borne by enterprises, each at around 1%, and individuals do not need to pay. For enterprises in different regions and industries, the proportion paid by units is slightly different, subject to local regulations.

I. Legal Basis Article 13 For the basic medical insurance premium paid by employers and employees, social insurance agencies shall establish individual accounts for basic medical insurance (hereinafter referred to as individual accounts) and social pooling funds respectively.

Personal accounts include all the basic medical insurance premiums paid by employees and part of the basic medical insurance premiums paid by the unit. Personal accounts are temporarily included in the following provisions:

(a) employees under the age of 35 shall pay 2.3% of their wages;

(2) Employees aged over 35 and under 45 shall be paid at 2.7% of their salary;

(3) Employees aged 45 or above shall be calculated at 3.5% of their wages;

(4) Retirees are included in 5% of their pensions. Among them, the monthly amount under 70 years old is lower than that of 60 yuan, which is included in 60 yuan; Those who are over 70 years old and whose monthly amount is lower than that of 70 yuan are included in 70 yuan.

Second, the personal account included in the standard, by the municipal labor and social security administrative department in accordance with the basic medical insurance premiums paid by all insured units included in the personal account accounted for about 35% of the principle of calculation and determination, and timely adjustment after the approval of the municipal government.

The basic medical insurance premium paid by the unit, after deducting the part included in the personal account, is all included in the social pooling fund.

Extended data:

Social medical insurance card (referred to as medical insurance card or medical insurance card) is a special card for personal account of medical insurance. It takes personal ID card as the identification code, and stores detailed information such as personal ID card number, name, gender, payment, account fund consumption, etc.

The medical insurance card is generally undertaken by the local designated agent bank, which is a kind of multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

A brief description of the content

Social medical insurance card, referred to as medical insurance card or medical insurance card, is a special card for personal account of medical insurance. With the personal identity card as the identification code, the detailed information such as personal identity card number, name, gender, account capital expenditure and consumption are stored and recorded.

The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

explain

function

Medical insurance card is a functional card with a chip, which is used for identity confirmation and personal account payment of medical insurance when visiting a doctor or a pharmacy. For example (the initial password of Wuhan Medical Insurance Card is 1234). Medical record is a kind of medical record, which can be used in all designated hospitals in the same city to record medical treatment.

Can social security medical insurance be reimbursed?

The so-called medical insurance hospitalization reimbursement-not after you pay cash first, but when you are hospitalized in a designated medical insurance hospital, you issue a medical insurance card, so that the unified medical insurance settlement system can read the information of the insured and handle the hospitalization number. When you leave the hospital, the medical insurance system will not charge you the "reimbursement" part-the overall payment part.

Outpatient reimbursement

Medical insurance for residents:

In an insurance year, if the general outpatient expenses of insured residents in designated outpatient medical institutions are within 100 yuan (inclusive), the residents' medical insurance fund will pay 30% and individuals will pay 70%; Personal consumption exceeds 100 yuan.

Medical insurance for urban workers:

The personal account on the medical insurance card of the insured person insured by the unit is not paid by himself; The medical insurance card for flexible employees also has a personal account of 15 yuan every month since last year, which can be used to pay outpatient expenses, which is equivalent to outpatient reimbursement (unless the insured belongs to civil servants or the unit has other reimbursement policies).

Medical insurance hospitalization, show the medical insurance card, read the card into the medical insurance system, pay the deposit (usually the threshold fee), and enter the fee into the system. The system automatically classifies it as self-funded, Class A, Class B, etc. , class B prepaid 10%.

After entering the basic medical care, according to the number of hospitalizations per year (more than 1 time, the threshold fee is halved) and the level of the hospital (the threshold fee is different, and the overall planning ratio is different), the computer will calculate how much it should pay, and the hospital will settle with the social security medical insurance center.

You can check online on the local social security website. All insured persons, with their ID numbers, enter their ID numbers in "Personal Inquiry" on the homepage of the website, and enter the passwords of ID numbers 12~ 17 as required. After going in,

Click "Personal Inquiry"-click "Designated Medical Insurance Institution" or "Designated Medical Insurance Pharmacy" to make an inquiry. The website can also inquire about the cardholder's payment, personal account balance and historical consumption.

References:

Baidu encyclopedia-social medical insurance card