2. Persons with disabilities who have been engaged in special types of work, the number of years actually engaged in special types of work (such as high altitude, underground, high temperature and harmful to health) before the end of 1993 can be converted when going through the formalities of early retirement due to illness, which can be regarded as the payment period;
2. Changchun medical insurance retirement conditions stipulate that the company has paid you social security for five years and cannot retire at the age of 50. If you want to retire at the age of 50, you must pay social security for ten years by the enterprise or unit, and you can retire at the age of 50. The company has paid you for five years, and the rest you can only pay social endowment insurance according to flexible employees. According to state regulations, female employees who pay social security for flexible employees can only retire at the age of 55.
3. The proportion of medical insurance reimbursement for retired workers in Changchun is 1. If the insured person has paid the basic medical insurance premium for 25 years for men and 20 years for women, he will continue to pay the basic medical insurance premium on a monthly basis at the rate of 7% of the average salary of employees in the city last year.
2. Pay the insurance premium according to the standard of "flexible employees", and continue to pay the basic old-age insurance premium monthly according to the payment standard of flexible employees and individual industrial and commercial households until 15 years old.
3. If the payment continues until the male reaches the age of 65 and the female reaches the age of 55, and the prescribed payment period has not yet been reached, I can voluntarily pay the basic old-age insurance premium within the difference of 15 years according to the current payment standards for individual industrial and commercial households and flexible employees.
4. For the insured who hold over the basic old-age insurance premium and meet the monthly pension requirements but still do not meet the requirements of the basic medical insurance period, they may also voluntarily apply for a one-time payment of the basic medical insurance premium for the difference years. After the payment, the basic pension is lower than the minimum standard of the basic pension in this Municipality, and it will be paid according to the minimum standard. After the insured person has paid the fee for a specified period of time, with the approval of the administrative department of labor security, he will enjoy the basic old-age insurance benefits from the next month.
Generally speaking, the social security of 202 1 can be repaid, but to meet the relevant conditions, you can consult the relevant local departments.
4. How many years can Changchun City enjoy the medical insurance retirement benefits for flexible employees? The average woman's contribution is 25 years. The cumulative payment period, like endowment insurance, is divided into deemed payment period and actual payment period.
Those who have paid less than 25 years can apply for retirement and receive a monthly pension, but they cannot enjoy the medical insurance benefits of retirees. You also need to refer to the local policy documents of counties and cities to make up for the lack of years or participate in urban and rural medical insurance.
When handling retirement, if a female employee starts to pay medical insurance before June 200 1 10, her previous continuous length of service or working years as stipulated by the state shall be regarded as the payment period, and the actual payment period after 2001must meet the following requirements: female has reached 25 years.
At the same time, the actual payment period is not less than 15 years. The insufficient part needs to be supplemented at one time based on the average salary of employees in the city in the previous year, and then retired employees can enjoy the treatment (no personal account), and they can also pay a large amount of assistance fee every year (currently 100 yuan per year).
5 Changchun medical insurance emergency medical treatment process and reimbursement procedures for conditions:
Due to sudden illness in different places, the medical expenses that meet the emergency conditions can be applied for cash before the deadline of annual treatment payment.
The verification procedure is as follows:
1. Patient: original and photocopy of ID card; Medical insurance card; Hospital bills; A copy of a full set of hospital medical records (the first page is stamped with the official seal of the hospital); Details of hospitalization expenses (stamped with the official seal of the hospital).
2. Handler: the original and photocopy of the ID card (the course of emergency is written on the back, and the fingerprint of the handler is required to be clear and complete, and the fingerprint can be collected in the window);
3. Jilin Bank savings card or current passbook of the patient or agent.
Venue: Window of Municipal Medical Insurance Bureau (No.0/66, Rong Fan East Road); Third Floor, Government Affairs Service Center, New District (No.5799 Longhu Road, Changchun City).
Emergency situations include: acute cerebral hemorrhage, acute left heart failure, acute myocardial infarction, cardiac arrest, hypertensive crisis, acute pulmonary edema, acute pulmonary embolism, status quo asthma, massive hemoptysis, acute abdomen, status epilepticus, coma, shock, open trauma and fracture, and life-threatening emergency hospitalization.
Two, go abroad for medical examination and approval:
Those who participate in medical insurance for urban workers and medical insurance for urban residents in Changchun and need to be transferred to other provinces for medical treatment due to illness may be referred to other places after examination and approval by designated medical institutions with referral qualifications.
