1. What is the proportional payment for medical social security?
The proportion of medical social security payment is: 6% for the unit and 2% for the individual, in 3 yuan. Employee's individual contribution ratio: The employee's basic medical insurance is paid by both the employer and the employee, and the employee's contribution ratio is 2% of his salary, 3 yuan. Employer's contribution ratio: the employer's contribution ratio is 6% of the total wages of employees. With the development of economy, the payment ratio of employers and employees can be adjusted accordingly.
Two, the social insurance payment ratio is generally as follows:
(1) endowment insurance
At present, the contribution ratio of endowment insurance is: unit 2 1% (all included in the overall fund) and individual 8% (all included in the personal account).
(2) Medical insurance
The proportion of medical insurance payment: 6% in 3 yuan and 2% in individuals.
(3) Unemployment insurance
Unemployment insurance payment ratio: 2% for the unit and 0/%for the individual.
(4) Industrial injury insurance
The unit pays 0 per month. 5%, I don't have to pay a penny, and the industrial injury insurance determines its industrial injury rate according to the industry scope of the unit, which is 0. Between 5% and 2%.
(5) Maternity insurance
The unit pays 1% every month, without paying a penny.
(5) Housing accumulation fund
Provident fund deposit ratio: according to the actual situation of the enterprise, choose the housing provident fund deposit ratio. But in principle, the maximum shall not exceed 10% of the average wage of employees. The employer shall pay the housing accumulation fund at 12% of the salary. Units and individuals are 65438+ 02% of salary.
The payment base is determined according to the individual wage level (within the range of 300%-60% of the local average social wage) and shall not be lower than the minimum payment standard.
Payment amount = payment base multiplied by payment proportion. For example, if the payment base is 2000, then the individual pays 2000 times 8%= 160, and the company pays 2000 times 20%=400, and then other calculations are made.
Third, how is the medical insurance compensation standard stipulated?
1, different hospitals have different reimbursement rates for different medical insurance: if a person spends 10000 yuan in a hospital, if he is hospitalized in a first-class hospital, 500 yuan will be deducted first; If you are hospitalized in a secondary hospital, first subtract 1000 yuan; If you are hospitalized in a tertiary hospital, you will be reduced by 2000 yuan first; After excluding "non-medical insurance drug expenses" and "other non-medical insurance expenses", the remaining employees reported 80%, retired or unemployed, and unemployed 50%. (Note: Medical insurance reimbursement only covers Class A drugs, that is, medical insurance drugs, and Class B drugs are not covered by medical insurance and cannot be reimbursed)
2. The proportion of on-the-job employees' hospitalization medical expenses reimbursement. Except for the self-funded part and 10%, the part of Class B expenses that exceeds the deductible expenses of hospital medical insurance enjoys the proportion of overall payment. Different hospitals have different deductible expenses, and the proportion of overall payment is also different. The proportion of medical insurance for employees is over 80% (82%/84%/87% in Wuhan), and that for residents is about 70% (80%/65%/50% in Wuhan).
3. The social security card has not adjusted any proportion of medical reimbursement. Social supplementary medical insurance for retirees under 70 years old is 50%. Payment institutions need to prepare copies of medical insurance manuals, medical bills, receipts and details when handling reimbursement procedures. For details, please contact the labor security telephone number 12333.
In short, medical insurance has solved a series of problems such as expensive medical treatment, so that people who have bought medical insurance can look down on the disease and see a doctor at any time. Let the masses have a healthy and strong body, a good body and a good mood, and a peaceful country and people.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.