According to the new policy, starting from July 1 day, Zhengzhou will adjust the calculation and payment method of employee medical insurance personal accounts, that is, adjust the structure of the overall fund and personal accounts, and adjust the current calculation and payment method of personal accounts to: include the basic medical insurance premiums paid by individual employees on the job, and the inclusion standard is 2% of the insured payment base, and all the basic medical insurance premiums paid by the unit will be included in the overall fund; Personal accounts of flexible employment insured persons are included in the standard of 2% of the insured payment base, and the rest of the payment is included in the overall fund; Individual accounts of retirees are allocated by the employee medical insurance pooling fund according to the quota, and the monthly quota is 95 yuan.
The maximum reimbursement for employees within one year is 1800 yuan, and the maximum retirement is 2,300 yuan.
According to the new policy, by adjusting the overall fund and personal account structure, the increased overall fund is used to establish the general outpatient expenses guarantee for employees. In a natural year, the insured in the designated medical institutions outpatient medical treatment, pooling funds to pay the establishment of Qifubiaozhun and maximum payment limit.
Among them, the general outpatient co-ordination every time set Qifubiaozhun, every time in 40 yuan, the same outpatient co-ordination designated medical institutions for multiple visits within one day, the burden of a Qifubiaozhun, township hospitals and community health service centers do not set Qifubiaozhun.
The annual maximum payment limits of the overall fund for employees and retirees are 1.800 yuan and 2,300 yuan respectively, and the maximum payment limits for employees and retirees will be halved when 1 is implemented in July this year. The general outpatient co-ordination payment limit is not included in the annual maximum payment limit of the employee medical insurance co-ordination fund.