How is the basic medical insurance for Rudong residents in Jiangsu reimbursed to 240 yuan?

Pay according to different groups and age groups

The scope of basic medical insurance for urban residents mainly includes two groups of people. First, students in primary and secondary schools (including vocational high schools, technical secondary schools, technical colleges and special education schools), children and urban residents under the age of 18; Second, urban elderly residents and other adult residents not covered by the basic medical insurance for urban workers (including laid-off workers from bankrupt, closed and difficult enterprises, individual industrial and commercial households, flexible employees, etc.). ).

Compared with 20 12, the payment standard of individual medical insurance in 20 13 has not changed, and students, children and other urban residents below 18 pay 40 yuan every year; For elderly residents aged 60 and 55, each person shall pay 140 yuan annually; 18-year-old adult residents, male under 60 years old, female under 55 years old, pay 240 yuan. In addition to paying their own fees, the state finances also give each person an annual 240 yuan subsidy. Severely disabled people and individuals who enjoy urban subsistence allowances do not pay fees, and the finance will give full subsidies according to the standards.

Pay the medical insurance fee continuously for 5 years, and the reimbursement fee can be increased by 1% every year.

If the insured person pays the fee continuously every year, from the second medical year onwards, the proportion of residents' medical insurance fund payment will increase by 1 percentage point every year, with a total of no more than 5 percentage points. If the insured person starts to pay continuously in 2009, the reimbursement expenses in 2065 will increase by 4 percentage points, 438+03. However, those who interrupt payment cannot enjoy this preferential policy. If the insured person interrupts payment after payment, the payment period must be recalculated after payment, and the medical expenses incurred during the interruption of payment cannot be reimbursed.

In addition to this discount, in 20 12 years, the proportion of hospitalization reimbursement in first-,second-and third-class hospitals will be increased to 75%, 60% and 50%; In addition, the maximum payment limit has been raised to 654.38+10,000 yuan, and maternity medical expenses have also been included in the scope of basic medical reimbursement for residents. The policy of landing insurance for newborns has been implemented since April 2065.438+02 1 day. Newborns who have gone through the formalities of insurance payment within three months of birth can enjoy medical reimbursement from the date of birth.

How to handle medical insurance for urban residents? Specifically, it includes four items. If the applicant needs to provide complete information, it will be handled immediately; If the information is incomplete, it will not be accepted for the time being, and the applicant shall be informed of what information needs to be supplemented. Details are as follows:

(a), the application for insurance (increase) notice

1, provide information (the following information should be attached with the original and copy of A4 paper):

①/kloc-persons under 0/8 years old: household registration book (all members' information in the household registration book must be copied) and ID card (/kloc-persons under 0/6 years old who do not have an ID card need not provide it).

② 18 or above students who are still studying in full-time schools: household registration book (all members' information in the household registration book needs to be copied), ID card, and student status certificate issued by their school.

③/kloc-Unemployed urban residents over 0/8 years old: household registration book (all members' information of household registration book must be copied); Identity Card (Demobilized soldiers need to provide proof of retirement or job transfer).

(4) Minimum living allowance: household registration book, ID card, and minimum living allowance certificate for urban and rural residents (villages) in Guangdong Province.

2. Processing flow:

Handling department: ① Urban residents living in the sub-district offices of Qiaoxi, Qiaodong, Jiangnan, Jiangbei, Longfeng and He 'nan 'an in Huicheng District go to the Relations Unit of Huicheng Social Security Bureau for handling; ② Urban residents living in the county town, Danshui Sub-district Office of Huiyang District and Aotou Sub-district Office of Daya Bay District shall go to the local social security bureau for handling; ③ Urban residents living in other counties (districts) and towns (street offices) shall go to the local labor security management office or social security bureau for handling.

Fill in the Form: Application Form for Increase (Decrease) of Basic Medical Insurance for Urban Residents in Huizhou City in duplicate.

After the business is completed, the handling personnel will print the "Checklist of Basic Medical Insurance for Urban Residents in Huizhou" and hand it over to the applicant on the spot. If the applicant finds any mistakes or omissions, he must go to the handling department to correct them within five working days. If it is not handled within the time limit, it shall be regarded as error-free.

The business acceptance time is 1-24 every month, and the business declared in that month will take effect from the following month. July 1 day of that year to June 30th of the following year is a social security year, and the medical insurance premium of one social security year is paid in one lump sum, and the medical insurance premium of the next social security year is paid in one lump sum from June 1 day to 30th of each year.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.