Worker's medical insurance comes outside Guangzhou to enjoy the treatment from tomorrow Pay 55 yuan per month
" regarding it is not that the household register employees in this city participate in the relevant questions of medical insurance a notice " ' Hereafter referred to as " notice ") Begin to implement from August 1 ' See A6 edition for July 15 of this newspaper) ,Whom city obtain employment whether employee, household register of this city, participate in the intersection of Guangzhou and the intersection of city and medical insurance effect an insurance person in Guangzhou, will enjoy the treatment of medical insurance of Guangzhou from October 1. It is reported, already more than 10,000 have joined sponsors and effected an insurance according to the notice requirement at present.
Pay 55 yuan and enjoy 290,000 guarantee every year in the moon
It is reported, it is not the personnel of employee's medical insurance of the household register of Guangzhou to participate in, individual does not need to pay the fees, only need by the above year of employing unit average monthly income of unit worker in this city is a base figure, the collective pays the basic medical insurance premium according to 1.2% of the standards for each person every month, according to 0.26% of the standards at the same time, paid the medical subsidy of great disease, the average monthly income of 3780 yuan of the unit worker in this city was calculated according to prior year, unit need, pay the fees 55.19 yuan for it every month, so long as accord with medical insurance policy and medical regulation, can enjoy the medical guarantee which does not exceed 290,000 yuan in year in every social insurance.
How to handle the conversion of insurance kind?
According to the regulation, after participating in the insurance kind determination of the basic medical insurance, refuse to alter within a social insurance year. If the conversion of insurance kind appears, how to handle?
As to this, the municipal medical insurance office of Guangzhou has explained in detail. The conversion of insurance kind is divided into two kinds of situations.
First, if it is urban worker's basic medical insurance or the flexible employee's medical insurance and the outside employee's medical insurance insurance kind changes each other, medical treatment of still enjoying the original insurance kind in the second-class moon to pay the medical insurance premium of the original insurance kind, after changing into the new insurance kind, enjoy the medical treatment of the new insurance kind in the second-class moon that effects an insurance to pay the fees in the new insurance kind. After but join sponsors and stop participating in outside employee's basic medical insurance for 3 months, just change into flexible employee's basic medical insurance, need to calculate again that wait for one in 6 months, could enjoy the flexible employee's medical insurance treatment.
The conversion of above-mentioned insurance kind takes place on the door during the treatment period specially and in hospital, calculate and pay line, pool fund to pay the proportion, pay the limit at most according to the treatment classification that it should be enjoyed while leaving hospital; Transferred from one hospital to another in hospital, the conversion of above-mentioned insurance kind takes place after transferring from one hospital to another, or the intersection of internal cause and the same disease admitted to hospital in the same rooms of fixed medical organization 15 day leave hospital, until the second time take place above-mentioned the intersection of insurance kind and conversion in hospital, according to the intersection of treatment and the intersection of classification and blowing, paying lining, carrying on to make up the difference calculation corresponding that should enjoy leave hospital, it, the pool fund is paid the proportion, paid the limit and calculated according to the treatment classification that it should be enjoyed while leaving hospital at most; Situation of conversion of insurance kind take place as involving stepping the social insurance annually at the same time in the aforesaid, it get up pairs of standard confirm, paid the proportion, paid the limit and fixed according to the treatment standard when left hospital at most according to last the intersection of social insurance and annual standard their.
Another situation is, the basic medical insurance and outside employee's medical insurance of urban residents changed each other, its method of treatment will consult urban worker's basic medical insurance and basic medical insurance of urban residents of this city of this city to change. (Reporter Huang Yan Reporter Luo adds only)
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