In 2023, the fund-raising for residents' medical insurance participation shall not be less than 960 yuan per person. Among them, the financial subsidy is not less than 6 10 yuan/person, and the individual payment standard is 350 yuan/person. City and county financial subsidies must be fully matched before the end of 65438+2 in 2023. Not in accordance with the provisions of the timely and full matching, the corresponding deduction of the central and provincial financial subsidies, the deduction part by the city and county finance to make up.
Employee medical insurance payment is related to the local social security payment base and payment ratio. In Beijing, for example, social security units and individuals should bear 16% and 8% pension insurance, 9% and 2% medical insurance, serious illness insurance in 0 yuan and 3 yuan, 0.5% and 0.5% unemployment insurance, 0.2% and 0% industrial injury insurance and 0.8% and 0% maternity insurance respectively. According to the minimum payment base of 5869 yuan, the minimum payment for five insurances is 2 174.54 yuan.
For employees participating in medical insurance, the payment standard of medical insurance fund is: the cumulative payment limit per person per year is 1000 yuan; Within the administrative area of this Municipality, primary health service institutions, secondary and tertiary designated medical institutions seek medical treatment, and the proportion of single outpatient expenses paid by medical insurance fund is 80%, 60% and 55% respectively; Within the administrative area of this Municipality, the outpatient fees for referral from designated outpatient institutions (including emergency departments) to other designated medical institutions decreased by 10 percentage point respectively.
In 2023, the monthly payment standard for individual employees' medical insurance is 475. 12 yuan, and the annual payment standard is 570 1.44 yuan. The payment standard of supplementary medical insurance in 2023 is 260 yuan/year.
New standard of medical insurance for employees in 2023
On September 14, Hunan Provincial Medical Security Bureau, together with State Taxation Administration of The People's Republic of China Hunan Provincial Taxation Bureau, Hunan Provincial Department of Education, Hunan Provincial Civil Affairs Department, Hunan Provincial Department of Finance, Hunan Rural Revitalization Bureau and Hunan Disabled Persons' Federation, issued the Notice on Doing a Good Job in the Payment of Basic Medical Insurance for Urban and Rural Residents in 2023, which clarified the objectives and policies of the province's medical insurance payment for urban and rural residents in 2023. Combined with the reality of our province,
In 2023, the individual payment standard of medical insurance for residents in the province will be unified as 350 yuan/person.
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It is understood that in 2023, our province will aim at universal coverage and legal participation, and implement the universal participation plan in depth.
The participation rate of basic medical insurance for permanent residents (including residents' medical insurance and employees' medical insurance) will remain stable at over 95%.
, to ensure that the minimum living security target, poor people, severely disabled people, orphans and other difficult people and stable poverty-stricken people are all included in the coverage of basic medical insurance.
According to the requirements of the Notice, in 2023, the insurance policy of our province will be adjusted in six aspects: coverage, subsidy standards and subsidy policies:
First, the scope of insurance covers all urban and rural residents except those who should be insured in the basic medical insurance for employees.
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Second, the financial subsidy standard for residents' medical insurance in 2022 is 6 10 yuan per person.
In 2023, the financial subsidy standard for residents' medical insurance will be implemented in accordance with state regulations.
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Third, in order to adapt to the growth of medical expenses and the improvement of basic medical needs, and to protect the medical insurance rights and interests of the insured, combined with the actual situation in our province,
In 2023, the individual payment standard of medical insurance for residents in the province will be unified as 350 yuan/person.
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How much social security should Sichuan pay in 2023?
1.What is the medical insurance payment in Sichuan in 2023?
