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What is the phone number of Tianshui Medical Insurance Bureau?
Legal analysis: 0938-8213676
Social medical insurance is provided by the state and society in accordance with certain laws and regulations to provide basic medical needs for workers within the scope of coverage when they fall ill. The established social insurance system is undertaken by the government and enforced and organized and managed with the help of economic, administrative and legal means. Social medical insurance consists of three levels: basic medical insurance and large-scale medical assistance, corporate supplementary medical insurance and individual supplementary medical insurance.
Legal basis: "Regulations of the People's Republic of China on Basic Medical Insurance for Urban Employees"
Article 28 Personal accounts are used to pay for medical treatment beyond the scope of the overall fund payment Fees; if the personal account is insufficient to pay, it is the responsibility of the person.
Article 29: Medical expenses for hospitalization for serious diseases shall be paid according to the following methods:
(1) The minimum payment standard is in principle controlled for employees in cities, counties, and autonomous counties. The annual social average salary is 9%-11%.
(2) In principle, the maximum payment limit is controlled at 3-5 times the average social salary of employees in cities, counties, and autonomous counties in the previous year.
(3) Medical expenses above the minimum payment standard and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Appropriate care will be given to the proportion of retirees paying medical expenses.
The scope of serious diseases, specific standards for deductibles and maximum payment limits, and the sharing ratio of medical expenses above the deductible standard and below the maximum payment limit shall be determined by the Provincial People's Government.
Article 30 The overall fund will not pay for medical expenses below the minimum payment standard and above the maximum payment limit.
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