Handling process: patients go to designated medical institutions with referral qualifications, and if they meet the conditions of external transfer, doctors print the application form for referral and transfer, and go to the medical insurance department of the hospital for examination and approval. After the examination and approval takes effect, he can go directly to a different hospital with the referral application form. The referral is valid until the insured year, but the referral treatment should conform to the condition or diagnosis determined at the time of referral and be effective at that time.
List of designated medical institutions with referral qualification in Changchun: 1. The First Clinical Hospital of Jilin University. The Second Clinical Hospital of Jilin University. China-Japan Friendship Hospital of Jilin University. FAW General Hospital. Jilin Provincial People's Hospital. Changchun Central Hospital. Jilin provincial cancer hospital. Jilin provincial hepatobiliary hospital. Jida Stomatological Hospital 10. Changchun Infectious Diseases Hospital 1655.
Three, retirees off-site medical treatment direct settlement approval application procedures:
1. social security card (second generation medical insurance card)
2. Proof of long-distance residence (long-distance ID card; Original and photocopy of residence permit; Residence certificate (seal) issued by the street or community), copy of my ID card, original and copy of the ID card of the agent.
3. Previously processed application form for retirees to seek medical treatment in different places (not needed for first-time personnel).
Tips: You can check the hospitals with instant settlement in foreign accounts on the social security website.
Venue: Window of Municipal Medical Insurance Bureau (No.0/66, Rong Fan East Road); Third Floor, Government Affairs Service Center, New District (No.5799 Longhu Road, Changchun City).
Four, long-term overseas units off-site settlement approval procedures:
1. social security card (second generation medical insurance card)
2. Proof of residence in different places (original and photocopy of ID card or residence permit in different places), proof of residence issued by street or community (with seal), copy of my ID card, original and photocopy of the ID card of the agent.
3. The assignment certificate issued by the unit (indicating the assignment place, reason, starting and ending time, etc.). , and affix the official seal of the unit).
4. Relevant certification materials
(1) Overseas branches: provide a copy of the legal person certificate (with official seal).
(2) Overseas branches, enterprises and units: provide a copy of business license (with official seal).
(3) Units without overseas branches and organizations: provide written explanations and photocopies of documents such as off-site house purchase contracts, renting houses and cabinets (with valid seals).
Tips: You can check the hospitals with instant settlement for foreign household registration on the social insurance website ().
Venue: Window of Municipal Medical Insurance Bureau (No.0/66, Rong Fan East Road); Third Floor, Government Affairs Service Center, New District (No.5799 Longhu Road, Changchun City).
Five, primary and secondary school students in the winter and summer vacations in the domicile of the hospital hospitalization expenses reporting procedures:
Bring (1) ID card or household registration book (original and photocopy, home page and personal page); (2) medical insurance card; (3) hospitalization bills; (4) A copy of a full set of hospital medical records (the first page is stamped with the official seal of the hospital); (5) Details of hospitalization expenses (stamped with the official seal of the hospital); (6) In the form download section of the medical insurance website, download the student reimbursement questionnaire, fill it in and stamp it as required; (7) If the hospital where the household registration is located is referred to a higher-level hospital, the referral certificate issued by the hospital where the household registration is located shall be provided; (8) Agent's ID card; (9) Jilin bank card or discounted in the name of the patient himself or his agent.
The treatment is the same as Changchun.
If the registered permanent residence moves to Changchun due to school reasons, it is necessary to provide an additional certificate (seal) issued by the original registered permanent residence. Unable to provide, take a copy of Changchun collective account.
Venue: Window of Municipal Medical Insurance Bureau (No.0/66, Rong Fan East Road); Third Floor, Government Affairs Service Center, New District (No.5799 Longhu Road, Changchun City).
Six, the insured students in different places during the internship hospitalization expenses reimbursement procedures:
Bring (1) the original and photocopy of my ID card; (2) medical insurance card; (3) hospitalization bills; (4) A copy of a full set of hospital medical records (the first page is stamped with the official seal of the hospital); (5) Details of hospitalization expenses (stamped with the official seal of the hospital); (6) In the form download section of the medical insurance website, download the student reimbursement questionnaire, fill it in and stamp it as required; (7) Agent's ID card, (8) Jilin bank card or discount in the name of patient or agent.
The treatment is the same as Changchun.
Venue: Window of Municipal Medical Insurance Bureau (No.0/66, Rong Fan East Road); Third Floor, Government Affairs Service Center, New District (No.5799 Longhu Road, Changchun City).
