Financing standard of residents' medical insurance in 2023
And personal payment standards.
(Unit: RMB/person)
Please note.
1
Appropriate subsidies will be given to individual contributions of rural residents.
2
Family members who enjoy the minimum living guarantee for urban and rural residents in our city and people over 60 years old in low-income families with difficulties, as well as the individual contributions of the elderly, elderly survivors of employees, severely disabled people and other groups can be reduced or exempted according to regulations.
Handling methods and channels
The registration method of all kinds of personnel is basically the same as in previous years. Except for students at school, children in kindergartens and rural residents, other insured persons can apply for the 2023 residential insurance registration or apply to the community affairs acceptance service center through the "One Netcom Office" online, and can complete individual payment through the following online and offline channels after 5 working days.
Online application for residential insurance registration through "One Netcom Office" is limited to students at school, children in kindergartens (institutes) and rural residents: (1) the household registration personnel in our city apply in person, (2) the household registration spouses in other provinces and cities in our city apply in person, and (3) those who have reached the mark of "Shanghai Residence Permit" apply for their spouses or children.
In 2023, the medical insurance department is responsible for the registration of insurance and the review of insurance qualifications; The tax department is responsible for verifying the payment amount according to the policy and collecting it.
Audited eligible payers can be divided into three types according to payment methods:
1
Students from colleges and universities at all levels in our city
2
Rural registered residents in our city
three
In addition to the above two categories, other urban and rural residents' medical insurance payers
Three payment groups correspond to three payment methods.
Centralized remittance
Batch deduction
Self-payment
(1) Centralized remittance and payment
Students from colleges and universities at all levels in our city should go through the formalities of insurance registration and payment at their schools.
Meet the conditions of insurance
The school will handle the insurance payment procedures in a unified way and pay the fees through the tax and social security fee collection client.
Payment process
1, where the school goes through the insurance payment formalities with the medical insurance department.
2. After receiving the collective declaration and approval form issued by the medical insurance department, the school will declare the payment through the social security fee collection client within 5 working days.
(2) Batch deduction
Rural residents should go through the insurance registration formalities at the village committee where the household registration is located, and the tax authorities will use the bank batch deduction method to transfer funds.
Payment process
1, rural residents should go to the village committee where the household registration is located to go through the insurance confirmation procedures. If it is impossible to confirm the information, they need to go to the community affairs acceptance service center to sign a withholding agreement, go through the insurance registration and change the personnel information.
2. During the payment period, the tax authorities will pay the medical insurance fee by bank batch deduction on the 3rd and 22nd of each month/kloc-0.
(3) paying by oneself
Residents who pay their own fees can go through the registration formalities at the nearest community affairs acceptance service center.
Meet the conditions of insurance
You can pay the fee at the nearest community affairs acceptance service center, tax service hall and designated bank outlets, or you can pay the fee online through channels such as Netcom Office, With Bid, Alipay, WeChat, designated banks, Shanghai Taxation official website Electronic Taxation Bureau and China Unionpay Quick Pass.
List of payment methods
New personal account family * * * economic payment
Since 2022 1 February1day, if a family * * * economic network has been established and "* * * economic payment" is selected, the medical insurance department will directly deduct the family members' insurance contributions from the investor's account balance funds over the years, without the need for individuals to pay through offline or online channels.
Wake up
Workers' medical insurance participants in our city are willing to pay their family members (parents, spouses and children) the 2023 residence insurance premium by means of * * * payment. Please set up a family * * * economic network and choose the use mode of * * economic payment through the "Citizen Cloud with Bid" APP, WeChat applet with Bid, or Alipay applet with Bid. Please complete it according to the following time for different groups.
(1) Students (including college students) and children in kindergartens (institutes) should complete the confirmation procedures of "* * * financial payment" before 20221February 19 17:30;
(2) For students who are not in school and children who are not in the kindergarten (institute), please complete the confirmation procedure of "* * * payment" before 20221February 25th 17:30;
(3) For rural residents, please complete the confirmation procedure of "* * * payment" before 20221February 7 17:30.
The networking person (i.e. the investor) will complete the networking and confirmation procedures of "* * * payment" in time on the premise of ensuring that the balance funds in the account of occupational insurance over the years can fully pay the insurance premium. The medical insurance department will complete the deduction and remittance in time according to the "* * payment" confirmed by you. Please don't miss the centralized registration payment period, so as not to affect the enjoyment of benefits. Citizens can know their account balance over the years by self-checking the "medical insurance fund" with the application (the displayed balance may change due to my medical treatment).
Urban and rural residents' medical insurance participants
Who did not participate in other basic medical insurance, and meet one of the following conditions, can participate in medical insurance for urban and rural residents:
1
Persons who have registered in our city and are over 18 years old.
2
Primary and secondary school students and infants with household registration in our city.
three
Full-time college students, vocational college students and part-time graduate students who receive general higher education in colleges and research institutes in our city.
four
Other personnel who meet the requirements.
