Nanchong social security payment standard 222 is as follows:
1. In a settlement year, medical expenses below 1, yuan that meet the scope of reimbursement occur:
(1) The threshold for tertiary hospitals is 659 yuan, and the reimbursement ratio is 5%, with the upper limit of 2, yuan;
(2) The Qifubiaozhun for hospitalization in secondary hospitals is 3 yuan, and the reimbursement rate is 55%;
(3) There is no minimum threshold for first-class hospitals, and the reimbursement rate is 6%;
2. The hospitalization reimbursement rate of social security card is: 9% in the first-class hospital, 87% in the second-class hospital and 85% in the third-class hospital, and the hospitalization reimbursement is 3, yuan. Deductible line for hospitalization: The deductible standard for the first hospitalization in a natural year is 1,3 yuan, and every time after that, 65 yuan;
3. The continuous payment is linked to the reimbursement rate. After two years of continuous enrollment, the reimbursement rate increases to 71%, and after four years of continuous enrollment, the reimbursement rate increases to 72%, and so on. It should be reminded that in different cities, the reimbursement rate of social security cards is different, which is mainly related to the local medical insurance benefits.
Legal basis
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
article 29
the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units.
the social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.
1. Nanchong city's employee insurance payment base
According to the standard that the average wage of employees in all urban units in Sichuan Province in 221 is 81,42 yuan (6,785 yuan/month), and according to the mechanism for determining the upper and lower limits of employee basic old-age insurance payment base, recently, our province announced the specific standards for the upper and lower limits of employee basic old-age insurance payment base in 222:
The upper limit of payment is all urban units in the province in 221.
the lower limit of payment is 6% of the average wage of 81,42 yuan in all urban units in the province in 221, that is, 4,71 yuan/month.
according to the above standards, employers in the whole province should truthfully declare the basic old-age insurance premiums that should be paid, and the actual payment wages of employees should be determined within the upper and lower limits of the payment base in laws and regulations. Individual industrial and commercial households and flexible employees who participate in the basic old-age insurance for enterprise employees in their personal capacity in the province can choose an appropriate payment base between the upper and lower limits of the payment base, and the specific payment base grades are implemented by local governments according to the existing methods.
2. unit contribution
contribution base
4,298.4 yuan ≤ 1.1 times of last year's contribution base ≤ 1,744.8 yuan
contribution ratio
endowment insurance unit: 2%; Individuals: 8%
Medical insurance unit: 7.2%; Individuals: 2%
Unemployment insurance unit: 1.5%; Individual: .5%
Work-related injury insurance unit: 1%; Individual: %
Maternity insurance unit: .4%; Individuals: %
Housing accumulation fund unit: 5%; Individuals: 5%
Payment process
Individuals who are insured at the city level can pay fees at the outlets of commercial banks, industrial and commercial banks and China Construction Bank within the jurisdiction of Shunqing. If they pay back the arrears of previous years or those who need to retire in that year, they need to go to the municipal social security payment hall. The insured persons in counties (cities, districts) pay fees at the relevant bank outlets in the insured areas.
payment address
The business license issued by the provincial and municipal industrial and commercial bureaus is handled in Nanchong Municipal Bureau of Human Resources and Social Security; Business license issued by the District Administration for Industry and Commerce to participate in the insurance in the district
III. Individual contributions
Payment base endowment insurance:
The standards for individual insured persons in our city to pay endowment insurance premiums are as follows:
For the first grade, the payment is 4,298.4 yuan according to 4% of the average salary of employees in the province last year;
for the second grade, calculated according to 5% of the average salary of employees in the whole province last year, the payment is 5371.2 yuan;
for the third grade, calculated according to 6% of the average salary of employees in the province last year, the payment is 6446.4 yuan;
for the fourth grade, calculated according to 7% of the average salary of employees in the province last year, the payment is 7521.6 yuan;
for the fifth grade, calculated according to 8% of the average salary of employees in the province last year, the payment is 8594.4 yuan;
for the sixth grade, calculated according to 9% of the average salary of employees in the province last year, the payment is 9,669.6 yuan;
for the seventh grade, the payment is 1744.8 yuan, calculated according to 1% of the average salary of employees in the province last year.
medical insurance:
the part where the total annual average wage of employees in the previous year of the employing unit is more than 3% of the total annual average wage of employees in the previous year of the whole city will not be used as the payment base; Less than 6%, with 6% as the payment base.
Payment ratio
Endowment insurance: 2%
Payment ratio: 8%
Mutual assistance for serious illness: 14 yuan/year
Calculation method of Nanchong personal social security payment
Payment process
Just deposit the social security fee into the withholding bank card or passbook bound by the bank itself.
Legal basis
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
article 29
the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units.
the social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.