What day does the medical insurance go to the government affairs
I go to work on Saturday, but I don't handle cash business<
Huiqu medical insurance affairs center
address: 4th floor, No. 999, Nanning Road, Xuhui District
postcode: 200235
Tel: 64164870
working hours: 8:30-16:30 (11:30-13:30 on ty) from Monday to Saturday
Description: remarks: handle non settlement business on Saturday and on ty, Hand in hand teaching you to avoid these "pits" of insurance
Declare at the end of the month, pay at the beginning of the month and dect in the middle of the month
units pay social security:
1. Generally, they have to declare online and pay by themselves. Generally, the Social Security Bureau will lock the company's social security account on the 19th of each month, pay the social security fees of the current month before the 19th, and can only handle the social security of the next month after the 19th. The data declared by the Social Security Bureau after the 20th of each month shall be treated as the data declared next month
2. After the General Social Security Bureau locks the company account, it will dect the social security expenses of each employee from the social security account of each company on the 20th
after the 3rd and 26th or at the beginning of next month, employees can check their social security account payment details, and the 20th-25th is a refresh period after social security dection. After the successful dection of the social security fee paid by the unit in the current month, the employees will be able to use the social security card from the 1st of next month
indivial social security payment:
generally, it is to entrust the bank to dect money (Bank of China, instrial and Commercial Bank of China, construction bank and Agricultural Bank of China can dect money to the account quickly, and other banks can dect money to the account after seven days), and the 21st-26th day of each month is the collection time of social security fee
extended data:
personal social security payment notes:
1. The insured can enjoy the treatment of serious illness medical insurance only if the serious illness medical expenses occur six months after the initial payment. The insured who take part in serious illness medical insurance must pay continuously without interruption
2. If the payment is overe for three months, it is regarded as a break. If the medical expenses of serious illness have not been reimbursed after 5 years of continuous payment before the interruption, the time of re payment shall be calculated continuously
3. If the payment is less than 5 years or the payment has been completed for 5 years but has enjoyed the treatment of serious illness medical insurance, when the payment is made again, the serious illness medical expenses occurred after 6 months shall enjoy the treatment of serious illness medical insurance according to the provisions of these measures. In addition, the outpatient and emergency expenses will not be reimbursed if the medical expenses of one-time hospitalization exceed 1300 yuan
4. If you do not use an 18 digit ID card when applying for the bank's "medical insurance debit card", please go to the bank in time to change it and register with the employment agency or talents, otherwise the social security center will not be able to transfer money normally
5. Ensure that the deposit in the "medical insurance debit card" of the bank is sufficient for account transfer and there is a balance of at least 10 yuan after account transfer
6. Please get the "Municipal Medical Insurance Manual" after 2 months after completing the insurance proceres. Those who have not received the medical manual for more than 6 months need to apply for it again (it takes 1-2 weeks)
It is suggested that the balance of the bank's "medical insurance debit card" should not be less than 400 yuan before April every year, and the bank can print the statement at the end of April to understand the payment standard of the new year According to the policy, the basic medical treatment for the second and third months was suspended. For example, before the 10th day of the last month of the third consecutive payment month, after paying all the expenses in full, the temporarily interrupted medical insurance benefits will be restored Due to personal reasons, if the bank fails to deposit enough cash in the "medical insurance debit card" for three consecutive months before the 10th day of the payable month, the medical insurance benefits will be automatically interrupted if the payment is overe for three consecutive months, and the signed "agreement on personal entrustment of archivists to pay basic medical insurance premium and large amount of mutual medical assistance fund" will automatically become invalid10. After the medical insurance has been interrupted for three consecutive months, if the filing indivial requests to continue to participate in the insurance, he should hold the "Medical Insurance Manual" and the debit card statement issued by the bank to re sign the "agreement on personal entrustment of filing personnel to pay basic medical insurance premium and large amount of mutual medical assistance fund" in the center
In order to enjoy medical insurance benefits after retirement, the accumulated years of actual payment and deemed payment before retirement must reach 25 years and 20 years respectively for men and womenPay at the social security center before the 10th of every month
the audit period of social security agencies is from the 1st to the 10th of each month. The increase and decrease businesses that have been accepted will be audited and settled, and the collection data of that month will be verified. The period from the 11th to the last working day of each month is the time to accept the declaration
on the 10th of each month, after the social security agency has approved the data of the current month, the insured unit will pay the social insurance premium to the local tax department
