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Social security card processing progress query
1, online query social security card processing progress.
Log in to the local social security bureau website or social security card online service platform, find relevant query tools, and enter information such as ID card, so you can easily query your social security card processing progress.
2. Check the progress of social security card processing by telephone.
Call the local social security telephone number 12333 or the social security card service hotline, and ask the manual customer service to help you check the specific card processing progress.
3. Check the progress of social security card processing on site.
Bring the relevant documents to the social security card office and handle the social security card inquiry business at the window.
4. WeChat inquires about the progress of social security card processing.
Social security bureaus in some cities have also launched a tool to check the progress of social security cards through WeChat.
Social security card premium calculation:
calculate
Social insurance must work out a certain proportion of the insured's burden according to the probability of various risk accidents and the total payment expenditure estimated in advance according to the payment standard, as the standard for determining the insurance rate. Moreover, unlike commercial insurance, the calculation of social insurance rate needs to consider more social and economic factors besides risk factors in order to obtain a fair and reasonable rate.
Collection method
1. proportional insurance system
This method is based on the wage income of the insured, and a certain proportion is stipulated to collect insurance premiums. Adopting the proportional system, the initial main purpose of social insurance is to compensate the income lost by the insured in risk accidents in order to maintain their minimum living. Therefore, we should refer to his usual income, on the one hand, as a standard to measure payment, on the other hand, as the basis for premium calculation.
The biggest drawback of the work-based proportional insurance system is that the burden of social insurance is directly related to wages. Whether employers and employees bear social insurance premiums or one of them bears social insurance premiums, the burden of social insurance is manifested in the increase of labor costs, which will lead to capital crowding out labor, which will lead to an increase in unemployment.
2. Equal insurance premium system
That is, regardless of the income of the insured or his employer, the insurance premium of the same amount should be charged. The advantages of this system are simple calculation and easy to be universally realized. Moreover, in countries that collect insurance premiums in this way, the payment system is generally divided equally, which has the significance of equal income and expenditure. But its defect is that low-income people and high-income people pay the same premium, which is obviously unfair in terms of affordability.
The answer to the social security card question:
Q: Before using the social security card, outpatient medical expenses have occurred. How can I reimburse them?
Answer: Before using the social security card, the outpatient medical expenses that have occurred are submitted to the unit or social security office for reimbursement according to the original process. Those who have used the social security card for medical treatment must also hand in the social security card.
A: From June 1 2009, the outpatient treatment fee will be paid to 2 yuan by the medical insurance fund, and the rest will be paid by the insured in cash. It is worth noting that regardless of whether the medical expenses incurred by patients exceed the outpatient deductible line, the medical insurance fund will also pay 2 yuan a fixed amount.
Q: Are the medical expenses of purchased drugs settled by credit card in real time?
Answer: The original settlement method is still adopted for medical expenses incurred due to drug purchase, instead of real-time credit card settlement.
Q: Under what special circumstances can the insured get full cash reimbursement for medical expenses?
Answer: In case of emergency without social security card, family planning operation, enterprise arrears, manual reimbursement or replacement of social security card, and failure to issue social security card after enrollment, medical expenses will still be paid in full by the insured person's personal cash, so it is impossible to complete real-time settlement directly in the hospital. In line with the medical insurance fund payment conditions, according to the original process for manual reimbursement procedures.
Q: How to read the real-time settlement bill?
A: In the bill details of real-time settlement, the amount within the scope of medical insurance can be included in the total expenses paid by medical insurance.
This medical insurance fund payment: the total amount of expenses that should be paid by the medical insurance fund according to the policy, including large outpatient medical treatment, supplementary insurance for retirees and subsidies for disabled soldiers.
The "personal burden" of medical expenses includes three parts:
1. Out-of-pocket 1: medical expenses that should be borne by individuals in proportion (including the amount above the deductible line and above the cap line);
2. Out-of-pocket 2: the amount that needs to be borne by individuals in the Category B catalogue (such as the medical expenses paid by individuals for Category B drugs10%);
3. Self-expense: medical expenses beyond the scope of reimbursement (i.e. drugs, diagnosis and treatment, service facilities);
The total medical expenses of this medical treatment = this medical insurance fund payment+this personal burden.
Q: How should retirees change their social security card information?
A: The cardholder information can be synchronized with the social security institutions in the districts and counties where the card issuing unit is located.
Q: What will happen if retirees fail to change their social security card information in time?
A: Employees who do not change their information in time after retirement are still reimbursed according to the deductible line and reimbursement ratio of the outpatient service, which may damage the medical insurance rights and interests of the insured.
Q: Do I need to choose a hospital card for medical treatment?
A: After the implementation of card-holding medical treatment, the designated medical institutions for individual medical treatment are still subject to the designated medical institutions selected in the medical insurance manual, and Class A, Chinese medicine and specialist hospitals can directly seek medical treatment.
How to reissue the social security card?
After the cardholder loses his social security card, he can call the social security card service hotline "96102" (24-hour service) to report the loss in advance. You can also go through the written pre-loss reporting procedures at the social security card service outlets with your resident ID card or household registration book, or directly report the loss at the self-service terminals set up at the social security card service outlets and designated medical institutions above the second level. The effective time of pre-loss reporting is 10 day, and it will be automatically released after the effective time limit.
If the loss-reporting person determines that the lost social security card cannot be recovered, he/she needs to hold his/her resident ID card to report the loss to the social security card service outlets formally, and at the same time, he/she should go through the formalities of replacing the card. 15 working days later, the applicant will receive the social security card at the social security card service outlet with his/her resident ID card or household registration book and the Certificate of New Social Security Card Replacement (hereinafter referred to as the Certificate of Getting the Card, see Annex 1). After the formal loss reporting, the loss reporting cannot be cancelled.
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