In 2023, the medical insurance payment in different parts of Sichuan is different, which is divided into high-grade adults, low-grade adults, students and children, so the specific payment standard is subject to the local published standard. The local payment standards in 2023 are as follows:
Chengdu 1
(1) Basic medical insurance: adult (low-grade) 375 yuan/person. Years (including long-term care insurance 25 yuan/person). Year), adult (high-end) 485 yuan/person. Years (including long-term care insurance 25 yuan/person). Years), students and children (including college students) 350 yuan/person. Years (including critical illness supplementary medical insurance and long-term care insurance 10 yuan/person). Year). Jinjiang District, Qingyang District, jinniu district, Wuhou District, chenghua district, Chengdu High-tech Zone and conditional districts (cities) and counties are 485 yuan/person. Annual standard financing.
(2) Supplementary medical insurance for serious illness: 375 yuan/person for adults. In, students and children (including college students) obtained 10 yuan/person from basic medical insurance (excluding long-term care insurance). Year) at the rate of 10%.
2. Zigong
The payment standard is 350 yuan/person. A few years.
3. Panzhihua
The payment standard is 395 yuan per person. A few years.
4. Luzhou
The payment standard is 350 yuan/person. A few years.
5. Deyang
Adult (1 file) 350 yuan/person. Years (supplementary medical insurance 95 yuan/person. Year), adult (second grade) 450 yuan/person. Years (supplementary medical insurance 95 yuan/person. Basic medical insurance for minors (including college students and infants) 350 yuan/person. Years (supplementary medical insurance 35 yuan/person. Year).
6. Deyang
The payment standard is 350 yuan/person. A few years.
7. Guangyuan
The payment standard is 350 yuan/person. A few years.
8.Suining:
The payment standard is 350 yuan/person. A few years.
9. Neijiang
The payment standard is 350 yuan/person. A few years.
10. Leshan
The payment standard is 350 yuan/person. Second gear 420 yuan/person. A few years.
1 1. Nanchong
The payment standard is 350 yuan/person. A few years.
12. Yibin
The payment standard is 350 yuan/person. A few years.
13. Guang 'an
The payment standard is 350 yuan/person. A few years.
14. Dazhou
The payment standard is 350 yuan/person. A few years.
15. Bazhong
The payment standard is 350 yuan/person. A few years.
16. Ya 'an
The payment standard is 350 yuan/person. Second gear 450 yuan/person. A few years.
17. Meishan
The payment standard is 350 yuan/person. A few years.
18. Ziyang
The payment standard is high-grade 480 yuan/person. Years, low-grade 350 yuan/person. A few years.
19.aba
The payment standard is 350 yuan/person. A few years.
20. Ganzi
The payment standard is 350 yuan/person. Second gear 550 yuan/person. A few years.
2 1. Liangshan
The payment standard is 350 yuan/person. A few years.
2. When will Sichuan medical insurance be paid in 2023?
1. Chengdu: 202265438+February 25th.
2. Zigong: September 2022 1 day to February 3, 20221day.
3. Panzhihua: September 2022 1 to March 3, 20231.
4. Luzhou: September 2022 1 to February 3, 20221.
5. Deyang: September 2022 1 day to February 3, 20221day.
6. Mianyang: September 2022 1 to February 3, 20221.
7. Guangyuan: September 2022 1 to February 25, 2022.
8. Suining: September 2022 1 day to February 3, 20221day.
9. Neijiang: September 2022 1 day to February 3, 20221day.
10. Leshan: September 2, 20221day to February 25, 2022.
1 1. Nanchong: September 2022 1 to February 28, 2023.
12. Yibin: September 2022 15 to February 20, 2022.
13. Guang 'an: September 2022 1 day to February 3, 20221day.
14. Dazhou: September 2022 1 till February 25, 2022.
15. Bazhong: payment deadline is 65438+February 3, 20221.
16. Ya 'an: September 2022 1 day to February 3, 20221day.
17. Meishan: September 2022 1 day to February 20, 2022.
18. Ziyang: September 2022 1 day to February 3, 20221day.
19. Aba: September 22, 2022 to February 25, 2022.
20. Ganzi: September 2022 1 to March 3, 20231.
2 1. Liangshan: 2022 1 October 1 till February 25, 20221.
