The medical insurance system is a social security system covering the whole society. However, different places have different medical insurance policies. According to the different economic development in Shanghai, Shanghai has specific medical insurance policies. So, what are the contents of the latest Shanghai medical insurance policy? According to the requirements of the national medical insurance policy, the basic medical insurance policy in Shanghai ... If you want to know more about the latest medical insurance policy in Shanghai, please take a look with me. The medical insurance system is a social security system covering the whole society. However, different places have different medical insurance policies. According to the different economic development in Shanghai, Shanghai has specific medical insurance policies. So, what are the contents of the latest Shanghai medical insurance policy? According to the requirements of the national medical insurance policy, some adjustments have been made to the basic medical insurance policy in Shanghai, mainly reflected in the treatment of medical insurance. The reimbursement level of medical insurance has improved but the payment standard has not been raised, and the self-sufficiency standard of outpatient and emergency departments has remained unchanged. The medical insurance benefits for urban residents in Shanghai are adjusted as follows: 1. For people aged 6 or above who seek medical treatment in community health service centers (or first-class medical institutions), the proportion of fund payment is adjusted from 85% to 9%; Secondary medical institutions were adjusted from 75% to 8%; The tertiary medical institutions were adjusted from 65% to 7%. 2, people under the age of 6, in the community health service center (or a medical institution) for medical treatment, the fund payment ratio is adjusted from 75% to 8%; Secondary medical institutions are adjusted from 65% to 7%; The tertiary medical institutions were adjusted from 55% to 6%. Through the above adjustments, the overall reimbursement level of hospitalization medical expenses for urban residents in this city has increased from about 7% to about 75%. The outpatient and emergency payment policy for urban residents' medical insurance In the medical insurance year, the outpatient and emergency self-financing standard and the co-ordination fund qifubiaozhun of Shanghai urban workers' basic medical insurance participants remain unchanged. Specifically, the individual payment standard for urban residents' medical insurance remains unchanged, specifically, 34 yuan, a person over 7 years old; 5 yuan, 6-69 years old; 68 yuan, aged 19-59; 9 yuan, primary and secondary school students and infants. The maximum payment limit of medical insurance The maximum payment limit of the urban workers' basic medical insurance co-ordination fund and the small town medical insurance fund (referred to as the "capping line") is still 34, yuan, and 8% of the medical expenses above the "capping line" can still be reimbursed. In addition to the above policies, the needy people in Shanghai will continue to enjoy the policy of helping and rescuing by participating in residents' medical insurance. The government subsidizes the individual contributions of family members with minimum living allowances in cities and towns. At the same time, within the Qifubiaozhun for outpatient and emergency treatment and hospitalization, family members with minimum living allowances in cities and towns and severely disabled people in cities and towns continue to enjoy government subsidies. Shanghai Medical Insurance Payment Proportion Medical insurance is generally paid by companies and employees in different proportions, which is divided into individual part and company part. But as freelancers, what should I do if there is no company to pay social security for them? After all, social medical insurance, as a basic guarantee, is what everyone needs. It is understood that freelancers can buy social security by themselves, but the payment ratio will be different from that of ordinary employees. Take Shanghai medical insurance as an example. What is the contribution rate of medical insurance for freelancers? Shanghai medical insurance payment stipulates that the standard payment ratio of employee medical insurance payment is 11% for the employer and 2% for the individual. The upper limit of the payment base is 2,815 yuan, and the lower limit of the payment base is 14,76 yuan. Remarks 1. The employer's payment ratio of 11% includes 9% for the basic medical insurance premium and 2% for the local additional medical insurance premium. 2. The base of medical insurance payment for employees who originally participated in social insurance in small towns is 2815 yuan. The employer and its employees can also participate in the insurance payment according to the provisions of social insurance for urban employees in this city through consultation. 3. The payment base and payment proportion of non-urban household registration foreign employees can be paid according to 5% of the average monthly salary of employees in the whole city in the previous year, and can also be paid according to the provisions of social insurance for urban employees in this city through consultation between employers and their employees. Personal payment standard of medical insurance for urban residents 1. Persons over 7 years old: 34 yuan 2, 6-69 years old: 5 yuan 3, 19-59 years old: 68 yuan 4. Primary and secondary school students and infants: The registration payment period of 9 yuan Remark Medical Insurance will end on December 2th. It is hoped that eligible residents will go through the registration formalities in time within the specified time, and a three-month waiting period will be set for those who fail to join the insurance, after which they can enjoy the medical insurance benefits for urban residents. Scope and proportion of Shanghai medical insurance reimbursement 1. Scope of urban residents' medical insurance reimbursement The medical insurance treatment for urban residents mainly adjusts the hospitalization reimbursement method according to the national requirements, specifically: the insured residents will add the minimum payment standard for each hospitalization, and the community health service center (or the first-class medical institution) 5 yuan, the second-class medical institution 1 yuan and the third-class medical institution 3 yuan. For the medical expenses that exceed the minimum threshold, the proportion paid by the urban residents' medical insurance fund is adjusted as follows, and the rest of the medical expenses are borne by the insured: 1. For those over 7 years old, the proportion paid by the fund is adjusted from 7% to 85% for those who seek medical treatment in community health service centers (or first-class medical institutions); 75% for medical treatment in secondary medical institutions; For medical treatment in tertiary medical institutions, 65% will be paid. 2. For people over 6 years old and under 7 years old, the proportion of fund payment is adjusted from 6% to 85% for those who seek medical treatment in community health service centers (or first-class medical institutions); 75% for medical treatment in secondary medical institutions; For medical treatment in tertiary medical institutions, 65% will be paid. 3. For people over the age of 18 and under the age of 6, as well as primary and secondary school students and infants, the proportion of fund payment is adjusted from 5% to 75% for those who seek medical treatment in community health service centers (or first-class medical institutions); 65% for medical treatment in secondary medical institutions; 55% for medical treatment in tertiary medical institutions. Through the above adjustments, the overall reimbursement rate of hospitalization medical expenses for urban residents' medical insurance in this city has increased from about 61% to about 7%. The standard of outpatient and emergency payment policy for urban residents' medical insurance remains unchanged. 2. reimbursement scope of medical insurance for employees

