【正文】 . 8 ①市區(qū)范圍內(nèi)轉(zhuǎn)移社會(huì)保險(xiǎn)關(guān)系 ..................................................................... 8 ②從市區(qū)統(tǒng)籌范圍轉(zhuǎn)往外地 ............................................................................. 8 ③從外地轉(zhuǎn)入市區(qū)統(tǒng)籌范圍 ............................................................................. 9 ④農(nóng)村外埠?jiǎn)T工申請(qǐng)終止社保關(guān)系 ............................................................... 10 ⑤農(nóng)村和城鎮(zhèn)養(yǎng)老保險(xiǎn)關(guān)系轉(zhuǎn)移接續(xù) ........................................................... 11 三、養(yǎng)老保險(xiǎn)個(gè)人帳戶 ...................................................................... 12 ①養(yǎng)老保險(xiǎn)個(gè)人帳戶的記載 ........................................................................... 12 ②養(yǎng)老保險(xiǎn)個(gè)人帳戶對(duì)帳單的發(fā)放、查詢 ................................................... 12 ③ 1995 年底前基本養(yǎng)老保險(xiǎn)推算儲(chǔ)存額 ...................................................... 13 ④基本養(yǎng)老社會(huì)統(tǒng)籌基金的支付范圍 ........................................................... 14 ⑤特殊情況申領(lǐng)養(yǎng)老保險(xiǎn)個(gè)人帳戶余額 ....................................................... 14 四、醫(yī)療保險(xiǎn)個(gè)人帳戶 ...................................................................... 15 ①醫(yī)療保險(xiǎn)個(gè)人帳戶的記載 ........................................................................... 15 ②醫(yī)療保險(xiǎn)個(gè)人帳戶的更新 ........................................................................... 16 ③醫(yī)療保險(xiǎn)個(gè)人帳戶的使用 ........................................................................... 16 ④醫(yī)療保險(xiǎn)個(gè)人帳戶的清算 ........................................................................... 17 五、靈活就業(yè)人員參保 ...................................................................... 17 ①靈活就業(yè)人員參保登記 ............................................................................... 17 ②靈活就業(yè)人員委托繳費(fèi) ............................................................................... 18 ③靈活就業(yè)人員補(bǔ)繳養(yǎng)老、醫(yī)療保險(xiǎn)費(fèi) ....................................................... 19 ④靈活就業(yè)人員享受醫(yī)保待遇有關(guān)規(guī)定 ....................................................... 20 ⑤靈活就業(yè)人員重新就業(yè)后轉(zhuǎn)移社保關(guān)系 ................................................... 21 ⑥靈活就業(yè)人員退休及養(yǎng)老、醫(yī)療待遇的審批 ........................................... 21 ⑦出具失業(yè)期間“未從事有報(bào)酬勞動(dòng)”證明 ............................................... 24 六、養(yǎng)老保險(xiǎn)待遇 ............................................................................. 25 2 ①企業(yè)職工退休及按月享受養(yǎng)老保險(xiǎn)待遇的條件 ....................................... 25 ②企業(yè)職工退休及養(yǎng)老待遇審批 ................................................................... 25 ③企業(yè)職工養(yǎng)老保險(xiǎn)待遇 ............................................................................... 26 ④機(jī)關(guān)事業(yè)單位參保人員退休審批 ............................................................... 27 ⑤供養(yǎng)直系親屬的范圍和條件 ....................................................................... 28 ⑥企業(yè)參保人員死亡后供屬救濟(jì)費(fèi)的審批 ................................................... 28 ⑦機(jī)關(guān)事業(yè)單位工作人員死亡后遺屬生活補(bǔ)助 ........................................... 30 七、醫(yī)療保險(xiǎn)待遇 ............................................................................. 30 ①在職職工享受醫(yī)療保險(xiǎn)待遇的條件 ........................................................... 30 ②單位退休人員醫(yī)療保險(xiǎn)待遇審批 ............................................................... 31 ③醫(yī)療保險(xiǎn)參保人員門診就醫(yī) ....................................................................... 32 ④醫(yī)療保險(xiǎn)參保人員住院 ............................................................................... 33 ⑤醫(yī)療保險(xiǎn)門診特定項(xiàng)目 重癥尿毒癥門診透析，器官移植后抗排 異藥物治療，惡性腫瘤放療化療 ............................................................................................................ 34 ⑥醫(yī)療保險(xiǎn)門診特定項(xiàng)目 重癥精神病 ...................................................... 35 ⑦醫(yī)療保險(xiǎn)門診特定項(xiàng)目 家庭病床 .......................................................... 36 ⑧醫(yī)療保險(xiǎn)門診特定項(xiàng)目 白內(nèi)障超聲乳化人工晶體植入術(shù) .................. 37 ⑨醫(yī)療保險(xiǎn)參保人員轉(zhuǎn)外就醫(yī) ....................................................................... 37 ⑩醫(yī)療保險(xiǎn)參保人員居外就醫(yī) ....................................................................... 38 ⑴醫(yī)療保險(xiǎn)零星報(bào)銷 ....................................................................................... 39 ⑵其他醫(yī)療保險(xiǎn)待遇（健康體檢、乙肝疫苗） ........................................... 40 ⑶參保人員醫(yī)療救助 ....................................................................................... 41 八、工傷保險(xiǎn)待遇 ............................................................................. 42 ①新認(rèn)定工傷人員待遇的申報(bào)審核 ............................................................... 42 ②因工致殘一至四級(jí)定期傷殘津貼的審核、發(fā)放（待修改） ................... 43 ③因工死亡人員供養(yǎng)親屬撫恤金的申請(qǐng)審核 ............................................... 44 ④工傷保險(xiǎn)待遇（待修改） ........................................................................... 45 九、生育保險(xiǎn)待遇 ............................................................................. 46 ①生育保險(xiǎn)補(bǔ)償待遇的申領(lǐng) ........................................................................... 46 ②計(jì)劃生育手術(shù)費(fèi)的結(jié)付 ............................................................................... 47 十、 失業(yè)保險(xiǎn)待遇 ............................................................................. 48 ①失業(yè)保險(xiǎn)待遇 ............................................................................................... 48 ②失業(yè)保險(xiǎn)待遇的申請(qǐng)和享受 ....................................................................... 49 十一、 協(xié)議保留社會(huì)保險(xiǎn)關(guān)系 ........................................................... 50 ①協(xié)保的申請(qǐng)、繳費(fèi)和劃帳 ........................................................................... 50 3 ②協(xié)保人員重新就業(yè)后參保 ........................................................................... 52 十二、企業(yè)退休人員社會(huì)化管理 ....................................................... 53 ①基本養(yǎng) 老金社會(huì)化發(fā)放 ............................................................................... 53 ②社會(huì)化管理的對(duì)象和內(nèi)容 ........................................................................... 54 ③退休人員從企業(yè)轉(zhuǎn)入社區(qū) ........................................................................... 55 ④社區(qū)社會(huì)保險(xiǎn)業(yè)務(wù) 結(jié)算 .....................................................