Second, flexible employees participate in basic medical insurance and supplementary medical insurance for serious illness according to the overall account, and the payment base standard is 202 1 year, which is 80% of the overall provincial level (5428 yuan/month); The payment base standard for participating in maternity insurance and basic medical insurance in the form of single construction and overall planning is approved according to 202 1 (6785 yuan/month) full-caliber provincial 100%.
Reimbursement conditions
1, individuals begin to enjoy medical insurance benefits after six months of continuous payment for the first time.
2 unemployed persons who participate in (continue to) medical insurance during the period of receiving unemployment insurance benefits or within 60 days after receiving unemployment insurance benefits shall enjoy medical insurance benefits from the next month of payment.
The standard and time of medical insurance payment for urban and rural residents have changed. The payment standard of medical insurance for urban and rural residents is: 60 yuan/year in the first file and 2 10 yuan/year in the second file. The annual payment standard of basic medical insurance (individual insurance) for urban workers is 2256 yuan/year, and the annual payment standard of supplementary medical insurance is 155 yuan/year. Insured persons who participate in the basic medical insurance for urban workers shall participate in supplementary medical insurance and pay insurance premiums while participating in the basic medical insurance. It mainly includes the doctor's outpatient expenses, medicine expenses, hospitalization expenses, nursing expenses, hospitalization miscellaneous expenses, operation expenses and various inspection expenses.
legal ground
"Notice on Doing a Good Job in Direct Settlement of Inpatient Medical Expenses in Different Provinces of Basic Medical Insurance", which clearly states:
1 and 20 17 gradually solve the direct settlement of hospitalization expenses for retirees placed in different places across provinces, and expand to the direct settlement of hospitalization expenses for those who meet the referral conditions at the end of the year;
2, combined with the local household registration and residence permit system reform, and gradually will be long-term residents and residents in different places into the direct settlement of medical expenses in different places.