2022~2023 Shenzhen Social Security Policy Interpretation
2022-09-16 14:59:58 ( Note: 2022 is in the process of organizing the content. previous information! ) from the Municipal Social Security Bureau was informed that, with the Guangdong Province, the city's average wage adjustment of on-the-job workers, the city's old-age insurance contribution base "on line", the basic medical insurance contribution base "on line", maternity insurance contribution base "Upper line" increased to 18,162 yuan; basic medical insurance contribution base "lower line" adjusted to 3,632 yuan; employees died of work-related funeral benefits increased to 36,324 yuan. 1. Participants from the insurance procedures, pay medical insurance premiums from the first day of the month to enjoy the provisions of the health insurance treatment. Declaration of participation before the 20th of each month, according to the month to participate in the treatment; after the 20th of each month to declare participation in the next month to participate in the treatment. Shenzhen social security contribution base and standard 2. Participating units, participants interrupt the payment of medical insurance premiums, from the interruption of the payment of the first day of the month following the stop enjoying medical insurance co-ordination fund to pay for medical insurance treatment, but the balance of their personal accounts can continue to use. 3. For the city's household registration of infants and young children to apply for insurance procedures, from the application of the month to pay, and from the payment of fees from the next month to enjoy medical insurance benefits; within 30 days of the date of entry into the household with the birth certificate of infants and young children and the mother's identity card copy of the application for registration procedures, can be from the month of birth to pay, and from the date of birth in accordance with the relevant provisions of the present approach to enjoy the medical insurance benefits. First, the Shenzhen basic medical insurance reimbursement range 1. Basic medical insurance first class participants personal account for outpatient basic medical expenses, local supplemental medical expenses, in the designated retail pharmacy with the Shenzhen city designated medical institution doctor issued a prescription to buy drugs within the scope of the medical insurance directory, the personal account is insufficient to pay for the part of the individual to pay by the individual. Shenzhen districts social security designated medical institutions Second, Shenzhen districts social security designated retail pharmacies 2. Basic medical insurance first class participants have been continuously insured for one year, in the same medical insurance year, individual out-of-pocket basic outpatient medical expenses and local supplementary medical expenses exceeding 5% of the average salary of the on-the-job workers in Shenzhen in the previous year (the current standard: 4,918 yuan / month), the excess shall be paid by the basic medical insurance general medical fund or local supplementary medical expenses, the individual account shall pay for the part that is insufficient. Medical insurance fund or local supplementary medical insurance fund to pay 70% of the excess, and 80% of the participant aged 70 years or older. Note: Participants enjoying the treatment in the preceding paragraph are not entitled to the following treatment: 70% of the basic medical expenses and local supplementary medical expenses incurred by the first class of basic medical insurance participants in the designated social health centers in Shenzhen will be paid by their individual accounts, and 30% will be paid by the Basic Medical Insurance Fund for Major Diseases or the local supplementary medical insurance fund in accordance with the provisions of the Basic Medical Insurance Fund, except for the costs of the following items: 1 stomatology treatment and treatment of the oral cavity. 1 stomatology treatment costs; 2 rehabilitation and physical therapy costs; 3 large medical equipment inspection and treatment costs; 4 municipal government provisions of other items. 3. If the accumulated amount in the individual account of a participant of the first class of basic medical insurance exceeds 5% of the average salary of on-the-job workers in Shenzhen in the previous year (the current standard is 4918 yuan/month), the excess can be used to pay for the following expenses: 1. the cost of purchasing non-prescription medicines within the scope of the catalog of medicines of the basic medical insurance and the local supplemental medical insurance in the designated retail pharmacy; 2. the cost of the basic medical insurance and the local supplemental medical insurance medicines for the participant himself/herself, and his/her spouse who has been enrolled in the basic medical insurance of the city. 2 I and my spouse and immediate family members who have participated in the city's basic medical insurance in the designated medical institutions to pay the basic medical expenses, local supplementary medical expenses; 3 I and my spouse and immediate family members who have participated in the city's basic medical insurance health checkups, vaccination costs; 4 the country, Guangdong Province and the city of the provisions of the other medical expenses. Third, the social security base how to calculate Shenzhen social security contribution base on July 1 with the wage adjustment from the Municipal Bureau of Social Security was informed that, with the Guangdong Province, the city's average wage adjustment of on-the-job workers, the city's old-age insurance contribution base "on the line", the basic medical insurance one of the base of the contribution "on-line", maternity insurance contribution base "on-line" increased to 18,162 yuan; basic medical insurance contribution base "lower line" adjusted to 3,632 yuan; employees