Where to pay the rural medical insurance in Yuanping?

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In order to do a good job in the payment of basic medical insurance for urban and rural residents in our city in 2023, the relevant matters are hereby announced as follows:

First, the scope of insurance

All local urban and rural residents (including primary and secondary school students, preschool children and newborns) except those who participate in the basic medical insurance for employees, and non-local residents can participate in the insurance with their residence permits.

Second, the general population payment standard

In 2023, the individual payment standard of basic medical insurance for urban and rural residents will be 350 yuan/person.

Third, the payment standard for special people.

The poor (including orphans and children who are actually neglected). Individuals don't pay, but they are fully funded.

(2) Minimum goal. The individual contribution is 70 yuan, and the fixed subsidy is 280 yuan.

(3) Enjoy special care and life assistance. The individual contribution is 70 yuan, and the fixed subsidy is 280 yuan.

(4) severely disabled people. The individual contribution is 70 yuan, and the fixed subsidy is 280 yuan.

(5) people who are easy to return to poverty and lead to poverty (including people who are unstable and easy to lead to poverty, excluding people who have been included in the minimum living allowance and enjoy special care and living assistance, severely disabled people and extremely poor people). The individual contribution is 70 yuan, and the fixed subsidy is 280 yuan.

(6) people who return to poverty and become poor. Individuals pay 35 yuan with a fixed subsidy of 3 15 yuan.

(7) Stabilize the population out of poverty. Do not enjoy the subsidy insurance policy, and pay according to the general population.

Fourth, payment time and treatment guarantee

(1) Payment time. In 2023, the centralized payment of basic medical insurance for urban and rural residents will be from September/kloc-0 to February 25, 2022 (monthly/kloc-0 to February 25). In case of special circumstances, it shall be implemented according to the unified requirements of the superior.

(2) treatment guarantee. The basic medical insurance for urban and rural residents shall be paid according to the natural year, and urban and rural residents who have completed the insurance payment within the specified payment period shall enjoy the treatment of 2023 10/0/to February 1.

1, hospitalization security benefits. The medical expenses incurred by insured residents in designated medical institutions shall be reimbursed by the basic medical insurance according to the proportion of 55%-85%. During the hospitalization year, the maximum reimbursement for basic medical insurance is 70,000 yuan, and the maximum reimbursement for serious illness insurance is 400,000 yuan. Special groups such as poor people, low-income people and ward objects can also enjoy medical assistance and care, and they can basically become seriously ill after insurance.

2, the general outpatient service guarantee treatment. Expand the scope of designated medical institutions in general outpatient clinics. On the basis of relying mainly on grassroots medical and health institutions, the medical institutions below the second level in the city will be included in the scope of designated medical institutions for general outpatient services, with 55% for Class A projects and 45% for Class B projects. The annual payment limit will be raised to 230 yuan in 2022 and 250 yuan in 2023.

3, "two diseases" outpatient medication security treatment. Insured residents suffering from hypertension and diabetes in the designated medical institutions in this city in accordance with the provisions of the cost, according to the proportion of 50%-60% to be reimbursed. The maximum annual payment limit for patients with hypertension is 260 yuan, 480 yuan for type I diabetes, and 360 yuan for other types of diabetes.

4, outpatient chronic diseases (45 kinds) and outpatient special drug treatment. The expenses incurred by the insured residents in the outpatient clinics of designated medical institutions that meet the requirements are reimbursed by 70% for chronic diseases and 55%-70% for special drugs.

Verb (abbreviation of verb) payment method and process

Urban and rural residents can choose one of the following ways to pay for insurance. When paying fees through WeChat, China UnionPay Express, and mobile App of cooperative banks, please be sure to confirm the payment identity information and payment amount (350 yuan, a common resident, and 70 yuan, a special group), and choose the insured place correctly to avoid payment mistakes or repeated payment due to your own reasons.

(a) to pay their own expenses

1, wechat payment. Log on to WeChat and enter I-Service-City Service (the city is positioned as "Xinzhou")-Social Security-Social Security Payment for Urban and Rural Residents in Shanxi-Medical Insurance Payment for Urban and Rural Residents;

2. China UnionPay Express. Service to the city (the city is positioned as "Xinzhou")-social security payment-payment of medical insurance premiums for urban and rural residents;

3, social security fees dedicated POS machine. Go to the tax window of the government affairs hall and pay by credit card through the POS machine dedicated to social security fees.

(2) Centralized remittance

If the payer chooses to be collected by the village (neighborhood) committee, rural credit cooperatives and other co-organizers, the co-organizers can complete the payment on their behalf through payment methods such as cooperative bank WeChat and mobile APP.

(3) Payment inquiry

Log in to Shanxi Urban and Rural Residents Service-Urban Service-Social Security-Social Security Payment Module, select my payment record, and query the payment details in real time through WeChat. Because it takes some time for social security payment information to be transmitted between tax authorities, treasury departments and commercial banks, the payer can only query the payment records five working days after the completion of social security payment.

Matters needing attention about intransitive verbs

(1) Special payment. When people with difficulties, such as subsistence allowances, special care recipients who enjoy special care and life assistance, severely disabled people, and people who are easy to return to poverty, pay through online channels, the payment period will be switched to "2023" for special people.

(2) Insurance registration. Urban and rural residents who are normally insured in our city do not need to apply for insurance registration. For the first time, you need to bring a valid certificate (ID card or household registration book) to the medical insurance window of the government service hall of Yuanping City or the insurance management room on the first floor of the medical insurance service center for registration, and then pay the fee. In the process of online self-service payment, if the payer's identity information is entered correctly and the mobile phone displays "unregistered insurance information", you need to register for insurance first, and then pay for medical insurance.

(3) Newborn insurance. From 2022 onwards, newborns born after 165438+ 10/month will be postponed to the next year, and individuals will not pay fees, and they will enjoy medical insurance benefits for urban and rural residents as required from the date of birth. Newborns born before June 65438+1October 3 1 in 2022 should pay medical insurance premiums in 2023. When handling the registration of newborn insurance, you need to bring a copy of the newborn household registration book, birth medical certificate, and a copy of the newborn parents' ID card and household registration book.

(4) If the centralized payment period is missed and the policy allows for supplementary payment, the individual part (350 yuan) and the state subsidy part (6 10 yuan and above) shall be paid by individuals, with a waiting period of 1 month, during which they cannot enjoy any medical insurance benefits.

Yuanping medical security bureau

Yuanping medical treatment insurance service center

September 2022 1