Legal analysis: I. Contributions
1. Basic medical first class (unit 6% + individual 2%) + local supplementary medical (unit 0.2%) + maternity medical (unit 0.5%), the contribution base for the employee's actual contribution to the wage (minimum of 3,131 yuan), the total contribution of 272 yuan;
2. Basic medical second class (unit 0.5% + individual 0.2%) + local supplementary medical (unit 0.1%) + maternity medical (unit 0.2%) contribution base for the previous year the average monthly salary of employees on duty (now 5218), the total payment of 52;
3. basic medical third class (unit 0.4% + individual 0.1%) + local supplementary medical (unit 0.05%), the contribution base for the previous year the average monthly salary of employees on duty (now 5218), the total payment of 29 yuan )
II. Treatment
1. Outpatient, basic medical three-stage, basic medical two-stage annual outpatient costs of 1,000 yuan, but must be in the bound social welfare hospitals to enjoy, the basic medical one-stage in all hospitals can see the outpatient clinic, but are using their own personal account money, when there is no money in the personal account, you have to take their own cash, to be frank, these are all the money you pay; and the basic medical two-stage and Third grade can be reported annually 1000 yuan, this money is the use of the money of the integrated fund, while the basic medical first class outpatient money is their own money, only to the money of the integrated fund is the real meaning of reimbursement. Of course, the basic medical first class is not without its advantages, there are the following three advantages, first, continuous enrollment in the basic medical first class for more than 12 months, and outpatient out-of-pocket expenses of more than 3,131 yuan in a medical year, the excess can be reimbursed by 70%, second, 30% reimbursement of outpatient visits in all social hospitals, third, outpatient large-scale equipment examination, can be reimbursed by 80%, this reimbursement is the use of the coordinated fund, the money is used in the coordinated fund money. This reimbursement is all with the money of the integrated fund, in addition to the money of their own account;
Legal basis: "Chinese People's Republic of China *** and the State Social Insurance Law" Article 64 The social insurance fund includes the basic pension insurance fund, the basic medical insurance fund, the workers' compensation insurance fund, the unemployment insurance fund, and the maternity insurance fund. Each social insurance fund maintains separate accounts in accordance with the type of social insurance, and carries out separate accounting, and implements the unified accounting system of the State.
Social insurance funds are earmarked for specific purposes, and may not be appropriated or misappropriated by any organization or individual.
The basic old-age insurance fund is gradually implemented at the national level, and other social insurance funds are gradually implemented at the provincial level, with the specific time and steps stipulated by the State Council.