How to handle medical insurance for flexible employees? How to apply for medical insurance when flexible employees meet all the conditions of medical insurance? In this regard, the following will be a detailed analysis for you, hoping to help you. Insured persons who have reached the age of insurance within the legal working age refer to those who have the ability to work and are employed in flexible forms such as part-time, temporary and flexible working system, such as self-employed persons, freelancers, migrant workers (holding migrant workers' work permits issued by the labor department), unemployed persons and employees whose units are completely unable to pay fees and temporarily unable to participate in basic medical insurance. Be sure to register the contact number in detail. It is understood that the household registration personnel in this city must bring the original and photocopy of the ID card, the original and photocopy of the first page of the household registration book and my page, and two recent one-inch (3.3 cm) color photos without a hat. You must go to the flexible employment window on the second floor of the medical insurance center for the first time; In addition to the above procedures, foreign household registration personnel also need to hold a residence permit issued by the public security department and an employment contract issued by the labor department, which must be handled by themselves in the medical insurance center. It should be noted that flexible employees must register their contact numbers (fixed lines, mobile phones) in detail when they join the insurance, so as to inform them in time before they need to pay. Payment standard for flexible employees The basic medical insurance premium is based on the average social wage of employees in the whole city in the previous year, and the one-year basic medical hospitalization pooling fund and large relief fund 100 yuan are paid according to the proportion of 4.9%. After retirement, you only need to pay a large amount of assistance of 100 yuan every year. The total payment this year is 1285.36 yuan. After the male reaches the age of 60, the actual payment period is not less than 25 years; After the female reaches the age of 55, the actual payment period is not less than 22 years. If the actual payment period is insufficient, a one-time supplement will be made based on the average salary of employees in this city last year at the retirement age, and retirees will enjoy basic medical treatment in hospital from next month. The specific payment amount needs to be verified and calculated at the flexible employment window on the second floor of the medical insurance center. Medical insurance cards can't be bought in pharmacies. Different from the basic medical insurance for employees, flexible employees only enjoy the hospitalization benefits of the basic medical insurance for employees and do not set up personal accounts. In other words, you can use the medical insurance card to go to the hospital, but you can't use the medical insurance card to pay for medical expenses, and you can't buy medicine at the pharmacy. Can enjoy the proportion of hospitalization reimbursement for employees. The expenses that meet the basic medical needs (except for Class C, Class B ×90%+ Class A), and the proportion of overall reimbursement above the deductible line (65,438 yuan in the province, 700 yuan in the city and 400 yuan in the district) are: 85% in provincial hospitals, 88% in municipal hospitals and 91%in district hospitals; The overall reimbursement rate after retirement is: 87% in provincial hospitals, 90% in municipal hospitals and 93% in district hospitals. Proportion of outpatient reimbursement. Outpatient treatment is carried out in the designated community health service center or health service station designated by the medical insurance center, and drugs within the scope of basic drugs in Changchun are issued. The drug expenses below 400 yuan can be reimbursed by 30%. You can apply for outpatient chronic diseases and enjoy certain subsidies after approval; You can also apply for outpatient serious illness. After passing the examination, you can only enjoy the hospitalization reimbursement treatment of deductible line once a year. Insured persons who live in other places for a long time due to special reasons after retirement may also apply for medical treatment in other places. After approval, you can enjoy the same treatment as local hospitalization. You can enjoy "free" dialysis treatment for employees. Can enjoy the treatment of single disease workers and workers. You can enjoy the downward adjustment policy of some diagnosis and treatment projects in the designated hospitals of municipal medical insurance. Medical insurance for flexible employees: 1. Declaration and registration: Flexible employees hold the original and photocopy of their ID cards to the Medical Insurance Bureau for morning paper and registration. After the approval, we will handle everyone's medical guarantee, card and special office. 2. Approved payment: According to the application and registration of flexible employees, the Municipal Medical Insurance Bureau will verify according to the regulations and fill in the payment verification form. 3. Payment process: Flexible employees pay directly to the tax hall of the Municipal Local Taxation Bureau with the payment approval form stamped with the special seal of the Medical Insurance Bureau. The fee ticket is transmitted from the Municipal Local Taxation Bureau to the Municipal Labor Settlement Center, and the Municipal Labor Settlement Center is transmitted to the Medical Insurance Bureau. The medical insurance bureau regularly transmits the payment verification data of flexible employees to the labor settlement center once a month. At present, the medical insurance for flexible employees has been strongly supported by national policies, and flexible employees can enjoy basic medical insurance according to law.
Legal objectivity:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
People's Republic of China (PRC) social insurance law
Article 29
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.