social security agencies refer to the social insurance agencies under the labor and social security administrative departments authorized by laws and regulations to handle social insurance affairs such as endowment insurance, medical insurance, unemployment insurance, work-related injury insurance and maternity insurance, It is necessary to go to the social security agency in time to go through the relevant proceres in the current month (annual declaration, increase or decrease of personnel in the current month will not be accepted, except for new units in the current month)
extended data:
China's social insurance management system is defined as two systems of administrative management and business management
the "agency" of social insurance or endowment insurance generally refers to the business management organization, belonging to the nature of public institutions, whose main responsibility is to collect and adjust the use of insurance funds
the highest agency in China should be the social insurance management center (subordinate to the Ministry of human resources and social security), and its branches are generally called "social insurance fund center"
The processing time of medical insurance for urban residents is generally very clear, especially for the more important insurance, the government will also give a certain time limit, so that more people can be insured
the specific time of medical insurance for urban residents is generally from the end of November to the end of the year
notes for urban residents to apply for medical insurance (additional membership):
① persons under 18 years old: household register (all members' information in the household register should be copied), and ID card (persons under 16 years old without ID card can not be provided)
② for those over 18 years old who are still studying in full-time schools: household register (all members' information in the household register should be copied), ID card and student status certificate issued by their school
③ Urban Non employed residents over 18 years old: household register (all members' information in the household register should be copied) ID card (demobilized soldiers need to provide certificates for demobilization or job transfer)< (4) objects of minimum living allowance: household register, ID card and evidence collection of minimum living allowance for urban and rural residents (villages)
the business acceptance time is from the 1st to the 24th of each month. The business declared in the current month takes effect from the next month. The medical insurance premium in one social security year shall be paid in one lump sum from July 1st to June 30th of the next year, and the medical insurance premium in the next social security year shall be paid in one lump sum from June 1st to June 30th of each year
medical insurance for urban residents is a medical insurance system with Urban Minors and unemployed residents as the main insured objects
the difference between urban residents' medical insurance and employee's medical insurance:
first, facing different groups of people. The medical insurance for urban workers is mainly for the in-service workers and retirees who have work units or are engaged in indivial economy. Medical insurance for urban residents mainly faces old people who have no jobs in urban registered residence, those living in low security, those with severe disabilities, students and children and other non urban employees.
secondly, the payment standards and sources are different. The medical insurance for urban employees shall be jointly paid by the employer and the employee, and shall not be subsidized by the government. The payment standard of urban residents' medical insurance is generally lower than that of employees' medical insurance, and the government gives appropriate subsidies on the basis of indivial payment
thirdly, the standard of treatment is different. Due to the low level of financing, the medical treatment standard of urban residents' medical insurance is slightly lower than that of employees' medical insurance
fourthly, the payment requirements are different. The minimum payment period of medical insurance for urban employees is set up, and those who have reached the payment period (25 years for men and 20 years for women) can enjoy the basic medical insurance treatment without payment after retirement; Medical insurance for urban residents does not set up a minimum payment period, but must be paid every year
Local system is not the same, there is a month to the next month, there is a month to the month! Social insurance is usually increased or decreased and declared at the end of the month, and paid at the beginning of the month
How to buy insurance, which is better, hand in hand to teach you to avoid these "pits" of insurancefirst, the applicable population is different
the applicable population of urban employee medical insurance is the employees of all urban employers, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, Hong Kong, Macao and Taiwan investment enterprises, private enterprises, etc.), organs, institutions, social organizations, private non enterprises, etc
the applicable population of medical insurance for urban residents is urban residents beyond the coverage of basic medical insurance for urban employees and new rural cooperative medical system, mainly including minor residents, which refers to primary and secondary school students (including vocational high school, technical secondary school and technical school students), preschool children and other minor residents under the age of 18; Elderly residents refer to urban residents with men over 60 years old and women over 55 years old; And other non employed alt urban residents. College students will also be included in the medical insurance for urban residents in the future< Interpretation 2: different payment methods
the medical insurance for urban employees is paid by the unit according to a certain proportion of the total wages of employees in the unit; Among them, the unit should bear 7% of the total wages of the staff and workers, and the indivial should bear 2% of his own payment wage base
