Payment of medical insurance for urban and rural residents in Fujian Province

First, the registration and payment of medical insurance for urban and rural residents are carried out through the following channels:

1, mobile payment. Download Minshuitong and China UnionPay Express APP, pay attention to the official accounts of "Fujian Taxation" and "UnionPay Fujian" WeChat, or pay through UnionPay scan code;

2, rural inclusive finance service point payment. Pay by credit card at inclusive finance service point with the corresponding bank card;

3. On-site declaration and payment. Pay fees at the tax service hall of the tax authorities;

4. The pharmacy pays the fees on behalf of the agent. Employees who participate in medical insurance in our city use personal account funds to renew the insurance payment for their relatives in Fuzhou designated retail pharmacies with social security cards (except for newborn payment business). .

Two, urban and rural residents medical insurance registration and payment through the following channels:

1, mobile payment. Download the application of Minshuitong and China UnionPay Express, pay attention to the official accounts of "Fujian Taxation" and "UnionPay Fujian" WeChat, or pay through UnionPay scan code;

2, rural inclusive finance service point payment. Pay by credit card at inclusive finance service point with the corresponding bank card;

3. declare payment at home. Go to the tax service hall of the tax authorities for payment;

The pharmacy pays the fees on their behalf. (Employees participating in medical insurance in our city use personal account funds, and renew their insurance payment for their relatives at designated retail pharmacies in Fuzhou with social security cards (except for newborn payment business).

Third, the insured object

1, according to the principle of territorial insurance, except those who should participate in the basic medical insurance for employees, urban and rural residents with household registration in this city;

2. Students in kindergartens, primary and secondary schools, vocational high schools and technical schools in this city;

3. Hold a residence permit within the administrative area of this Municipality (within the validity period);

4. Unemployed Hong Kong, Macao and Taiwan personnel who have lived in this city for more than 1 year; 5, identified by the religious affairs department of the government at or above the county level religious teaching staff and religious groups, religious activities place staff.

Four. Financing standard: the basic medical insurance for urban and rural residents combines individual contributions with government subsidies, and the subsidies of our municipal government are not lower than the national and provincial standards, and increase year by year. Financial subsidies such as rural poor, low-income households, severely disabled people and family planning special family members identified by the administrative department are fully funded by the government.

In 20021year, the individual payment standard of basic medical insurance for urban and rural residents in our city was 3 10 yuan/person, and the financial subsidy standard was 620 yuan per person per year.

Verb (abbreviation of verb) participation mode: The payment period of medical insurance for urban and rural residents in the next year is from September 1 day to February 1 day.

The first insured

1, urban and rural residents: registered residents in this city carry household registration books; Residents holding residence permits are required to provide residence permits; Go to the community (administrative village) where my household registration is located and apply for insurance registration; It can also be handled in batches through the online service hall of Fujian Province-the special column "Fuzhou Intelligent Approval".

Non-employed Hong Kong, Macao and Taiwan personnel who have lived in Rong for a long time (more than one year) need to provide the original and photocopy of the Hong Kong, Macao and Taiwan Pass and go through the insurance registration formalities in their respective communities (administrative villages).

2. Students in school: hold the original and photocopy of the household registration book or ID card (Hong Kong, Macao and Taiwan Pass) and go to the community (administrative village) or school where the household registration is located to register for insurance.

(2) Newborn insurance

For newborns under one year of age, parents should bring the original and copy of the household registration book to the community (administrative village) where the household registration is located and the medical insurance agency; It can also be handled in batches through the online service hall of Fujian Province-the special column "Fuzhou Intelligent Approval".

The policy stipulates that newborns who apply for insurance payment within 90 days after birth will enjoy the medical insurance benefits of the year from the date of birth; If you are insured after 90 days of birth, you will enjoy the medical insurance benefits of that year from the day after the insurance payment. The insurance period is from the insurance date to the payment year of 65438+February 31;

(3) Renewal of insurance

The reporting and payment period of basic medical insurance for urban and rural residents is from September 1 day to February 1 day of the following year, and the insured residents shall report and pay to the tax authorities in time.

(4) Overdue provisions

Residents who apply for insurance payment beyond the specified time are allowed to pay insurance payment, but there is a waiting period of 60 days. After the waiting period is over, you will enjoy the corresponding medical insurance benefits according to the regulations. The medical expenses incurred before payment and during the waiting period will not be paid by the medical insurance fund.

202 1 1 1 until June 30th, the individual payment standard is 3 10 yuan; If the payment is made after July 202 1 and 1, the amount payable by the insured is 930 yuan.

VI. Medical insurance benefits

(1) general outpatient compensation

(2) outpatient compensation for special diseases

legal ground

Article 2 of the State Council's Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents integrates the basic system and policies:

(1) unified coverage. The coverage of urban and rural residents' medical insurance system includes all the insured persons of the existing urban residents' medical insurance and the new rural cooperative medical system, that is, all urban and rural residents except those who should be insured in the basic medical insurance for employees. Migrant workers and flexible employees shall participate in the basic medical insurance for employees according to law, and may participate in the medical insurance for urban and rural residents in accordance with local regulations if they have difficulties. All localities should improve the way to participate in insurance, promote the coverage of insurance, and avoid repeated insurance.

(2) Unified financing policy. Adhere to multi-channel financing, continue to combine individual contributions with government subsidies, and encourage collectives, units or other social and economic organizations to give support or funding. All localities should consider the needs of urban and rural residents for medical insurance and serious illness insurance as a whole, and reasonably determine the unified financing standards for urban and rural areas in accordance with the principle of fund balance. In areas where there is a big gap between the existing medical insurance for urban residents and the individual payment standard of the new rural cooperative medical system, the difference payment method can be adopted, and it will take 2-3 years to gradually transition. The actual per capita financing and individual contributions after integration shall not be lower than the existing level. Improve the dynamic adjustment mechanism of financing. On the basis of actuarial balance, we will gradually establish a stable financing mechanism that is compatible with the level of economic and social development and the affordability of all parties. Gradually establish a mechanism linking individual payment standards with per capita disposable income of urban and rural residents. Reasonably divide the financing responsibilities of the government and individuals, and appropriately increase the proportion of individual contributions while raising the standard of government subsidies.

(3) Unified safety treatment. Follow the principle of moderate security and balance of payments, balance urban and rural security benefits, gradually unify the scope of protection and payment standards, and provide fair basic medical security for the insured. Properly handle the special safeguard policy before integration and do a good job of transition and convergence. The medical insurance fund for urban and rural residents is mainly used to pay the medical expenses incurred by the insured in hospitalization and outpatient service. Stabilize the level of hospitalization security, and maintain the proportion of hospitalization expenses within the policy range at around 75%. Further improve outpatient co-ordination and gradually improve the level of outpatient support. Gradually narrow the gap between the payment ratio within the scope of the policy and the actual payment ratio.