How to pay medical insurance in Dali

The reporter learned from Dali Medical Security Bureau that on September 6, the payment of basic medical insurance for urban and rural residents in Dali in 2023 was officially launched.

Main payment methods and operation steps

(1) online payment (mobile payment)

1. "Yunnan Electronic Taxation Bureau" WeChat official account

Log in to WeChat → search for "Yunnan Electronic Taxation Bureau" → pay attention to the official account of WeChat → handle business → mine → register the account according to the prompt → carry out real-name authentication → log in → click "social security payment" → select "self-service payment" or payment on behalf of others → enter the ID number and name → select the fee to be paid → check the amount → select WeChat payment or UnionPay payment → enter the password → complete the payment.

2. A mobile phone service application

Download and install the "One Mobile Phone Service" APP, search for "medical insurance payment", enter relevant information such as ID number and name, and pay according to the system prompts.

3. Official account of China Agricultural Bank's mobile phone WeChat

Log in to WeChat → search for the official account number of Weizhong Bank of China Agricultural Bank Yunnan Branch (or scan the QR code) → click the menu Microfinance → click Social Security Payment → fill in the ID number and name → after verification → click Next → select the payment grade → confirm the payment amount → fill in the mobile phone number → select the payment method → click Go to Payment → enter the payment password → complete the payment.

4. Mobile banking APP of rural credit cooperatives (rural commercial banks)

Download and install the "Yunnan Rural Credit Cooperative" mobile banking APP. After the installation is completed, click Register → Login → Select Payment (social security link) → Social security payment → Enter ID number or scan ID card → Query insurance information → Pay medical insurance fee → Query payable information → Submit after verification → Enter payment password → Complete payment.

(2) Offline channel (on-site payment)

Machine credit card payment

The payer carries the household registration book or ID card and bank card to the local social security fee collection point (village committee, community or village agency) for POS card payment.

2. Bank outlets collect money

The payer carries the household registration book or ID card and bank card to the rural credit cooperative or the Agricultural Bank, and the bank staff handles the payment at the counter or operates the payment at the self-service terminal.

3. Pay in the tax service window

The payer carries the household registration book or ID card and bank card to the local tax service hall or the tax window of the government service center to pay the fee.

The official account of WeChat paid by Yunnan Electronic Taxation Bureau.

Charge record inquiry and electronic invoice issuance

1. My payment record query

Select social security payment → select payment record query → select payment date start and end → click query.

2. Remittance record query

Select "social security payment" → select payment record query → enter "payee's name, ID number and payment date" → click query.

3. Batch query of remittance records

Select "Social Security Payment" → "Payment Record Query", select "Payment Date Start and End" and click Query.

4. Payment electronic receipt has been issued.

Select "social security payment" → select payment electronic receipt to issue → select "payment date start and end" → click "query" → click "issue" → click "confirm issuance" → long press the electronic receipt picture → select to save the picture to the mobile phone.

5. An electronic payment receipt has been issued for enquiry.

Click My → Select My Voucher → Enter the ID number → Click Query.

6 tax payment (fee) certificate issued

Handling taxes and fees → issuing certificates → issuing tax payment certificates (paying tax payment certificates) → selecting the start and end dates of payment; Select "social insurance fee" → query → select the tax payment (fee) voucher to be issued.

Enjoy treatment

In 2023, the mode of combining individual contributions and government subsidies will be implemented for urban and rural residents to participate in insurance financing, and the per capita financial subsidy will be 6 10 yuan. After the insured pays the insurance premium during the centralized collection period, according to the relevant policies and regulations, he can enjoy the following medical security benefits from June 65438+ 10/day to February 3 1 day, 2023:

General outpatient treatment: 50% can be reimbursed for medical treatment in primary medical and health institutions, 25% can be reimbursed for medical treatment in secondary medical institutions, and the highest annual reimbursement can be made to 500 yuan.

Outpatient treatment of special diseases and chronic diseases: 60% of chronic diseases can be reimbursed (no deductible). 70% can be reimbursed for special diseases above the deductible (1200 yuan), and 90% can be reimbursed for severe psychosis and chronic renal failure (uremia) without the deductible.

Hospitalization: within the overall planning area, the first-class and below medical institutions can be reimbursed 85%, the second-class medical institutions can be reimbursed 80%, and the third-class medical institutions can be reimbursed 65%. Outside the overall planning area, the first-level and below medical institutions can be reimbursed 85%, the second-level medical institutions can be reimbursed 60%, and the third-level medical institutions can be reimbursed 50%. Individuals can be reimbursed up to 40,000 yuan per year.

Serious illness treatment: after being reimbursed by the basic medical insurance, the medical expenses paid by individuals within the scope of the policy exceed the deductible line of serious illness insurance, and the serious illness insurance fund will be reimbursed in stages according to the proportion of 60%, 65%, 70% and 75%, and the maximum annual reimbursement for individuals can be 1.5 million yuan. The payment of major diseases and serious illness insurance funds included in the medical insurance for urban and rural residents in Chuxiong City is not capped.

Maternity treatment: The lump sum standard for natural childbirth is10.8 million yuan for first-class and second-class medical institutions, 210.8 million yuan for first-class medical institutions and 2,700 yuan for cesarean section for second-class medical institutions, and individuals do not pay fees. In tertiary medical institutions, the maximum reimbursement for natural delivery is 2,400 yuan, and the maximum reimbursement for cesarean section is 3,400 yuan.

Outpatient medication for hypertension and diabetes: 600 yuan can be reimbursed for hypertension, 660 yuan for diabetes and 720 yuan for "two diseases". The use of centralized procurement of "two diseases" drugs, the highest reimbursement of 90%; The use of non-centralized procurement of "two diseases" drugs, the highest reimbursement of 60%.

Negotiated outpatient treatment drugs: If the outpatient service of medical institutions of level II and above uses the drugs negotiated by the national medical insurance during the agreement period, 70% of each drug (1.200 yuan) above the deductible line can be reimbursed after paying 10% first, and the maximum annual reimbursement limit for personal and hospitalization expenses can be reimbursed 1.9 million yuan.