2023
The payment of medical insurance for urban and rural residents has begun!
Recently, Jiangxi Provincial Health Insurance Bureau, Jiangxi Provincial Department of Finance and Jiangxi Provincial Taxation Bureau of State Taxation Administration of The People's Republic of China issued the Notice on Doing a Good Job in Basic Medical Security for Urban and Rural Residents in 2022 (hereinafter referred to as the Notice), which made new provisions on the payment standards for medical insurance for urban and rural residents. Let me take you to understand it ~
1. How much is the insurance premium paid? When to pay?
1. Continue to improve the financing standard of medical insurance for urban and rural residents.
In order to adapt to the increase in medical expenses and the demand for basic medical care, and to ensure the medical insurance rights and interests of the insured, in 2022, we will continue to raise the funding standard for residents' medical insurance, reaching the annual 960 yuan for each person.
30 yuan has been added to the per capita financial subsidy standard for residents' medical insurance, reaching 6 10 yuan per person per year. This is part of the state subsidy.
At the same time, 30 yuan, the individual payment standard of residents' medical insurance, will be raised to reach 350 yuan per person per year. This is the part that individuals should pay.
2. Clear centralized collection period
The centralized payment period of residents' medical insurance is determined as September 1 day, 2022 to February 3 1 day, 2022. Those who pay after the centralized payment period will be entitled to a waiting period of 90 days from the date of insurance payment, unless it is clearly stipulated that there is no waiting period for treatment.
Special reminder, ordinary residents should remember to pay for insurance in time during the centralized collection period without special reasons. Otherwise, if you pay for insurance beyond the centralized collection period, you will not be able to enjoy the medical insurance reimbursement treatment at any time, but you will have a waiting period of 90 days.
2. Who can enjoy the subsidy when they are insured?
The insured objects are divided into two categories: full-funded insured objects and fixed-funded insured objects.
1. The full-funded insured object is: destitute dependents (orphans refer to the implementation).
2. The target of quota subsidy is urban and rural minimum living allowances, and the quota subsidy standard is 320 yuan per person per year.
3. During the transition period, the insured objects with fixed subsidy are:
1 Poverty caused by returning to poverty, unstable population out of poverty, and marginal population vulnerable to poverty. The fixed subsidy standard is 320 yuan per person per year.
2. Students and children with severe disabilities, adults with severe disabilities who have lost their ability to work, minors from low-income families in cities and towns, the elderly over 60 years old, and 14 retired soldiers who have been unemployed in cities and towns and have not been included in the basic medical insurance for employees shall be implemented with reference to the insured objects funded by the quota.
3 College students do not pay individual fees, and their individual contributions are fully borne by the finance.
Special reminder: in principle, college students should participate in residents' medical insurance at the school location, and remember to tell their parents and family members not to pay for themselves repeatedly in their hometown to participate in residents' medical insurance.
3. How much do all kinds of personnel pay for insurance?
1. Ordinary residents
The individual payment standard is 350 yuan per person.
Persons who pay fees during the centralized collection period.
The treatment period is from 2023 1 month 1 day to 2023 1 February 31day.
2. Funding the insured object
Full funding for the insured individual does not pay; The individual payment standard of the insured person is 30 yuan per person.
The treatment period is from 2023 1 month 1 day to 2023 1 February 31day.
3 college students (including full-time graduate students)
College students should, in principle, participate in residents' medical insurance at their school places.
If college students are special personnel such as subsidized insured persons or medical assistance objects, they can choose to be insured in the identified areas.
Because of the repeated enrollment, the medical security department of the school registration place shall promptly notify the medical security department of the original enrollment place to terminate the enrollment relationship.
Repeated insurance formed after employment shall be promptly notified by the medical security department of the place of employment to suspend the insurance relationship.
On the premise of ensuring the seamless connection with the medical insurance benefits of the students' original insured places, qualified co-ordination areas can adjust the insurance payment period for college students to participate in residents' medical insurance from the academic year to the natural year. If the students in the adjusted co-ordination areas have medical expenses in the school year, they can directly settle the reimbursement expenses by seeking medical treatment in different places, and the reimbursement ratio is not limited by the provisions on reducing the proportion of medical treatment abroad.
4. Newborns
Newborn insurance registration should use my real name and valid identification. For newborns who have used their parents' names to pay for insurance, their guardians should be required to update their information as soon as possible.
Within 90 days after the birth of the newborn, the guardian shall handle the insurance registration according to the relevant regulations, and after paying the medical insurance premium of the residents in the year of birth according to the regulations, the medical expenses incurred since the date of birth can be included in the medical insurance reimbursement;
When the guardian handles the insurance registration according to the relevant regulations within 90 days after the birth of a newborn, if it has reached the collection period of residents' medical insurance in the year after the birth of the newborn, the guardian may also choose to pay only the residents' medical insurance premiums in the year after the birth. After the payment is made according to the regulations, the medical expenses incurred in the year after the birth can be included in the medical insurance reimbursement, but the medical expenses incurred in the year after the birth will not be reimbursed.
When the newborn is registered by the guardian according to the relevant regulations 90 days after birth, the policy will be implemented according to the insurance payment and treatment of ordinary residents.