medical insurance for urban residents means that indivials pay through their neighborhood committees or schools (kindergartens), while the government gives subsidies on the basis of indivial and family payment. The fund raising standards for minor residents, alt residents and elderly residents are 100 yuan, 360 yuan and 360 yuan per person per year respectively, of which the indivial contributions are 40 yuan, 280 yuan and 150 yuan respectively; The government subsidies are 60 yuan, 60 yuan and 210 yuan respectively. It can be seen that the financing standard of medical insurance for urban residents is much lower than that for urban employees, which is about 1 / 5 of the per capita financing amount of medical insurance fund for urban employees
interpretation 3: different benefits
the employees who participate in the medical insurance for urban employees can enjoy the reimbursement of hospitalization expenses, the reimbursement of out-patient expenses for coordinating diseases and the treatment of personal account used to pay out-patient medical expenses, and the reimbursement proportion is higher than that of the medical insurance for urban residents. After decting the expenses beyond the scope, the hospitalization expenses of in-service employees shall be reimbursed at 75% of the minimum starting line to 5000 yuan; The part between 5000 yuan and 10000 yuan will be reimbursed at 80%; 85% for the part above 10000 yuan, and 10% for retirees; As a whole, 80% of the out-patient expenses of diseases were reimbursed for the in-service employees and 85% for the retired employees
residents who take part in the medical insurance for urban residents can enjoy the reimbursement of hospitalization expenses and outpatient expenses of diseases. Due to the low payment rate, the treatment is relatively low. After decting the expenses beyond the scope, the hospitalization expenses of the insured residents will be reimbursed at 55% of the lowest starting line (the same as the medical insurance for urban employees). The maximum amount of reimbursement in each medical year is 30000 yuan. As a whole, the outpatient expenses of diseases, which are above the starting line (300 yuan), will be reimbursed by 50%
interpretation 4: different medical management requirements
employees participating in the municipal medical insurance for urban employees need to seek medical treatment in the designated hospital of the local municipal medical insurance before they can enjoy the reimbursement treatment
the residents who participate in the medical insurance for urban residents and the underage residents under 12 years old (including 12 years old) who are hospitalized e to illness can directly go to the designated hospital with pediatric ward within the municipal area for medical treatment, which is not limited by the hospital level; For residents over 12 years old, the first visit should be made in designated hospitals below grade II (including grade II) within the jurisdiction. If it is really difficult to make diagnosis and treatment e to the limitation of technical level, they can be transferred to a higher level hospital for diagnosis and treatment based on the principle of graal referral
remarks: please consult the local medical insurance department for details.
The time of medical insurance is calculated from the effective date
insurance proceres for employees' medical insurance:
New insured units:
1. The insured units shall obtain and fill in the registration form of urban employees' basic medical insurance insured units and the roster of urban employees' basic medical insurance insured personnel in plicate in the collection room of medical insurance center, and provide a of business license, organization code certificate, registration form of urban employees' basic medical insurance insured units and roster of urban employees' basic medical insurance insured personnel One of the license for opening an account
2. After receiving the insurance data, the medical insurance center will review the insurance data and verify the payment base within 15 days. Those who pass the examination shall be registered with basic medical insurance
3. The insured units paid the first medical insurance premium, collected a of ID card of the insured, a standard photo of 1 inch color on a white background, and handled the social security card
4. The insured began to enjoy the basic medical insurance treatment in the next month of payment
extended data:
settlement procere:
(1) settlement procere for inpatients and outpatients with special diseases
the designated medical institutions shall report the expense settlement sheet, inpatient settlement sheet and relevant information of patients discharged last month to the medical insurance agency before the 10th day of each month, and the medical insurance agency shall review them, As the basis of monthly budget and year-end final accounts. The medical insurance agency allocates the overall expenses for hospitalization and outpatient treatment of special diseases in the previous month
the insured with special diseases should go to a designated medical institution designated by the labor and social security department for medical treatment and purchase, and the medical expenses incurred should be directly recorded and settled immediately
(2) emergency settlement procere
the medical expenses incurred by the insured persons who are hospitalized in non designated medical institutions and other medical institutions in the city e to emergency rescue shall be paid in advance by the indivial or unit. After the end of emergency rescue, the medical records, inspection and laboratory reports, invoices and Detailed list of medical charges until medical insurance agencies in accordance with the provisions of reimbursement proceres
(3) settlement proceres for off-site resettlement personnel2. The medical expenses incurred by the staff in different places who are ill in the designated medical institutions of their residence will be paid by themselves or their units in advance. After the treatment, the units will go to the social medical insurance agency for settlement with the medical certificates and medical records of the insured, valid expense bills, plicate prescriptions, list of residential expenses, etc. on the specified date