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10:07:19</time></span> <span id="eu2midx" class="sp1 c6 fl"><em id="zuozhe" class="noshow">嘉敏</em><em class="user_id noshow">1004</em>由 <em class="nickname"></em> 分享</span> <span id="zg5gsmh" class="fl arc_btn"></span> </div> </div> </div> <div id="ri6h7sx" class="y_ju"></div> <div id="4t5ycqv" class="con_article con_main" id="contentText"> <p> 　　社區(qū)醫(yī)療保險(xiǎn)屬于城鎮(zhèn)居民醫(yī)保，也就是針對城鎮(zhèn)戶口中沒有辦法參加職工醫(yī)保(普通醫(yī)保)的人群，交的費(fèi)用很少，但是報(bào)銷比例和總報(bào)銷額度也沒有職工醫(yī)保高。小編給大家整理了關(guān)于補(bǔ)辦醫(yī)?？ㄐ枰救藛?，希望你們喜歡!</p><h2> 　　補(bǔ)辦醫(yī)保卡需要本人嗎</h2><p> 　　補(bǔ)辦醫(yī)?？ㄐ枰救思捌溆行ёC件</p><p> 　　需要的證件如下：身份證、戶口簿。</p><p> 　　補(bǔ)辦流程如下：</p><p> 　　1、攜帶本人有效證件(如身份證、戶口簿等)，至鄰近的區(qū)縣醫(yī)保中心申請辦理，區(qū)縣醫(yī)保中心可當(dāng)場予以辦結(jié)。</p><p> 　　2、參保人也可以至服務(wù)點(diǎn)申請代為辦理，服務(wù)點(diǎn)將在3個工作日內(nèi)辦結(jié)，參保人應(yīng)在規(guī)定時間內(nèi)至該服務(wù)點(diǎn)領(lǐng)取代為辦理的《醫(yī)?？ā贰?/p><p> 　　3、《醫(yī)?？ā费a(bǔ)卡、換卡，按規(guī)定收取工本費(fèi)拾元。</p><p> 　　社會醫(yī)療保險(xiǎn)卡，簡稱醫(yī)療保險(xiǎn)卡或醫(yī)?？?，是醫(yī)療保險(xiǎn)個人帳戶專用卡，以個人身份證為識別碼，儲存記載著個人身份證號碼、姓名、性別以及帳戶金的撥付、消費(fèi)情況等詳細(xì)資料信息。醫(yī)?？ㄓ僧?dāng)?shù)刂付ù磴y行承辦，是銀行多功能借計(jì)卡的一種。參保單位繳費(fèi)后，地方醫(yī)療保險(xiǎn)事業(yè)部門在月底將個人帳戶金部分委托銀行撥付到參保職工個人醫(yī)?？ㄉ?。</p><p> 　　醫(yī)?？ㄊ褂梅椒ǎ?/p><p> 　　1,醫(yī)保卡使用范圍：參保職工在定點(diǎn)醫(yī)院、藥店就醫(yī)購藥時，可憑密碼在pos機(jī)上刷卡使用，但無法提取現(xiàn)金或進(jìn)行轉(zhuǎn)帳使用。</p><p> 　　2,醫(yī)?？ㄓ囝~查詢：參保職工可通過撥打電話進(jìn)行余額查詢，也可在中行儲蓄所或市區(qū)定點(diǎn)醫(yī)院、藥店查詢。也可以上網(wǎng)在社保查詢系統(tǒng)登錄查詢。</p><p> 　　3,醫(yī)?？ń灰撞樵儯簠⒈Ｂ毠た梢缘街行械膬π钏鶓{身份證和醫(yī)保證要求打印醫(yī)保卡交易記錄，包括個人帳戶金的撥付記錄和消費(fèi)記錄。對交易記錄有疑問的，可以到中行零售業(yè)務(wù)部進(jìn)行查詢。</p><p> 　　4,醫(yī)?？艽a：參保職工若修改密碼，可撥打電話進(jìn)行修改，也可持身份證到中行儲蓄所進(jìn)行修改。參保職工若忘記密碼，可持身份證到中行儲蓄所掛失原密碼并更改密碼。</p><p> 　　5,醫(yī)?？ǖ谋９埽簠⒈Ｂ毠ひ咨票９芎冕t(yī)?？?，若不慎丟失，請立即到單位開具證明信并到醫(yī)保處蓋章確認(rèn)，然后持身份證到中行儲蓄所掛失，并辦理補(bǔ)卡手續(xù)，7天后可領(lǐng)取新卡。</p><p> 　　6,注意事項(xiàng)：當(dāng)醫(yī)保卡交易次數(shù)達(dá)到60次時，參保職工必須到中行儲蓄所打印交易記錄，否則，會停止該卡的使用。交易記錄打印完后，該卡即可繼續(xù)使用。