Does the medical insurance card need annual inspection? How to deal with it?

The medical insurance card does not need annual review, and the medical insurance does not need annual review. Reimbursement scope: hospitalization expenses incurred by the insured in designated hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by individuals; Reimbursement ratio: minimum payment for the first hospitalization in a natural year 1.300 yuan, each time in 650 yuan. The payment ratio is divided into three grades. Take a tertiary hospital as an example. The floating standards are: 30,000 yuan, 85% on the job, 9 1% for retirement, 90% for 30,000-40,000, 94% for retirement, more than 40,000, 95% for employment and 97% for retirement. 90 days of general hospitalization is a settlement cycle. Psychiatric hospitalization for 360 days is a settlement cycle, and the floating standard is halved. In a natural year, the overall fund pays a maximum of 70,000 yuan. The maximum hospitalization amount is 654.38+10,000 yuan, and the hospitalization ratio is 70%;

The process of the first annual social security review is as follows:

1. Copy at the designated window within the time limit required by the annual inspection of the local social security bureau (the social security bureau copies the initial data of the annual inspection).

Second, submit relevant information.

Third, bring the above information to the annual inspection window of the Social Security Bureau for review. It is best to bring the official seal of the company and receive the certificate issued by the Social Security Bureau after the audit is completed according to the process.

Please pay the medical insurance premium of 10 month before the annual review, and then start to declare the payment base.

The annual review operation flow of online lobby: batch business → payment wage declaration (annual review) → download Xi 'an annual review document package → download annual review data → modify payment wage → submit.

Download the annual audit package and the employee batch salary declaration form, decompress the annual audit package, and install the annual audit enterprise, as follows:

Fill in the "declare salary" section of the "employee batch salary declaration form", and remember not to fill in the wrong section. The "declared salary" in the insured data must be truthfully reported according to the average monthly salary of 202 1 (non-payment base).

Open the enterprise-side annual medical insurance audit → click "File Selection" → select the completed "Employee Batch Salary Declaration Form" and import the data into the client program. After completing the enrollment data, import the data into the client program, and generate the health insurance payment wage declaration form and the health insurance payment wage declaration roster. After the unit prints, it shall be signed by the competent leader of the unit and stamped with the official seal of the unit. (Enterprises reporting in good faith shall be reported by the enterprises themselves)

Go back to the website, click "Payment Base Declaration (Annual Review)" → Import the completed "Employee Batch Salary Declaration Form" → Click "Submit" to complete the annual review.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 1 of People's Republic of China (PRC) Social Insurance Law

In order to standardize the social insurance relationship, safeguard the legitimate rights and interests of citizens to participate in social insurance and enjoy social insurance benefits, enable citizens to enjoy the fruits of development and promote social harmony and stability, this Law is formulated in accordance with the Constitution.

second

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 when they are old, sick, injured, unemployed and have children.

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.