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Linyi medical insurance payment ratio for individuals and units

The Linyi medical insurance payment ratio is 8% for units and 2% for individuals.

The details are as follows: 1. Basic pension insurance: the employer pays 20% every month, and individuals pay 8%; 2. Basic medical insurance: the employer pays 9% every month, and individuals pay 2%; 3. Unemployment insurance: the employer pays 2% every month

Pay 1.5%, and individuals pay 0.5%; 4. Work-related injury insurance: The unit pays 1% every month, and individuals do not need to pay; 5. Maternity insurance: The unit pays 1% every month, and individuals do not need to pay.

Medical insurance reimbursement conditions: 1. Insured persons must go to designated medical institutions covered by basic medical insurance to seek medical treatment and purchase drugs, or go to designated retail pharmacies determined by social insurance institutions to purchase drugs with medical prescriptions issued by doctors in designated hospitals; 2. Insured persons must

The medical expenses incurred during the process of seeing a doctor must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards before they can be paid by the basic medical insurance fund in accordance with regulations; 3. The insured person must meet the basic medical insurance requirements.

Among the medical expenses within the scope of medical insurance payment, the portion of the expenses above the minimum payment standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a uniform proportion.

Medical insurance reimbursement process: 1. Diagnosis and treatment in medical insurance designated hospitals: There are medical insurance designated hospitals in every city. Only when you are diagnosed and treated in a medical insurance designated hospital can you use medical insurance to reimburse.

Therefore, if you want to use medical insurance, you must go to a medical insurance designated hospital and complete the relevant registration procedures; 2. Prepare discharge information: Prepare discharge information in advance when you are discharged, for example

Disease diagnosis certificate, discharge record and medical record sheet, etc.

Generally, during treatment, we tell the doctor that we need these materials, and the doctor will help us prepare them. It is best to make a copy after getting these materials.

Submit one copy to the medical insurance reimbursement office and keep the other for backup; 3. Discharge settlement: Take the hospitalization list and invoice and complete the settlement procedures in the hospital.

After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement and review; 4. Wait for the reimbursement to arrive: After the information is handed over, you will receive a receipt, and the reimbursement amount will arrive within 15 days.

Yes, everyone just needs to wait patiently.

To sum up, the reimbursement of the medical insurance card is limited to medical expenses above hospitalization caused by diseases and some accidents in designated hospitals.

Legal basis: Article 4 of the "Social Insurance Law of the People's Republic of China" Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire payment records and personal rights records, and request social insurance managers to

The agency provides social insurance consulting and other related services.

Individuals enjoy social insurance benefits in accordance with the law and have the right to supervise the payment of contributions by their units.

Article 58 The employer shall apply to the social insurance agency for social insurance registration for its employees within thirty days from the date of employment.

If social insurance registration is not carried out, the social insurance agency shall determine the social insurance premiums that should be paid.

Individual industrial and commercial households without employees who voluntarily participate in social insurance, part-time employees who have not participated in social insurance in the employer, and other people with flexible employment should apply to the social insurance agency for social insurance registration.

The state establishes a nationally unified personal social security number.

An individual's social security number is a citizen's identity number.