2022 Qinhuangdao City medical insurance contribution base adjustment (new version) active employees, flexible employment personnel base how much

2022 Qinhuangdao City, the latest health insurance contribution base adjustment.

Starting this month, Qinhuangdao citywide implementation!

Active employees, flexibly employed people

to 5959 yuan as the contribution base

Active employees

according to the average monthly salary of employees in the previous year as the individual contribution wage base. 2022 individual contribution base is lower than the average monthly salary of 5959 yuan of the full-caliber urban unit employed people in Qinhuangdao City in 2021, to 5959 yuan as the contribution base, not capped.

Retirees

Retirees of the insured units shall take the average monthly pension issued by the human resources and social security departments in 2021 as the contribution base.

Flexible employment personnel

to the city's full-caliber urban units of the average monthly salary of 5959 yuan in 2021 as the contribution base.

The monthly contribution amount for participants who choose to contribute 8.5% of the basic medical insurance is 506.52 yuan;

the monthly contribution amount for participants who choose to contribute 6.5% of the basic medical insurance is 387.34 yuan.

Qinhuangdao Municipal Medical Insurance Center notice started this month

What are the changes in medical insurance treatment this year?

Qinhuangdao Medical Insurance Bureau

Qinhuangdao City 2022 urban workers basic medical insurance treatment

1. Scope of payment

Urban workers basic medical insurance treatment payment scope includes: meet the payment of statutory inpatient, outpatient and outpatient slow special disease medical expenses.

2. Payment Limits

Increase the employee basic medical insurance payment limit from the original 120,000 yuan per person per year to 150,000 yuan. After adjusting the payment limit, the basic health insurance for employees has been strengthened.

3. Hospitalization threshold

Adjust the hospitalization threshold for first-level designated medical institutions from the original 600 yuan to 400 yuan, and the hospitalization threshold for second-level designated medical institutions from the original 700 yuan to 600 yuan.

4. Hospitalization treatment

Provinces and Beijing and Tianjin direct fixed-point medical hospitals.

Program within the scope of the rules in line with the reimbursement rate of medical expenses:

Outside the province (excluding the city of Beijing and Tianjin direct fixed-point hospitals)

Program within the scope of the rules in line with the reimbursement rate of medical expenses:

5. outpatient treatment level increased

6. Employee catastrophic illness insurance payment limit increased

Employee catastrophic illness insurance fund annual maximum payment limit from the original 400,000 yuan per person per year to 500,000 yuan. Increase to 500,000 yuan.

Breaking the previous 90% fixed reimbursement rate, so that the insured workers have a serious illness, the higher the cost of the reimbursement rate is higher, to further reduce the burden of patients with serious illnesses.

7. Outpatient slow special disease reimbursement rate

(1) in line with the outpatient slow special disease disease payment scope of medical expenses, there is no starting line, negotiation of drugs, set of drugs in accordance with the implementation of the relevant program, the reimbursement of Category A, Category B medical expenses uniformly determined as 80%, retirees increased by 3%, out-of-province medical treatment is reduced by 5%. Secondary and above designated medical institutions in the province, enjoy the city's equivalent outpatient slow special disease law program;

(2) outpatient special disease categories in accordance with the management of hospitalization, in line with the rules of the medical expenses of the integrated fund to pay 90%, retirees increased by 3%, out-of-province cross-border medical treatment decreased by 5%. Provincial secondary and above designated medical institutions, enjoy the city's equivalent outpatient slow special disease payment program.