Online direct payment renewal personnel
People who have participated in the medical insurance for urban and rural residents in our city in 2022 and meet any of the following conditions are regarded as renewal personnel. They do not need to go to the community affairs acceptance service center to go through the registration formalities, but can pay directly through the online payment channel or by others, or through the * * * economic payment to achieve "zero running" (those who are used to the offline window can still pay by themselves through the offline payment channel).
The specific conditions are as follows:
1
Urban household registration personnel in our city who have reached the age of 19 and above in the last year.
2
In addition to students at school and children in the park (institute),/kloc-registered personnel in our city under the age of 0/8.
three
Persons holding permanent residence permits for foreigners (within the validity period, the same below).
four
The spouses and children under the age of 18 who hold the residence permit for Hong Kong and Macao residents or the residence permit for Taiwan Province residents of our city and those whose scores of the Shanghai Residence Permit have reached the standard score.
five
Spouses registered in other provinces and cities and students (/kloc-under 0/8 years old) and children who are not in the park (institute) who hold the "Shanghai Residence Permit" and have reached the standard score.
six
Spouses of holders of Class B residence permits, students who are not in our city (1under 8 years old) and children who are not in the park (institute).
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In 2023, the registration and payment period of medical insurance for urban and rural residents in our city will end at 20221February 25th 17:30. It is hoped that eligible residents will go through the registration and insurance procedures in time before February 22nd, 2022, and complete the payment in time within the specified time to ensure the timely enjoyment of personal medical insurance benefits.
For the process of insurance registration and payment, you can consult the nearest community affairs acceptance service center; Or call the medical insurance service hotline 12393 for consultation on enrollment registration and payment, and call the tax hotline 12366 for consultation on online and offline payment.
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1, Q: What will be the medical insurance benefits for urban and rural residents in 2023?
A: In 2023, the proportion of residents' medical insurance hospitalization and outpatient and emergency medical insurance reimbursement will be implemented according to the current policy. The specific treatment standard of residents' medical insurance participants can be consulted by calling the medical insurance consultation service hotline 12393.
2. Q: How to adjust the financing standard of medical insurance for urban and rural residents in 2023?
A: In order to ensure the sustainable development of the medical insurance system for urban and rural residents, in 2023, the government continued to increase investment in medical insurance for urban and rural residents, and raised the total funding standard for medical insurance for residents. Specifically:
For people over 70 years old, the financing standard is adjusted to 6685 yuan/year, including 545 yuan/year for individual contributions and 6 140 yuan/year for financial subsidies;
For people aged 60-69, the fund-raising standard is adjusted to 6685 yuan/year, of which the individual contribution is 7 15 yuan/year and the financial subsidy is 5970 yuan/year;
19-59 years old, the financing standard is adjusted to 3,665 yuan/year, including 885 yuan/year for individual contributions and 2,780 yuan/year for financial subsidies;
For primary and secondary school students and infants, the financing standard is adjusted to 1935 yuan/year, of which individual contributions are 245 yuan/year and financial subsidies are 1690 yuan/year; Full-time undergraduate students, vocational college students and part-time graduate students (hereinafter referred to as "college students") who receive general higher education in various institutions of higher learning and research institutes in our city, the financing standard is adjusted to 665 yuan/year, of which the individual contribution is 245 yuan/year and the financial subsidy is 420 yuan/year.
3. Q: What changes have taken place in the subsidy policy for poor people in our city to participate in medical insurance for urban and rural residents in 2023?
A: In 2023, the city will continue to provide assistance and subsidies for people in need to participate in medical insurance for urban and rural residents. The government continues to subsidize the individual contributions of urban and rural low-income family members, low-income elderly people, severely disabled people, and elderly people.
4. Q: How to set the registration payment period of medical insurance for urban and rural residents in our city in 2023?
A: In 2023, the registration and payment period of medical insurance for urban and rural residents in our city will be 20221February 25th 17:30. It is hoped that eligible residents will go through the registration and enrollment procedures in time before 20221February 22nd, and complete the payment in time within the specified time to ensure the timely enjoyment of personal medical insurance benefits.
5. Q: In 2023, how will urban and rural residents in our city go through the registration and payment procedures?
A: In 2023, the medical insurance department will be responsible for insurance registration and review the qualifications for insurance; The tax department is responsible for verifying the payment amount according to the policy and collecting it.
The registration method of all kinds of personnel is basically the same as in previous years. In addition to students at school, children in kindergartens and rural residents, other insured persons can apply for the 2023 home insurance registration or apply to the community affairs acceptance service center through the "One Netcom Office" online, and can complete individual payment through online and offline channels after 5 working days.
Online application for residential insurance registration through "One Netcom Office" is limited to students at school, children in kindergartens (institutes) and rural residents: (1) the household registration personnel in our city apply in person, (2) the household registration spouses in other provinces and cities in our city apply in person, and (3) those who have reached the mark of "Shanghai Residence Permit" apply for their spouses or children.