城镇医疗保险和人寿保险和社保分别什么用?

2025-01-23 06:23:21
推荐回答(3个)
回答1:

你所说的城镇居民医疗保险、人寿保险、社保是三个不同的概念。我这样说不知道是否清楚。城镇居民医疗保险和社保都是政策性的,而人寿保险是商业性的。社保相对于城镇居民医疗保险首先在于他的概念宽些,一般讲社保,包括几个方面的东西,养老、医疗、失业、生育、工伤等等。我估计你其实想问的是医疗保险部分。而社保中的医疗保险,他是分成几个部分的,一是门诊费用,那是每个月根据你缴费多少,划部分到你医保卡上(基本和个人扣缴部分金额相等,有些地区会略多于个人扣缴部分),二是住院费用,有一个起付线的问题(每个地区也不尽相同),还有一个最高支付额及自负比例的问题(每个统筹地区也不一样)。所以你说的报销比例的话,如果不明确地区的话,是不能给出准确的答案的,如果明确地区的话,可能也只有当地的人能给出明确的答案。最好查当地社保局网站或去社保机构查询。而买了社保中的医疗保险是不再需要购买城镇居民医疗保险的,也没有资格买。城镇居民医疗保险是这几年才有的事情,主要是政府为了完善社会保障体系,特别是对一些弱势群体的保障而推出的。这种保险缴费低,财政同时会给予个人缴费额同等的补贴。但是整体上他的保障比当地医疗保险的保障水平要低。首先是门诊没有费用报销,至于住院的话,报销比例也是各地区各不相同。权威的答案要询当地的社保机构(同样由当地社保机构承办)。从这个意义上来讲,社保中的医保和城镇居民医疗保险是有冲突的,也就是说社保机构不会同意你同时买。 而人寿保险也包括很广泛的范围,一是保障养老类的,二是保障重疾类的,三是保障意外伤害的。我估计你问的也仅仅指保疾病和住院的。那么人寿保险和社保及城镇保险是不冲突的。首先范围不一样,社保和城镇医保是不论所患疾病种类的,只要住院都可按规定报,而人寿保险基本上都限定了只有哪些病种住院才会有报销。如果涉及到意外这项的话,如人寿保险买了相应的险种,可以赔偿。而社保及城镇医保是不赔的,如果此种意外是属于工作期间的,有可能社保的工伤保险可以赔偿。其次,如果同时有社保(或城镇医疗)和人寿保险,如果两都都在范围之内,互相不冲突,同时可以获得赔偿(或你所说的报销)的。

回答2:

一、城镇医疗保险只用作医疗报销方面;人寿保险为商业保险,它的作用很多(也包括医疗报销方面);社保包括工伤、失业、医疗、养老、生育五方面内容。二、对于医疗报销方面,它们是实行补偿原则。如是你在社保报销后,把剩下的拿到商业保险报销:也就是说总的报销最多能补完你所花的钱,不可能多出你的医疗费用(补偿原则),那怕你在商业保险那里买了很高的医疗保额也一样。三、关于医疗报销比例:各地城镇医疗保险各不相同,商业保险中也有不同的比例(保险公司不同或不同的险种其报销比例也不尽相同)。四、城镇医疗保险,他是有医保卡的话不住院、买药可用医保卡消费就行了,不能再去作报销。

回答3:

城镇医疗保险就是社保的一种,社保只能有一种形式的,你说的人寿保险是商业他和社保不冲突的,商业保险必须要住院才给报,社保的不用,有卡就可以去买药.保险原则是先去社保报,然后把剩下的按比例拿到商业保险报,各地区还有险种都有差异,所以回答不了你报多少.

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