How to reimburse the underlying medical care in Hangjinhouqi?

The broad masses of insured people in the whole flag:

Payment of medical insurance and basic medical insurance for urban and rural residents will start on June 8, 2023 10. The relevant matters concerning the basic medical insurance for urban and rural residents and the payment of basic medical insurance are hereby notified as follows:

I. Medical insurance for urban and rural residents

(a) medical insurance for urban and rural residents

1. Urban and rural residents, including rural residents, urban non-employed residents, all kinds of full-time school students, preschool children and other personnel stipulated by the state and the autonomous region, should participate in the basic medical insurance for urban and rural residents.

2. Urban and rural residents who have obtained the residence permit of Hanggin Houqi or have lived in Waiqi County (province, city) for a long time can voluntarily choose to participate in the insurance at their domicile or residence, and enjoy the same medical insurance benefits as the insured at their residence.

3. If the newborn is registered by the guardian according to the relevant regulations within 90 days after birth, the medical expenses incurred since the date of birth can be included in the scope of medical insurance reimbursement.

The insured shall not participate in the basic medical insurance for urban and rural residents and the basic medical insurance for urban workers at the same time, and shall not enjoy the medical insurance benefits repeatedly.

(2) Payment standard of medical insurance for urban and rural residents

1.2023 The individual payment standard for residents' medical insurance is 380 yuan/person.

2. Insurance policies for people with special difficulties.

1 destitute people and orphans (including children who are actually unattended) are fully funded by the medical assistance fund, and individuals do not bear the expenses;

2 poverty alleviation policy personnel in the minimum target (during the transition period), funded by medical assistance funds according to the individual payment standard of 50%, and the other 50% by the flag finance, individuals do not bear the cost;

3. The subsistence allowances (excluding the subsistence allowances in the poverty alleviation policy) are funded by medical assistance funds according to 50% of the individual payment standard, and individuals only need to pay 190 yuan;

4. The personnel returning to poverty and the monitoring objects identified by the rural revitalization department shall be funded by medical assistance funds according to 50% of the individual payment standard, and the other 50% shall be borne by the flag finance, and individuals shall not bear the expenses;

Other personnel who enjoy the poverty alleviation policy (excluding the low-income objects, poor people, monitoring objects, poor households and orphans in the poverty alleviation policy) shall be fully borne by the flag finance, and individuals shall not bear the expenses;

6 enjoy full funding and partial funding, funded by the financial and medical assistance departments directly remitted, individuals only need to pay the due part.

(3) Time for urban and rural residents to participate in medical insurance

The basic medical insurance for urban and rural residents shall be subject to the annual prepayment system, and the centralized insurance payment time shall be from June 8, 2022 to February 36, 2022. If it is impossible to register the insurance payment within the specified time, it may be extended to the last working day before February 28, 2023. On March 1 day, 2023, the input of insurance information for urban and rural residents was closed, and the insurance system was closed. During this period, urban and rural residents who have not paid the registration fee are deemed to have given up their annual eligibility for insurance.

Medical insurance for urban and rural residents.

The tax authorities will provide more convenient and diversified payment channels for the insured through centralized collection in cities and towns, cloud POS machines, counter collection and mobile phone payment, and complete the insurance payment for urban and rural residents on time before the system closes on March 1 day, 2023. Urban and rural residents who have paid the basic medical insurance in Hangjinhouqi can pay by themselves or by mobile phone at the tax collection points of towns with their original ID cards and bank cards. Newly insured urban and rural residents need to hold their ID cards or household registration books to verify at Window 26 or 27 on the third floor of Hangjinhouqi Government Affairs Center. After verification, they can pay at the tax collection point or by mobile phone, as shown below:

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Wechat:

Independent payment operation steps:

Log in to WeChat → click Discover → click applet → search for "Inner Mongolia tax and social security payment" → I want to pay → enter ID number, name and telephone number → select payment year → select payment type → pop up the warm prompt interface and click OK → click Independent Payment → click Submit → Pay as prompted → Complete payment.

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Alipay:

Operating Steps of Medical Insurance Payment for Urban and Rural Residents in Citizen Center:

Login to Alipay → Citizen Center → Social Security → Social Security Payment in Inner Mongolia → Social Security Fee Handling → Select yourself or others, enter your name, ID number and mobile phone number → Next → Select medical insurance for urban and rural residents → Select payment amount → Submit → Pay according to the prompt steps → Complete payment.

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Be quick:

Operating steps of medical insurance payment for urban and rural residents:

Login to Su Meng Office → Inner Mongolia Social Security Payment → Social Security Fee Handling → Select yourself or others, enter your name, ID number and mobile phone number → Next → Select medical insurance for urban and rural residents → Select payment amount → Submit → Pay according to the prompt steps → Complete payment.

Second, the underlying medical insurance

(1) Covers all medical insurance participants

Hangjinhouqi has participated in the basic medical insurance for urban workers (including retirees) and urban and rural residents (including students and preschool children) who have participated in the basic medical insurance for urban and rural residents.

(2) Payment standard of medical insurance

1. Urban and rural residents and flexible employees each 100 yuan, which shall be paid by the town.

2. Urban workers 100 yuan per person, paid by cadres and workers organized by the unit 100%.

3. Each student 100 yuan, which shall be paid by the parents at the domicile.

(3) Payment time of medical insurance.

The payment time of the basic medical insurance starts on 2022 10/8 10 and ends on February 28, 2023. The insurance period starts from June 65438+1 October1and ends on February 3, 2023.

(four) the medical insurance payment address

1. Urban and rural residents pay fees in medical insurance offices and village committees in various towns.

2. Flexible employees pay fees at windows 33 and 34 of township or government affairs hall.

3. The urban workers shall be collected by the insurance company after working in the unit.

Reimbursement policy covering medical insurance

The patient was discharged from the designated medical institution in Hangjinhouqi, and the medical insurance and basic medical insurance were reimbursed in one stop. Patients seeking medical treatment in Bayannaoer and outside the city need to bring the diagnosis certificate, expense list, basic medical insurance settlement voucher, patient ID card and a copy of bank card to go through the reimbursement procedures at windows 33 and 34 on the third floor of Hangjinhouqi Government Service Center.