1. On-the-job employees' outpatient and emergency medical expenses 1. On-the-job employees who joined the work before December 31, 2: First, they will pay from their personal medical account funds, and after the account funds are used up, they will be paid by individuals in cash. In a medical insurance year, after the individual pays 1% of the average annual salary of employees in this city in the previous year, the excess will be shared by individuals and additional funds in a certain proportion. The payment proportion of additional funds varies according to the age of employees: (1) For those who were born before December 31, 1955 and joined the work before December 31, 2, the standard for outpatient and emergency departments at their own expense is 1,5 yuan, 7% of the excess medical expenses will be paid by the additional funds, and the rest will be borne by the on-the-job employees. (2) Those who were born from January 1, 1956 to December 31, 1965, and joined the work before December 31, 2, the self-funded standard for outpatient and emergency departments is 1,5 yuan, and 6% of the excess medical expenses will be paid by the additional fund. See how to reimburse the medical insurance. The rest is borne by the employees. Compare how long diabetic nephropathy can live. (three) born after January 1, 1966, before December 31, 2 to participate in the work, the standard for outpatient and emergency departments is 15 yuan, more than 5% of the medical expenses will be paid by the additional fund, and the rest will be borne by the employees. (four) after January 1, 21, the new job, the standard for outpatient and emergency departments is 15 yuan, more than 5% of the medical expenses will be paid by the additional fund, and the rest will be borne by the employees. Look at the scope of medical insurance reimbursement. Medical expenses incurred by employees in outpatient serious illness treatment, and learn how to treat diabetes. On-the-job employees are paid 85% by the overall fund; Retirees are paid 92% by the overall fund. After the payment of the overall fund, the remaining part is paid by the balance funds of individual medical accounts over the years, and the insufficient part is paid by individual cash. In the overall fund to pay the medical expenses above the maximum amount, 8% will be paid by the additional fund, and 2% will be borne by the employees.

II. Outpatient and emergency medical expenses for retirees The expenses incurred by retirees for outpatient and emergency medical treatment or dispensing medicines at designated retail pharmacies within one year shall be paid by their personal medical account funds. The insufficient part shall be paid by the individual to the self-financing standard of outpatient and emergency departments, and the excess part shall be paid according to the following provisions (excluding the expenses incurred in dispensing medicines at designated retail pharmacies): (1) For those who have gone through retirement procedures before December 31, 2, the self-financing standard of outpatient and emergency departments shall be 3 yuan, and for those in outpatient and emergency departments of first-class medical institutions, 9% of the medical expenses for the excess part shall be paid by additional funds; In the outpatient emergency of secondary medical institutions, more than 85% of the medical expenses are paid by the additional fund; In the outpatient emergency of tertiary medical institutions, more than 8% of the medical expenses are paid by the additional fund; The rest is borne by retirees. (two) born before December 31, 1955, joined the work before December 31, 2, and retired after January 1, 21. The standard for outpatient and emergency departments is 7 yuan. For outpatient and emergency departments in first-class medical institutions, 85% of the excess medical expenses are paid by the additional fund; In the outpatient emergency of secondary medical institutions, more than 8% of the medical expenses are paid by the additional fund; In the outpatient emergency of tertiary medical institutions, more than 75% of the medical expenses are paid by the additional fund; The rest is borne by retirees. (3) Those who were born from January 1, 1956 to December 31, 1965, joined the work before December 31, 2, and went through retirement formalities after January 1, 21, the standard for outpatient and emergency departments is 7 yuan, and those who are in outpatient and emergency departments of first-class medical institutions, 7% of the excess medical expenses will be paid by the additional fund; In the outpatient emergency of secondary medical institutions, more than 65% of the medical expenses are paid by the additional fund; In the outpatient emergency of tertiary medical institutions, more than 6% of the medical expenses are paid by the additional fund; The rest is borne by retirees. (4) Those who were born after January 1, 1966, joined the work before December 31, 2 and went through retirement formalities after January 1, 21, the self-supporting standard for outpatient and emergency departments is 7 yuan, and those who are in outpatient and emergency departments of first-class medical institutions, 55% of the excess medical expenses will be paid by the additional fund; In the outpatient emergency of secondary medical institutions, more than 5% of the medical expenses are paid by the additional fund; In the outpatient emergency of tertiary medical institutions, more than 45% of the medical expenses are paid by the additional fund; The rest is borne by retirees. (five) after January 1, 21 to participate in the work and then go through the retirement procedures, the standard for outpatient and emergency services is 7 yuan, and for outpatient and emergency services in a first-class medical institution, 55% of the medical expenses will be paid by the additional fund; In the outpatient emergency of secondary medical institutions, more than 5% of the medical expenses are paid by the additional fund; In the outpatient emergency of tertiary medical institutions, more than 45% of the medical expenses are paid by the additional fund; The rest is borne by retirees. I'll sort out the information about these problems here, hoping to help you. China's laws are gradually improving, and we look forward to helping more people.