Medical insurance procedures for employees in Shantou

Guide to medical insurance for urban residents in Shantou city

Go through the insurance formalities

The basic medical insurance for urban residents must be insured by the whole family. Urban residents who meet the insurance conditions should apply for insurance at the street (town) labor and social security office (hereinafter referred to as the labor insurance office) where the household registration is located. When going through the formalities, you should fill in the Application Form for Participating in the Basic Medical Insurance for Shantou Residents, sign the Authorization Form for Automatic Transfer Payment of Medical Insurance Expenses for Urban Residents, and provide the following relevant information:

1, the original and photocopy of the household registration book and ID card of urban residents;

2. Original passbook, copy of passbook and account page of the personal settlement account opened by the insured in the designated bank;

3. Two one-inch recent bareheaded standard color photos.

The following personnel must also provide the following relevant certification materials:

1. To participate in the basic medical insurance or free medical care for urban workers in non-coordinated areas, provide relevant insurance certificates;

2 severely disabled persons should provide the original and photocopy of the Disabled Persons' Card issued by the Disabled Persons' Federation;

3 residents who receive the minimum living allowance for urban residents shall provide the original and photocopy of the "Minimum Living Allowance Certificate" issued by the district (county) civil affairs department;

4, low-income families over 60 years old (including 60 years old) personnel shall provide proof materials issued by the district (county) civil affairs department;

5, the original to participate in medical insurance (including the basic medical insurance for flexible employees), must provide proof materials issued by the social security agencies to terminate the time to enjoy treatment;

6. 18 Full-time middle school, junior college and technical school students are required to provide the original and photocopy of student ID card and school certificate;

7 orphans, disabled children and social orphans raised by social welfare institutions shall provide the original and photocopy of the child welfare certificate issued by the civil affairs department of the city or district (county).

Handle medical insurance payment

Urban residents pay basic medical insurance premiums by paying in designated banks. The insured person of this household opens a personal settlement account in a designated bank, signs a power of attorney for automatic transfer payment of urban residents' medical insurance with the street (town) labor insurance office, deposits enough funds, and the district (county) social security agency entrusts the bank to transfer money.

Get a medical insurance certificate.

After handling the insurance payment for 30 days, with the signed authorization of automatic transfer payment of medical insurance premiums for urban residents, you can get the medical insurance certificate from the street (town) labor insurance office.

Reissue a medical insurance certificate.

If the insured's Medical Insurance Certificate is stolen or lost, the applicant shall provide the original and photocopy of the household registration book of the insured family, the recent bareheaded standard color photos of the insured family 1 piece, and the original ID card of the applicant, fill in the Application Form for Reissuing the Medical Insurance Certificate, and go to the street (town) labor security office to go through the formalities for reissuing the certificate.

Change insurance information

If the insured person's information changes, it is necessary to fill in the information change declaration form, and provide the original medical insurance certificate, household registration book or ID card and their copies to the street (town) labor security office for the change procedures.

Handling medical insurance filing procedures for people living in different places and settling in different places.

If the insured person lives outside our city (except in foreign countries, Hong Kong, Macao and Taiwan) for more than 1 year, he can go through the formalities of permanent residence in different places according to the following procedures:

1. Fill in the Application Form for Persons Living in Different Places, Application Form for Information Change and Registration Form for Designated Medical Institutions Living in Different Places;

2. Select 1-3 designated doctors for basic medical insurance for local residents or urban workers.

As my designated hospital, medical institutions can choose public medical institutions if there are no designated medical institutions for residents or urban workers' basic medical insurance in their place of residence;

3. Go through the filing formalities at the labor insurance office in the street (town) with relevant forms and temporary residence permit or proof from the neighborhood committee of residence.

Go through the formalities of transferring to a higher-level hospital outside the city for medical treatment.

If the insured person needs to be transferred to a higher-level hospital outside the city for medical treatment due to illness, the doctors at or above the deputy director of the third-level designated medical institutions or designated specialized medical institutions in this city shall put forward referral opinions, and after being audited by the medical department of the hospital and the leaders of the hospital, they shall be sent to the district (county) social security agency for examination and approval (urgent and dangerous patients can be transferred to the hospital first, and the procedures for examination and approval of the hospital shall be carried out within 7 working days).

Deal with layoffs

The insured applies for termination of insurance due to employment, further education, going abroad, emigration of household registration, death, joining the army and other reasons. , fill in the application form for the reduction of staff in the basic medical insurance for urban residents, and go to the street (town) labor insurance office to handle the reduction procedures with the medical insurance certificate. And provide the originals and copies of the following related materials:

1, providing employment pension manual;

2. Provide passports when going abroad;

3. Provide an admission notice for further study;

4. Those who join the army provide a notice of enlistment;

5. Household registration provides a household registration book.

6. Provide death cremation certificate or household register for the deceased.

The medical insurance premium paid by the insured after downsizing will not be refunded. Insured persons who have not participated in residents' medical insurance in the next social security year shall go through the formalities of stopping insurance before May 30.

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