5. Veterans
Military personnel who have been discharged from active service for less than 3 months, and their unemployed spouses and children can participate in residents' medical insurance, are not restricted by the centralized collection period. Among them, those who pay fees during the centralized collection period will enjoy the treatment from 2023 1 month 1 day to 2023 1 February 31day; Those who pay after the centralized collection period are entitled to benefits from the day after the insured payment.
6. Short-term seasonal workers and flexible employees
Short-term seasonal workers or flexible employees who have participated in residents' medical insurance will participate in employees' medical insurance during the period of residents' medical insurance benefits. The medical security department should ensure that the insured person enjoys the new medical insurance benefits and suspend the medical insurance benefits of the original residents; After the insured person's short-term work is over, the medical security department will restore the medical insurance benefits of the original residents in time to ensure the effective convergence of benefits.
7. Other special personnel
Medical assistance recipients, religious personnel, employees whose medical insurance payment is interrupted within 3 months, their registered permanent residence newly moved into our province, overseas personnel returned to China, prisoners were released upon expiration, migrant children, college students graduated and returned to their hometowns, etc. are not restricted by the centralized collection period, and those who pay after the centralized collection period are entitled to treatment from the day after the insured payment.
4. What are the payment methods?
Payment method
(1) Tax WeChat payment
Pay attention to "Jiangxi Provincial Taxation Bureau" WeChat WeChat official account, click "Tax Service"-"I want to pay" in the lower left corner, and select "Urban and Rural Residents (Medical Insurance)".
A. Self-payment this year: after entering the name and ID number, the system will bring out the payable amount, and the payer will pay by himself.
B. medical insurance approved payment. After entering the name and ID number, the system will automatically bring out the payment information approved by the medical insurance agency, and the payer will pay after confirming it.
"Jiangxi Provincial Taxation Bureau" WeChat WeChat official account
(2) WeChat Life Payment
Open WeChat, click on "Me"-"Service"-"Living Payment"-"Social Security and Medical Insurance" in the lower right corner, first select the insured city, then select "Medical Insurance for Urban and Rural Residents in Jiangxi Province", and then enter the ID number and name to pay the fee.
(3) Payment by Ganfutong (Alipay)
Through Alipay "Ganfutong"-"Payment"-"Social Security Payment", after face recognition authentication, you can pay by selecting "Urban and Rural Residents (Medical Insurance)".
(4) Payment by China Unionpay Quick Pass.
The payer opens the China Unionpay Quick Pass APP, searches the "Jiangxi Social Security Payment" applet on the home page, selects the insurance type to be paid, and enters the payer's ID number and name to pay the fee. For the specific payment process, please refer to "Jiangxi Provincial Taxation Bureau" WeChat WeChat official account.
(5) Payment at the tax window
The payer goes to the administrative service center, convenience service center and tax service hall of the insured place with his ID card or social security card, and pays in the window by means of WeChat, Alipay, POS card swiping and cash.
(6) Bank payment
At present, cooperative banks that can pay fees include ICBC, Agricultural Bank, China Bank, China Construction Bank, Bank of Communications, Postal Savings Bank, China Merchants Bank, China CITIC Bank, China Everbright Bank, Rural Commercial Bank, Jiangxi Bank, Ganzhou Bank, Jiujiang Bank and Shangrao Bank.
1. Pay by mobile banking. Download and install the mobile banking APP, enter the ID number and password, and you can pay.
2. Counter payment. The payer holds an ID card or social security card to pay at the counter of the cooperative bank outlet.
3. wechat payment. Pay attention to the cooperative bank WeChat WeChat official account to pay. For example, WeChat official account, the micro-bank of Jiangxi Rural Commercial Bank, click "Hui Life"-"Convenience Life"-"Social Security Link" in the lower right corner, select the insured area, insurance type and payment type, enter the name and ID number, select the payment time and payment grade, and click Query to pay the fee.
Other banks are similar to WeChat WeChat official account, and the payment process of each bank is slightly different. Please consult the local bank for details.
(7) Medical insurance WeChat payment
Pay attention to "Ganzhou Medical Insurance" WeChat WeChat official account, click on the bottom menu "Service Hall"-"Residents' Insurance Payment" to jump to the page of "Payment Center" for urban and rural residents' medical insurance.
Important reminder
Residents' medical insurance adheres to mutual assistance, responsibility and enjoyment! Don't think that residents pay 200 to 300 yuan for medical insurance every year, and the cost is high. Don't think that if you are in good health and don't get sick, you will lose money if you pay medical insurance. If you suddenly get sick one day, you will find that you didn't participate in medical insurance and you can't reimburse your medical expenses, but you will regret it!
I hope that the general public will actively participate in and take out insurance in time to add a solid barrier against disease risks for themselves and their relatives.
Everyone is insured and everyone benefits.
Insure in time and benefit in time.
Forget the insurance, and pay it back quickly.
Please be careful not to participate in residents' medical insurance and employees' medical insurance repeatedly across insurance types!
People who study, work and live in different places should not be insured repeatedly in different places and in their hometown!