died at work The funeral grant was raised to 36,324 yuan. 1, pension insurance contribution base "bottom line" 2030 yuan Municipal Social Security Bureau recently issued "on the adjustment of the degree of Shenzhen City, the base of social insurance contributions and treatment of the base of reimbursement notice": according to the province, the city of the statistical data, Guangdong Province, the degree of the average monthly wage of 4986 employees in the workforce. According to the statistical data of the province and the city, the average monthly salary of the employees in Guangdong Province is 4986 yuan, and that of Shenzhen is 6054 yuan. Accordingly, from July 1 to June 30, the city's various social security contribution base and treatment issued by the province, the city involved in the previous year's average monthly salary of on-the-job workers, respectively, according to the standard of 4986 yuan / month, 6054 yuan / month. After the adjustment, the pension insurance contribution base "on the line" increased. According to the provisions of the total wage more than 300% of the city's average monthly salary of on-the-job workers in the previous year, the excess is not included in the contribution base. According to the average monthly salary of 6,054 yuan, the "upper line" of the pension insurance contribution base is 18,162 yuan. Pension insurance contribution base "bottom line" is the minimum wage announced by the municipal government, for 2030 yuan. 2, medical insurance, a "lower line" of 3632 yuan Medical insurance, basic medical insurance, a basic medical insurance contribution base "on the line" and "lower line" have been increased. The first step of the basic medical insurance is to raise both the "upper" and "lower" lines. According to the regulations, my monthly gross salary more than 300% of the city's average monthly salary of on-the-job workers in the previous year, according to the city's average monthly salary of on-the-job workers in the previous year, 300% of the contribution; monthly gross salary less than the city's average monthly salary of on-the-job workers in the previous year 60% of the average monthly salary of on-the-job workers in the previous year, according to the city's average monthly salary of on-the-job workers in the previous year, 60% of the contribution. According to the degree of the average monthly salary of 6,054 yuan, the basic medical insurance contribution base of the first tranche of the "upper line" is 18,162 yuan, "lower line" is 3,632 yuan. Basic medical insurance two, three, respectively, the city's average monthly salary of the previous year's on-the-job workers 0.7%, 0.5% of the monthly contribution, the contribution base is adjusted to 6054 yuan, the second monthly contribution of 42.4 yuan, the third monthly contribution of 30.3 yuan. In terms of maternity insurance, the monthly contribution base for maternity insurance premiums of the employer is the sum of the contribution base of the employees of the unit. Employee contribution base for their last month's gross salary; new to work, re-employment and the establishment of a new employer for the first month of the employee contribution base for their first month of gross salary. Gross wages more than 300% of the city's average monthly salary of on-the-job workers in the previous year, the excess is not included in the contribution base, this is the contribution base of the "upper line", according to the degree of the average monthly salary of on-the-job workers in the amount of 6,054 yuan, calculated as 18,162 yuan; the contribution base shall not be lower than the municipal government announced the minimum wage standard, this is the base of the contribution of the "lower line". The "bottom line", 2030 yuan. 3, death at work funeral subsidy of 36,324 yuan Unemployment insurance contributions have not changed, in accordance with the provisions of the unemployment insurance premiums for: the employer to the city's monthly minimum wage standard of 2% according to the number of employees who should participate in the unemployment insurance monthly; employees in accordance with the city's monthly minimum wage standard of 1% monthly payment. The amount of work injury insurance premiums paid by the employer is the product of the total wages of the employees multiplied by the contribution rate of the unit. In terms of compensation for work-related injuries, employees who died at work, the funeral grant is six months of the average monthly salary of employees in the integrated area in the previous year, adjusted to 36,324 yuan. Fourth, the basic realization of the national social security card Statistics show that, as of the end, China's social security card holders amounted to 972 million people, in many places, the people hold a social security card, to meet the registration medical, financial payments and other needs. The social security card will also basically realize the national card According to the Ministry of Human Resources and Social Security information, the Ministry of Human Resources and Social Security will accelerate the establishment of a network of settlement system for medical treatment in other places, to ensure that the basic realization of direct settlement of hospitalization expenses in accordance with the provisions of the referral of medical treatment in other places. In-depth promotion of the "five certificates in one" registration system reform, improve the standardization system of social security services; innovative management tools and service methods, accelerate the pace of construction of electronic social security, improve the standardization of social security services, information technology, professional level; the full implementation of the universal insurance plan, basically built the national database of universal insurance, the real realization of the "one card". "One card", to provide more convenient services for the people.