legal ground
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Article 8 An employing unit shall, within 30 days from the date of employment, register social insurance for its employees and declare and pay social insurance premiums. If the social insurance has not been registered, the social insurance agency shall verify the social insurance premium it should pay. If the employer fails to declare the amount of social insurance premiums payable according to the regulations, the social insurance agency shall temporarily determine the amount payable according to 1 10% of the amount paid by the unit last month; If there is no payment amount last month, the social insurance agency shall temporarily determine the amount of payment according to the operating conditions of the unit, the number of employees and the average salary of employees in the local last year. After the employer completes the declaration procedures, the social insurance agency shall settle the accounts in accordance with the provisions.
What is the social security payment standard for employees in 2023?
In 2022, the number of urban and rural residents participating in medical insurance in our county was 6 17284, with the participation rate of registered population reaching 87.29% and that of permanent population reaching 105.7%. According to the spirit of the superior medical insurance policy document, in 2023, the individual payment standard of residents' medical insurance will be unified as 350 yuan/person, and the insurance payment period will be September 1 to February 1 in principle.
Insurance time
The period from September 1 2022 to February 28, 2023 is the centralized insurance period. The insured shall pay the fees during the centralized insurance period. Urban and rural residents will enjoy basic medical insurance benefits from June 65438+1 October 2023 to February 3 1 February 2023.
After the end of the centralized insurance period, the poor, orphans, urban and rural low-income residents, the monitoring objects recognized by the rural revitalization department (unstable poverty-stricken households, marginal poor households, sudden severe hardship households), poor policy personnel, poor people returning to poverty, first-and second-class disabled people, newborns born in the same year and employees who stopped paying medical insurance fees to participate in basic medical insurance for urban and rural residents within 3 months can be insured according to the payment standard during the centralized insurance period, and there is no waiting problem for treatment. Other personnel can be insured according to the payment standard of centralized insurance period, and set a waiting period of 3 months.
Relevant personnel pay insurance
1. The individual contributions of poor people, orphans, first-class and second-class disabled people (including transfer personnel) with household registration in this Municipality shall be fully funded by the Banner District Government.
2. With the household registration of urban and rural residents in this Municipality, the monitoring objects identified by the rural revitalization department (unstable poverty-stricken households, marginal poor households, and households with sudden severe difficulties), policy-oriented poor people, and poverty-stricken people returning to poverty (including dynamic adjustment personnel) shall implement the payment mode of "pay first and then make up", and the insured shall pay individual contributions in full according to individual payment standards, and each flag area shall give subsidies according to 330 yuan per person.
3. Newborns born in that year shall be implemented according to the relevant provisions of the Notice of Ordos Medical Security Bureau on Further Implementing the Newborn Insurance Policy (E.D.F. [2021] No.51). At the same time, in accordance with the requirements of the Notice of the Office of the Leading Group for "One Case, One Discussion" in Erdos City on Promoting the Online Handling of the Whole Process of "One Case, One Discussion" for Newborns (E Government Affairs Fa [2022] No.7), we will comprehensively do a good job in neonatal insurance.
4 in school (in the park) students to pay their own insurance, by the school (kindergarten) to participate in the mobilization and information statistics, no longer centralized collection.
5 with multiple identities of the insured, according to the principle of high funding. The relevant functional departments of each flag area shall be responsible for the verification of the identity of the insured and the implementation of the insurance subsidy according to their job responsibilities. Involving the dynamic adjustment of the identity of the insured, the relevant functional departments of each flag area shall promptly notify the medical insurance department to implement the insurance subsidy.
Social security payment standard in 2023
The basic medical insurance for urban and rural residents is an important livelihood security system. In life, residents who did not participate in insurance in time could not enjoy medical insurance reimbursement when they were hospitalized for sudden illness, which caused a great economic burden to their families. Here is an initiative: please take the time to participate in medical insurance and add a guarantee for the health of yourself and your family!
