Go to the medical insurance center to stop the community medical
Community medical insurance belongs to the medical insurance for urban residents, which is paid annually (related to age and personnel nature). Resident insurance, annual outpatient co-ordination within 100 yuan, 30%, outside at their own expense; The proportion of inpatient co-ordination is less than that of employee medical insurance, the highest standard of co-ordination payment is smaller, and the number of severe diseases is less
the medical insurance handled by units and indivials belongs to the medical insurance for urban employees. The five insurances are run together in the unit, and there are only two kinds of endowment insurance for indivials (many places currently have no maternity insurance). Personal insurance is the social security for urban flexible employment personnel. Medical insurance has to pay for 6 months continuously before they have the qualification to be hospitalized as a whole. The balance of personal account is fixed (Wuhan didn't have it before, now it's the 15th month of each month)
in general, there are these differences. In a word, job insurance is better than residential insurance, and unit insurance is better than indivial insurance
25 years old, good health, medical insurance doesn't matter, indivial social security has pension, community medical insurance has no pension. Either way, if you find a work unit, you can stop it and transfer to another unit for social security renewal
bring personal identification card, medical insurance card, registered permanent residence to the street where the registered residence is located. Community medical insurance belongs to urban residents' medical insurance, that is, for the urban residents who have no way to participate in employee medical insurance (general medical insurance), the expenses paid are relatively small, and the reimbursement proportion and total reimbursement amount are not as high as employee medical insurance,
and when seeking medical treatment, the choice of hospitals must start from community hospitals, and only when they meet the transfer regulations can they go to large hospitals, If you go directly to a large hospital, you may not be reimbursed
the medical expenses of insured residents in designated medical institutions (including family beds) should be paid according to the minimum payment standard, the part above the minimum payment standard should be paid in proportion to the hospital level, and the maximum payment limit should be controlled
for the children who enjoy the minimum living security treatment of urban residents, the indivial pays 10 yuan and the financial subsidy is 90 yuan; For children with severe disability (holding the disability certificate of the people's Republic of China at level 2 or above), the indivial shall pay 10 yuan and the financial subsidy is 90 yuan (including 50 yuan of employment security subsidy for the disabled)
Urban Non employed residents: 250 yuan per person per year. Indivial pay 180 yuan, financial subsidy 70 yuan. Among them, the urban non employed residents who enjoy the minimum living allowance and the elderly over 60 years old from low-income families pay 20 yuan and 230 yuan as financial subsidies; For Urban Non employed residents with severe disabilities, 20 yuan will be paid indivially and 230 yuan will be subsidized by the government (150 yuan will be subsidized by the employment security fund for the disabled)
in addition, those who have participated in the medical insurance for urban employees can pay the residents' medical insurance fees for their immediate family members with the balance of their personal medical insurance account
Many people are still not very clear about the use of medical insurance card for urban workers (residents), so we will explain it in detail as follows:
one is the general outpatient card, which can be reimbursed on the spot with the medical insurance card when they go to the designated community health service institutions
the other is to swipe the card in the hospital. When the designated medical institution is admitted to the hospital, it is required to show the medical insurance card and my ID card (household register), and the reimbursement will be made on the spot according to the policy proportion when the hospital is discharged
note.
if the insured residents go to the hospitals outside the city for medical treatment, they should first apply to the District Social Security Bureau for medical treatment or transfer to another hospital, and then go to the Social Security Bureau for reimbursement with the invoice, list and other relevant medical information
if the new insured does not get the card for medical treatment and the new insured residents' medical insurance card is not in place, the insured personnel should pay attention to keeping the reimbursement voucher after medical treatment and go to the District Social Security Bureau for reimbursement with valid ID card
if the information of the insured residents' medical insurance card is wrong or their medical insurance card is lost, they can bring their ID card (household register) to the District Social Security Bureau to modify and reissue it, and then they can get the new card on the spot
Insurance editor to help you answer, more questions can be answered online
community medical insurance belongs to the medical insurance for urban residents, which is paid annually (related to age and personnel nature). Resident insurance, annual outpatient co-ordination within 100 yuan, 30%, outside at their own expense; The proportion of inpatient co-ordination is less than that of employee medical insurance, the highest standard of co-ordination payment is smaller, and the number of severe diseases is less
the medical insurance handled by units and indivials belongs to the medical insurance for urban employees. The five insurances are run together in the unit, and there are only two kinds of endowment insurance for indivials (many places currently have no maternity insurance). Personal insurance is the social security for urban flexible employment personnel. Medical insurance has to pay for 6 months continuously before they have the qualification to be hospitalized as a whole. The balance of personal account is fixed (Wuhan didn't have it before, now it's the 15th month of each month)