</p><p> 　　在藥店100%自己承擔(dān)，住院才能享受到報(bào)銷比例(還得在醫(yī)保范圍內(nèi)的)。</p><p> 　　住院在醫(yī)保范圍內(nèi)的，根據(jù)實(shí)際花銷的額度，如：花10000元報(bào)銷范圍在55%-65%之間。</p><h2> 　　社區(qū)醫(yī)保的具體報(bào)銷比例</h2><p> 　　社區(qū)醫(yī)療保險(xiǎn)的起付標(biāo)準(zhǔn)最低為250元</p><p> 　　起付標(biāo)準(zhǔn)以上至最高支付限額以下的符合規(guī)定的住院醫(yī)療費(fèi)用，在不同級別的定點(diǎn)醫(yī)療機(jī)構(gòu)有不同的支付比例：</p><p> 　　1、城鎮(zhèn)非從業(yè)居民：社區(qū)衛(wèi)生服務(wù)機(jī)構(gòu)：統(tǒng)籌基金支付70%，個人承擔(dān)30%;</p><p> 　　2、少年兒童統(tǒng)籌基金支付比例按城鎮(zhèn)非從業(yè)居民相應(yīng)標(biāo)準(zhǔn)提高5%執(zhí)行。</p><p> 　　下列兩種門診大病費(fèi)用可報(bào)銷</p><p> 　　門診特殊病種(惡性腫瘤門診放化療、門診腎透析、器官移植術(shù)后服抗排斥藥)和慢性病(高血壓、冠心病、糖尿病)。</p><p> 　　門診治療特殊病種：統(tǒng)籌基金支付50%，個人負(fù)擔(dān)50%;門診治療慢性?。阂粋€年度內(nèi)，在定點(diǎn)醫(yī)療機(jī)構(gòu)發(fā)生的門診治療慢性病的醫(yī)療費(fèi)累計(jì)超過350元的，超過部分由統(tǒng)籌金按照50%的標(biāo)準(zhǔn)支付，統(tǒng)籌基金最高支付限額為2000元。</p><h2> 　　單位和個人繳納比例是多少</h2><p> 　　1、職工基本醫(yī)療保險(xiǎn)費(fèi)用人單位和職工共同繳納。用人單位繳費(fèi)比例為在職職工工資總額的7.5%，職工繳費(fèi)比例為本人工資收入的2%。隨著經(jīng)濟(jì)發(fā)展，用人單位和職工繳費(fèi)比例可作相應(yīng)調(diào)整。</p><p> 　　2、單位和職工個人繳費(fèi)基數(shù)如何確定?</p><p> 　　用人單位以上一年度在職職工月平均工資總額為繳費(fèi)基數(shù)，職工個人以本人上年度月平均工資收入為月繳費(fèi)基數(shù)。單位和職工個人月繳費(fèi)基數(shù)低于上年度本市職工月平均工資的60%，以本市職工月平均工資的60%為繳費(fèi)基數(shù);高于本市職工月平均工資300%以上部分，不計(jì)入繳費(fèi)基數(shù)。</p><p> 　　3、單位怎樣繳費(fèi)?</p><p> 　　用人單位以上一年度在職職工月平均工資總額為繳費(fèi)基數(shù)，按7.5%的比例繳納。例：某單位有職工100人，月工資總額90000元，用人單位每月應(yīng)繳納基本醫(yī)療保險(xiǎn)費(fèi)為 90000元*7.5%=6750元。</p><p> 　　4、個人怎樣繳費(fèi)?</p><p> 　　職工個人以本人上年度月平均工資收入為月繳費(fèi)基數(shù)，按2%繳費(fèi)，由單位在其工資中按月代扣代繳。例：王某月工資收入為900元，線每月應(yīng)繳基本醫(yī)療保險(xiǎn)費(fèi)為900元*2%=18元。進(jìn)入再就業(yè)服務(wù)中心的國有企業(yè)下崗職工，其基本醫(yī)療保險(xiǎn)費(fèi)(包括單位繳費(fèi)和個人繳費(fèi))，由再就業(yè)服務(wù)中心按上年度本市職工月平均工資的60%為基數(shù)代為繳納，退休人員個人不繳納基本醫(yī)療保險(xiǎn)費(fèi)。<br/></p><hr /><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 猜你感興趣：</p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 1.<a _href="http://lpo831.com/zhishi/liucheng/1185003.html" 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