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Insurance payment time
The payment time for insurance is tentatively set at 2022 10/month 1 to February 25, 2022 1. The payment period is1-25th every month, and the settlement period is from 26th to the end of the month.
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Payment standard
(a) the implementation of annual insurance, prepaid system. In 2023, the individual payment standard of basic medical insurance for urban and rural residents will be 350 yuan per person per year, and the government financial subsidy standard will not be lower than 6 10 yuan per person per year.
(2) Newborn payment: Newborns (new-born babies of that year) shall register for insurance and complete payment within 90 days from the date of birth, and enjoy medical insurance benefits from the date of birth. Those who pay insurance after 90 days of birth will enjoy medical insurance benefits from the next month of payment.
(3) payment standards for special groups:
Persons who enjoy the insurance subsidy policy among medical assistance objects shall be classified and funded according to regulations.
The subsidy standards for poor people and severely disabled people shall be implemented in accordance with the subsidy standards of the Disabled Persons' Federation.
Note: The needy people with multiple special identity attributes can enjoy the insurance subsidy according to the principle of "high priority, not low priority", and the subsidy cannot be repeated.
According to the notice of Provincial Medical Insurance Bureau, Provincial Department of Finance, State Taxation Bureau, Guizhou Provincial Taxation Bureau, Provincial Education Department and Provincial Civil Affairs Department, Notice of the Provincial Rural Revitalization Bureau, the Provincial Disabled Persons' Federation on Doing a Good Job in the Collection of Basic Medical Insurance for Urban and Rural Residents in 2023 (Qian Medical Insurance Fa [2022]15) and the Notice of the Municipal Medical Insurance Bureau and other ten departments on Doing a Good Job in the Collection of Basic Medical Insurance for Urban and Rural Residents in 2023 (Zhu Medical Insurance Fa [2022] is not based on the spirit of the document, and the centralized collection period of basic medical insurance for urban and rural residents in 2023 is The specific matters concerning the collection of basic medical insurance for urban and rural residents in 2023 (hereinafter referred to as residents' medical insurance) are hereby announced as follows:
First, the residents' medical insurance financing standards
In 2023, the funding standard for residents' medical insurance will not be lower than that of 960 yuan. Among them, the per capita financial subsidy standard is not less than 6 10 yuan; The individual payment standard is 350 yuan/person.
Second, the disadvantaged groups enjoy the insurance subsidy policy.
Persons with special difficulties who confirm their identity and pay fees before the end of the centralized collection period of residents' medical insurance can enjoy insurance subsidies; Those who pay after the centralized collection period only enjoy dynamic insurance and do not enjoy insurance subsidies (except orphans and minors who are actually unattended). Newborns from families with special difficulties who meet the Medicaid policy can enjoy the corresponding insured status within 90 days (including 90 days) from the date of birth. For recipients with multiple identities, funding will be provided according to the principle of high priority and non-repetition. If the identity attribute changes within one year, no secondary funding will be provided.
(a) Full funding objectives and criteria
Poverty-stricken people, orphans, actually unattended minors, old workers laid off in the early 1960s, mentally handicapped people who make troubles, "two families" and family members with special difficulties in family planning, low-income recipients, people who are prone to poverty in rural areas (unstable poverty-stricken families and marginal poverty-prone families) and people with sudden serious difficulties, and severely disabled people who hold the "People's Republic of China (PRC) Disabled Persons' Card" issued by Gui 'an District of Guiyang City (1).
(B) the objectives and standards of fixed funding
1. The stable population out of poverty will be subsidized according to the standard of per capita 120 yuan.
2. The elderly over the age of 60 and the minors under the age of 18 in the marginal families with minimum living allowance shall be subsidized according to 30% of the individual payment standard (105 yuan).
Three. Time limit for collection and treatment and enjoyment of rights and interests
(1) Time limit for receipt and payment
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