Is it cost-effective to pay for personal medical insurance?

Pros and cons of paying full self-pay for social security:

1. Advantages

1) If you pay for self-pay social security, you can enjoy medical insurance protection and receive a pension after retirement. ;

2) Provide certain insurance protection for life. In the event of an insurance accident, it can alleviate the economic pressure caused by the disease;

3) Pay high social security premiums at your own expense and enjoy high-quality medical treatment And the pension you can receive after retirement is also high.

2. Disadvantages

1) Fully self-paid social security premiums are high, generally 40% of the local average wage level;

2) Fully self-paid social security premiums are Only 40% of the premium paid goes into the personal account, and most of the rest goes into the social pooling account;

3) If you die during the payment period, social security can only refund the balance of the personal account.

There are advantages and disadvantages to paying full self-pay for social security. It would be better if you can participate in employee social security. If you don’t work in a company and your personal financial conditions can bear the cost of self-pay social security, it is still necessary to buy it.

An article popularized the knowledge about medical bills. In this article, we will discuss in detail the advantages and disadvantages of basic medical insurance. Let’s first talk about the legendary concept of “social security”. Social insurance, that is, social insurance, is a social insurance fund established by the state through mandatory legislation. It is paid by the employer and the worker himself, and the government finance provides subsidies to provide income or compensation for those who have lost the ability to work, temporarily lost their job, or suffered losses due to health reasons. protection system.

Social security includes "five insurances", pension insurance, medical insurance, unemployment insurance, work-related injury insurance, and maternity insurance. On weekdays, what we use most frequently is medical insurance.

Medical insurance at this stage can be divided into two categories according to groups: one is the urban employee medical insurance that was established in 1998. Urban employees refer to those employed by employers or those with flexible employment. The second is the urban and rural residents' medical insurance that was integrated in 2016 (there are no longer terms for urban residents' medical insurance and new rural cooperative medical insurance, because last year the State Council issued the "State Council on Integration" "Opinions on the Basic Medical Insurance System for Urban and Rural Residents", integrating the two into one). Urban and rural residents refer to: minors, urban and rural unemployed residents.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~Advantages of basic medical insurance: Get basic medical protection at a lower cost

Take Tianjin as an example, individuals can enjoy Basic medical insurance for urban employees.

Urban and rural residents can enjoy urban and rural residents' medical insurance by paying a few hundred yuan a year. In addition to the minimum payment line and maximum limit, the reimbursement rate for medical treatment is basically more than 50%.

So basic medical insurance is the cheapest, if you can get it, you must get it!

However, basic medical insurance cannot be paid alone. Urban employees need to pay the other four insurances together. This is mandatory by the state!

2. High coverage: Guaranteed renewal, and can be insured even if you are sick (commercial insurance is incomparable, incomparable, and is outclassed by our basic medical insurance) Let’s take a look at medical insurance Disadvantages: The scope of medication and diagnosis and treatment is limited and is limited to the "National Basic Medical Insurance Catalog". That is, medical expenses caused by accidental injuries caused by medication within the medical insurance are not covered by the medical insurance in some provinces. The geographical scope is limited and can only be used for medical treatment in the place where social security payment is made. , the reimbursement procedure for medical treatment in other places is relatively complicated, with maximum limits and restrictions on the reimbursement ratio. The restriction on the hospital for treatment is that it must be a medical insurance designated hospital

To expand on these shortcomings, basic medical insurance can only seek medical treatment in local medical insurance designated hospitals, and the diagnosis and treatment methods, medications, and implanted equipment must be covered by medical insurance. , everything within the threshold is self-pay (deducted from the personal account), above the threshold is self-pay in proportion (deducted from the personal account), and above the maximum limit is self-pay (this is Mao Zedong who pays out of his own pocket).

For those of you who have basic medical insurance, you usually feel that minor pains and illnesses basically cost nothing. Well, this is just in most cases. But just get an imported steel nail for a broken bone, and imported targeted drugs for cancer chemotherapy are tens of thousands of self-funded projects

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