The basic medical insurance premium for urban and rural residents can be paid!

Where do I pay? How much did you pay?

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Q: Who can participate in the basic medical insurance for urban and rural residents in our city?

A:

(a) with the city's household registration, not included in the coverage of the basic medical insurance system for urban workers; Retirees who cannot fully enjoy the basic medical insurance benefits for urban workers and are really unable to repay them.

(two) students from institutions of higher learning, primary and secondary schools and kindergartens (including Hong Kong, Macao and Taiwan and foreign college students) who have the status of students in this city.

(3) Non-employees with foreign household registration who have obtained the residence permit in this city and have not participated in the basic medical insurance in their place of origin.

(four) foreigners who have obtained the residence permit of this Municipality and are not included in the coverage of the basic medical insurance system for urban workers.

(five) children of migrant workers who have been studying and living in this city for a long time with their parents (including newborns, but excluding dispatched personnel) may voluntarily participate in the basic medical insurance for urban and rural residents in this city. When applying for insurance, you must provide relevant materials that one parent has participated in the basic medical insurance for urban workers in this city 1 year or more, or one parent is registered in this city and has participated in the basic medical insurance for urban workers or urban and rural residents in this city.

(six) the introduction of talents of unemployed spouses and immediate family members can voluntarily participate in the basic medical insurance for urban and rural residents in this city. When participating in the insurance, you must provide the relevant materials for introducing talents, the uninsured proof materials provided by the medical insurance agency where the household registration is located, or its written commitment letter.

(seven) prisoners (including control, probation, parole, temporary execution outside prison).

(eight) other personnel who meet the Interim Measures for the Basic Medical Insurance for Urban and Rural Residents in Hainan Province and the relevant provisions.

Newly-added insured persons need to go to the nearest village (neighborhood) committee to complete the insurance registration, and then pay through the payment channel.

Q: When is the centralized insurance payment time?

A: The centralized solicitation period is from September 1 day to February 3 1 day, 2022; The treatment period is from 2023 10 month 1 to February 1. Although it is clear in the new convergence policy of the medical insurance system that you can participate in the insurance payment if you miss the centralized collection period, the proportion of medical insurance reimbursement will be discounted, only 30% of the prescribed standard! Therefore, in order to fully enjoy the medical insurance benefits, you must remember to pay during the centralized collection period!

Q: What is the payment standard?

A: In 2023, the individual payment standard of basic medical insurance for urban and rural residents will be 350 yuan/person.

Q: How to pay?

A: Payment of the basic medical insurance premium for urban and rural residents in Sanya in 2023 can be completed through online channels such as Hainan Provincial Taxation Bureau Electronic Taxation Bureau APP, aggregate QR code scanning, WeChat, Alipay and China UnionPay Express. Among them, the most convenient way is to identify the QR code below and pay directly.

Tips:

1. Please check the payer's name, ID number, school year (2023), payment amount and other payment information before confirming payment.

2. When paying, if there is a payment record prompt, it means that the payment has been completed; If you are prompted that there is no insurance information, please go to the nearest village (neighborhood) Committee to register for insurance before paying.

Q: What are the medical insurance benefits for urban and rural residents?

A:

1. General clinic. General outpatient medical expenses that meet the basic medical insurance policy and exceed the annual deductible line will be reimbursed by 70% of designated medical institutions at the first level and below, 50% by designated medical institutions at the second level and 30% by designated medical institutions at the third level. The annual maximum payment standard is 500 yuan/year below 60 years old (excluding) and 700 yuan/year above 60 years old (including).

2. Hospitalization and outpatient chronic special diseases. In line with the basic medical insurance policy and exceeding the annual deductible line, the hospitalization and outpatient medical expenses for chronic special diseases are reimbursed by 90% in the first-class designated medical institutions, 75% in the second-class designated medical institutions and 65% in the third-class designated medical institutions. The annual maximum payment standard is 6.5438+0.5 million yuan/year.

3. critical illness insurance. Insured persons who have paid the basic medical insurance for urban and rural residents in 2023 can directly enjoy the treatment of serious illness insurance without paying any fees. If the accumulated compliance medical expenses in the year exceed 8,000 yuan after being paid by the basic medical insurance, the excess part will be reimbursed according to the reimbursement ratio of 60%-90%, and the maximum payment can be 300,000 yuan/year.