Two, social security first, second and third class difference:
(a) contribution
1, basic medical first class (unit 6% individual 2%) local supplementary medical (unit 0.2%), the contribution base for the employee's actual contribution to the wage (minimum of 3,632), the total payment of 297.8 yuan;
2, basic medical second class (unit 0.5% individual 0.2%), the total payment of 297.8 yuan;
2, basic medical second class (unit 0.5% individual 0.2%), the total payment of 297.8 yuan;
2, basic medical second class (unit 0.5% individual 0.2%) local supplementary medical (unit 0.1%, the contribution base for the previous year the average monthly salary of on-the-job workers (now 6054), the total contribution of 48.4;
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 on-the-job workers (now 6054064), the total payment is 33.3 yuan;
(2) treatment
1, outpatient, basic medical third grade, basic medical second grade 1000 yuan per year outpatient costs, but must be in the bound social hospitals to enjoy, the basic medical first grade in all the hospitals can see the outpatient, but are using their own personal account money, when the personal account has no money. When the personal account has no money, you have to take your own cash, to be frank, these money are all the money you pay; and the basic medical second and third grade can be reported annually 1,000 yuan, this money is the use of the money of the integrated fund, and the basic medical first grade outpatient clinic money is their own money, only to the integrated fund of the money is the true meaning of the reimbursement. Of course, the first level of basic medical care is not without its benefits, and has the following three advantages. First, if you have been continuously insured in the first level of basic medical care for 12 months or more, and if your outpatient out-of-pocket expenses exceed 3,632 yuan in a medical year, you can be reimbursed for the exceeding part of the expenses by 70%. Secondly, 30% of the outpatient expenses can be reimbursed in all social hospitals. Third, outpatient to do large equipment examination, can be reimbursed 80%, this reimbursement are used the money of the integrated fund, in addition to their own account money;
2, hospitalization, this medical first class, basic medical treatment is the same, a unified report of 90%, all designated hospitals in shenzhen can be directly for hospitalization, reimbursement ratio of 90%; basic medical hospitalization of the third class Reimbursement rate according to different levels of hospitals, in the first hospital can be reimbursed 85%, second hospital reimbursement of 80%, three hospitals reimbursement of 75%, and the third class of participants for hospitalization to the bound social hospitals, can not be directly to the other hospitals for hospitalization, through the bound hospitals to open the referral order, you can only go to the bound hospitals of the previous hospitals to see a doctor.
That is to say, if the hospital you want to see is not the upper level of the bound hospital, there is no way to refer to the hospital, of course, you can not go to the referral order, directly to the hospital you want to hospitalization, but the reimbursement rate will be reduced by 10%, for example, according to the normal, hospitalization in the third level of hospitalization is reimbursed 75%, if you don't have a referral order to the past, you can only be reimbursed 67.5%. If you go there without a referral order, you will only be reimbursed 67.5%. So the insured try to enroll in the second level of basic medical care.
The purpose of the three-tier pension system is to provide targeted protection for different types of people. The fees and benefits are different for each of the three levels. The company's social security system determines which level of payment will be made according to the company's system, and the level of payment can be changed according to the actual situation.
Legal basis:
Article 64 of the Social Insurance Law of the People's Republic of China includes the basic pension insurance fund, the basic medical insurance fund, the industrial injury insurance fund, the unemployment insurance fund and the maternity insurance fund. Each social insurance fund is accounted for separately according to the type of social insurance, and the social insurance funds are earmarked for specific purposes; no organization or individual may appropriate or misappropriate them. The basic old-age insurance fund is gradually being centralized throughout the country, and other social insurance funds are gradually being centralized at the provincial level, with the specific timing and steps to be specified. Article 65 of the Social Insurance Law of the People's Republic of China*** and the State of China social insurance fund through the budget to achieve a balance between revenue and expenditure.