Reimbursement of hospitalization medical expenses:
Qifubiaozhun and reimbursement ratio of basic medical insurance for urban workers;
1, medical insurance for employees on the job
(1) Threshold fee for first hospitalization: 700 yuan;
(2) Threshold fee for the second hospitalization: 500 yuan;
(3) Threshold fee for the third hospitalization: 420 yuan;
The reimbursement rate is: 70%.
2. Retiree medical insurance
(1) Threshold fee for first hospitalization: 500 yuan;
(2) Threshold fee for the second hospitalization: 350 yuan;
(3) Threshold fee for the third hospitalization: 300 yuan;
The reimbursement rate is: 75%-80%.
3. Flexible employment medical insurance
(1) Threshold fee for first hospitalization: 700 yuan;
(2) Threshold fee for the second hospitalization: 500 yuan;
(3) Threshold fee for the third hospitalization: 420 yuan;
The reimbursement rate is: 70%.
What is the medical insurance reimbursement method for flexible employees?
The medical insurance premium paid by flexible employees is divided into two parts: the overall fund and the personal account, and the overall fund is used to pay the hospitalization medical expenses; The proportion of medical insurance premiums for flexible employees transferred to individual accounts is 3. 5%, personal accounts are used to pay the medical expenses that individuals should bear according to regulations during outpatient and hospitalization.
The medical insurance premium paid by the flexible employment insured shall be earmarked for special purposes, and the principal and interest of the personal account shall be owned by the individual, and the remaining funds shall not be withdrawn, overdrawn or overspent, and the personal account shall not be lent to others for use.
If the insured with flexible employment is transferred or dies in different places, it is necessary to go through the formalities of surrender and cancellation in time to the medical insurance department, and the principal and interest of the personal account balance funds can be returned to me at one time. After the death of the insured employee, the personal account balance funds will be inherited by the heir designated by me according to law.
To sum up, it is Bian Xiao's relevant answer about the proportion of medical insurance reimbursement for flexible employees in Guiyang, hoping to help you.
Legal basis:
Article 23 of the Social Insurance Law of People's Republic of China (PRC) * * * Employees shall participate in the basic medical insurance for employees, and employers and employees shall pay the basic medical insurance premium in accordance with the provisions of the state. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.