Proportion of medical insurance reimbursement for flexible employees

Legal analysis: there is no difference between the proportion of medical insurance reimbursement and the deductible line between flexible employees and employees. The only difference is that on-the-job employees have personal medical insurance accounts, while flexible employees do not. Insured freelancers and self-employed individuals can choose to set up a pool fund instead of a personal account, and pay the basic medical insurance premium at 4.2% of the local average monthly salary in the previous year, or they can choose to pay at 8% of the local average monthly salary in the previous year to set up a personal account. Employees participate in medical insurance, the unit bears 6%, and the individual bears 2%. If a personal account is established for medical reimbursement, the same is true for reimbursement.

Legal basis: Chapter III of People's Republic of China (PRC) Social Insurance Law stipulates: 1, students and children. In a settlement year, medical expenses less than 6,543,800 yuan+0.8 million yuan that meet the scope of reimbursement occurred. The minimum threshold for tertiary hospitals is 650 yuan, and the reimbursement rate is 50%, with an upper limit of 2,000 yuan. 300 yuan, the lowest threshold for secondary hospitals, has a reimbursement rate of 60%. There is no minimum threshold for primary hospitals, and the reimbursement rate is 65%. 2. At least 70 years old and above. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The minimum threshold for tertiary hospitals is 650 yuan, and the reimbursement rate is 50%, with an upper limit of 2,000 yuan. 300 yuan, the lowest threshold for secondary hospitals, has a reimbursement rate of 60%. There is no minimum threshold for primary hospitals, and the reimbursement rate is 65%. 3. Other urban residents. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The minimum threshold for tertiary hospitals is 659 yuan, and the reimbursement rate is 50%. The upper limit is 2000 yuan. The minimum threshold for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%. There is no minimum threshold for first-class hospitals, and the reimbursement rate is 60%.