1, hospitalization expenses; Medical expenses within 7 days before emergency observation and hospitalization;
2, in line with the provisions of the urban residents special disease outpatient medical expenses; Other expenses that meet the requirements.
Scope of non-reimbursement:
1, self-purchased drugs; Should be paid from the industrial injury insurance fund; Should be borne by a third party; Should be borne by public health; Go abroad for medical treatment; Funds that are not reimbursed according to other laws and regulations. In addition, work-related injuries and occupational diseases. Maternity, hooliganism, alcoholism, traffic accidents, intentional injury of others, medical accidents, beauty treatment, physical examination, etc. of female employees are not included in the expenses paid by the residents' basic medical insurance fund. Due to the different economic and social development in different places, the payment standards of basic medical insurance for urban residents are also different, which leads to different reimbursement standards for basic medical insurance for urban residents. Coverage of old-age insurance for urban residents 16 years old. Staff members of non-state organs and institutions and urban and rural residents who are not covered by the basic old-age insurance system for employees can participate in the old-age insurance for urban and rural residents at their domicile.
Legal basis: Article 10 of the Social Insurance Law of People's Republic of China (PRC).
Employees shall participate in the basic old-age insurance, and the employer and employees shall jointly pay the basic old-age insurance premium.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employer and other flexible employees can participate in the basic old-age insurance, and individuals pay the basic old-age insurance premium.
The measures for the endowment insurance of civil servants and staff managed by reference to the Civil Service Law shall be formulated by the State Council.
Article 11
The basic old-age insurance combines social pooling with individual accounts.
The basic old-age insurance fund consists of employers, individual contributions and government subsidies.
Article 12
The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of its employees stipulated by the state, and record it in the basic old-age insurance pooling fund.
Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.