in general, there are these differences. In a word, job insurance is better than residential insurance, and unit insurance is better than indivial insurance
25 years old, good health, medical insurance doesn't matter, indivial social security has pension, community medical insurance has no pension. Either way, if you find a work unit, you can stop it and transfer to another unit for social security renewal
1. the original password of the town resident medical insurance card is relatively simple at the beginning, generally will be set up as the 6 th place of the resident ID number, the other six 6, six 1, six 8123456, etc. When the medical insurance card is issued, it will be clearly informed. Once forgotten, you can call social security inquiry telephone: 12333, give a clear answer
2. Because the previous initial password of the medical insurance card is too simple, and it is a unified initial password, many careless people have not changed their initial password, resulting in the stolen balance after the loss of the medical insurance card. So now quite a lot of areas use the form of password letter when issuing the medical insurance card. When issuing the residents' medical insurance card, they will bring a password letter, which will inform the parties of their initial password. Everyone will issue it randomly and bind it with the medical insurance card. If the password letter is lost, the parties need to go to the social security bureau to reset the password with their ID card
3. To modify the password of the urban residents' medical insurance card, you can log in to the social security inquiry system. When logging in, you must input your personal ID card (if the 18 digit ID card can't be used, please try the 15 digit ID card) and mobile phone number to register. The system will send a random code to your hand. After verification, you can enter the inquiry system. After entering the system, please change the password immediately, If the password is not changed, the verification code is your password
4. If the medical insurance card is lost, you can report the loss, which is pre reported. If you do not go to the window to report the loss within seven days, the medical insurance card will be restored to usable status
1. Urban residents' basic medical insurance and community medical insurance should be a kind of insurance, that is, urban residents' medical insurance. He mainly protects the elderly without social insurance, the working age without social security personnel, students, children, college students and so on
2. The medical insurance for urban employees is mainly for the employees of the security unit
for example, if you are in Hangzhou, you can operate directly on the "Hangzhou service app" online
or offline to the citizen center, which is simple, practical and convenient
friendly reminder: remember to bring your ID card when you do the operation
Insurance editor to help you answer, more questions can be answered online
1. The process of transferring community medical insurance to employee medical insurance:
1. Stop the residents' medical insurance at the community labor security workstation, and go through the proceres of urban employees' medical insurance in the new unit
2. Stop insurance proceres for residents' medical insurance: take the units participating in the basic medical insurance for urban employees to provide the effective proof materials, household registration book, resident medical insurance certificate and other relevant materials for employing them as the employees of the unit
3. Go to the community where the residents' medical insurance is handled or the resident medical insurance agency of the district (county) where the residents' medical insurance is located to handle the proceres of residents' medical insurance suspension. After the residents' medical insurance has been reported for suspension, the workers' medical insurance participation proceres can be handled< Second, the difference between employee medical insurance and community medical insurance:
1. Different object-oriented: the residents' medical insurance is mainly for the residents who have no jobs, low-income families, students and children; Employees' medical insurance is for those who have work units or flexible employment, indivial businesses, etc
2. The sources of expenses are different: Residents' medical insurance is paid by indivials and subsidized by finance; The amount of general financial subsidy is more than that paid by indivials; Employees' medical insurance is jointly paid by units and indivials, generally 8% by units and 2% by indivials
3. The payment standard is different: Residents' medical insurance is paid by year, with a collection period, generally from September to December of each year to pay the next year's fees. If they do not pay within the collection period, there will be a certain waiting period, that is, they will not be able to enjoy the treatment for a period of time; Employee medical insurance is paid by month. It is generally stipulated that the payment should be made before the date of each month. If the payment is overe, there will be a fine for overe payment. Moreover, if medical expenses occur ring the period of non payment, they will not be reimbursed first, and they will be reimbursed after payment
4. Different benefits: Residents' medical insurance payment is low, so the treatment is low, and the reimbursement ratio is generally about 45% - 65%; The monthly payment of medical insurance for employees is relatively high, and the reimbursement ratio is generally about 70% - 90%
If you pay, you should ask if your unit is covered by five insurances. It doesn't mean that you pay five insurances to the labor bureau. When you pay, you always have a note. Or you can go directly to the labor bureau
the medical insurance paid by the labor bureau is calculated based on the accumulated number of years of medical insurance paid, and the medical insurance card is paid every month. Male employees who have paid for 25 years or more and female employees who have reached the retirement age for 20 years can no longer pay for medical insurance and continue to enjoy medical insurance benefits. The medical insurance paid by the neighborhood committee belongs to the public health insurance, which needs to be paid every year until the end of life, and the insurance period is not accumulated. If the payment is cut off, the medical insurance treatment will no longer be enjoyed