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Payment standard of medical insurance for Changzhou residents in 2022
1, "elderly resident" 730 yuan/person;
2. "Minor residents" 390 yuan/person;
3. "College student" 230 yuan/person;
4. The individual payment standard for "non-employed residents" in Wujin District, Xinbei District, Tianning District, Zhonglou District and Changzhou Economic Development Zone is 930 yuan/person, and the individual payment standard for liyang city and Jintan District is 730 yuan/person;
5, meet the conditions of urban and rural poor medical assistance object insured, individual contributions by the government in accordance with the provisions to be fully subsidized.
Medical insurance generally refers to medical insurance. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.
Reimbursement method for residents' medical insurance:
1. On-site online settlement: At present, most hospitals can conduct on-site online settlement. Inpatients only need to bring their ID cards and medical insurance cards to the inpatient department to go through the relevant procedures, and they can settle accounts directly when they leave the hospital. Patients only need to pay and reimburse the remaining hospitalization expenses.
2. Online settlement in different places: For hospitals that cannot settle online on site, patients need to bring: hospitalization invoices when they leave the hospital; Details of hospitalization expenses; Diagnostic certificate; Discharge summary; Medical records; Some areas need information confirmation sheets or referral sheets. After discharge, bring the above information to the insured place for reimbursement.
Medical insurance has the characteristics of "low level and wide coverage". The payment is based on the expenses that most units and individuals can bear at a low level, covering all units and employees in cities and towns, and employees in different units can enjoy the rights of basic medical insurance. The insured can enjoy it for life after completing the payment period. Secondly, the basic medical insurance has the characteristics of "the burden of both parties and the combination of unified accounts"; Based on the principle of "balance of payments".
"People's Republic of China (PRC) Social Insurance Law" Article 23 * * * employees shall participate in the basic medical insurance for employees, and employers and employees shall pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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