In addition, the proportion of reimbursement for medical treatment by residents in different places:
1, those who pass the examination and approval of emergency treatment in different places and transfer to other places for medical treatment shall be treated as Changchun;
2. For residents who have passed the examination and approval and retired for medical treatment in different places, the proportion of medical insurance fund payment will be reduced by 10% on the basis of the proportion of local medical treatment payment stipulated by the insurance.
3, 20 1 7165438+10/month1(subject to the date of admission) for medical treatment in different places. If it is not approved, the medical insurance fund will pay 20%.
Employee reimbursement ratio and flexible medical care in different places;
1, emergency treatment in different places, transfer for medical treatment in different places and retirement for medical treatment in different places are deemed as Changchun;
2, 2017110/0 65438 (based on the date of admission) for medical treatment in different places. If it is not approved, the medical insurance fund will pay 20%.
6. Changchun Medical Insurance Retirement Conditions The latest regulations stipulate that the social security card of retired employees suddenly does not play money, for many reasons.
In the first case, there is no pension qualification certification.
This is probably the most practical reason. Although 20 18 has explicitly cancelled the centralized certification of pension benefits, in fact, various decentralized certification work continues.
What is done most in all parts of the country is actually to brush face authentication through mobile APP. Because it doesn't take too much time and energy to brush face authentication, it saves the trouble of centralized authentication of the parties. So it has never been cancelled.
In addition, many places also carry out post-desktop authentication by comparing with civil funeral information, personal medical treatment and other information. For example, when many areas pass the community certification, they usually get together to hold general general party membership meeting, physical examination of community health services, visiting the masses and other collective activities for certification, which is also welcomed by everyone.
However, like some elderly people who fail to pass the face brush certification or live in other places for a long time, they still need annual certification. In order to ensure the security of the endowment insurance fund, it is impossible to completely cancel the certification work.
In the second case, the medical insurance card is disabled.
If our medical insurance card has a suspicious consumption record, it will also face the processing of function stop.
For example, in real life, some old people like to cash out through pharmacies and other means in order to get cheap. Some people even lend their medical insurance cards to others for hospitalization. These are absolutely not allowed. To put it bluntly, it is medical insurance fraud.
In 2065438+2008, the National Medical Insurance Bureau issued the Measures for Rewarding Insurance Fraud and Reporting, encouraging insurance fraud and reporting, with a maximum reward of 65438+ 10,000 yuan.
In the third case, the social security department caused the treatment not to be paid in time.
Now it's all computer system operation. Sometimes, due to computer system failure, the bank can't receive the instructions after the social security department submits them, so it is necessary to eliminate the failure, or it may be that the social security system is upgraded. However, in these cases, there is usually an announcement.
Personal accounts of medical insurance cards in some areas are related to my pension benefits. When adjusting pension benefits, it may also lead to delayed payment of personal accounts of medical insurance cards. For example, Shijiazhuang is included according to 6% of my monthly basic pension, and Qingdao is included according to 4.5% of my pension. Shanghai directly enters the medical insurance personal account in April every year. The standard of 20 18 is one year under 75 years old 1680 yuan and one year over 75 years old 1890 yuan.
In addition, there are special circumstances such as the failure or damage of social security cards and the freezing of bank financial accounts. If we go to the bank to apply for a new social security card, it will be ok if we do it on the spot, but it may take 1~2 months if we do it in the background.
So if there is a problem with the social security card, you should contact the social security department and the bank. Now, government departments are gradually implementing one-time operation, and all kinds of services are speeding up. Consulting everyone is also a good way to test government services.
7. What are the medical insurance retirement conditions in Changchun? When a female worker retires at the age of 50, she only needs continuous service or working years 10 years.
Workers in enterprises and institutions owned by the whole people, party and government organs and mass organizations shall retire if they meet one of the following conditions.
(a) men over 60 years of age, women over 50 years of age, continuous service for ten years.
(2) Those who are engaged in underground, high altitude, high temperature, particularly heavy manual labor or other jobs harmful to health, and have reached the age of 55 for men and 45 for women, and have worked continuously for ten years.
This provision also applies to grassroots cadres whose working conditions are the same as those of workers.
(3) The male has reached the age of 50, the female has reached the age of 45, and has worked continuously for ten years, and has been certified by the hospital and confirmed by the labor appraisal committee, and has completely lost the ability to work.
(four) work-related disability, certified by the hospital, and identified by the labor appraisal committee, completely lost the ability to work.