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Jiangxi social security payment
Guide to the payment of medical insurance for urban and rural residents in Jiangxi Province in 2023;
1. How much insurance should I pay? When will the payment be made?
Continue to raise the funding standard of medical insurance for urban and rural residents.
In order to adapt to the growth of medical expenses and the improvement of basic medical needs, the medical insurance rights and interests of insured persons are guaranteed. In 2022, we will continue to raise the funding standard for residents' medical insurance, reaching the annual 960 yuan for each person.
The per capita financial subsidy standard for residents' medical insurance has been increased by 30 yuan, reaching 6 10 yuan per person per year. This is part of the state subsidy.
At the same time, raise the individual payment standard of residents' medical insurance in 30 yuan, and reach the 350 yuan per person per year. This is the part that individuals should pay.
Clear centralized collection period
In principle, the centralized collection period of residents' medical insurance is determined as September 1 day, 2022 to February 3 1 day, and the overall planning area may be appropriately extended according to the actual collection work, but not later than March 3 1 day, 2023.
Second, who is insured and can enjoy subsidies?
The insured objects are divided into two categories: full-funded insured objects and fixed-funded insured objects.
1. Fully funded insured persons are: destitute dependents (orphans refer to the implementation).
2 fixed subsidies for urban and rural residents, the standard of fixed subsidies for 320 yuan per person per year.
3 during the transition period, the insured object of the fixed subsidy is:
1 poor population, unstable poverty-stricken population and marginal poor population. The fixed subsidy standard is 320 yuan per person per year.
Students and children with severe disabilities, adults with severe disabilities who have lost their ability to work, minors from low-income families in cities and towns, elderly people over 60 years old, and retired soldiers in cities and towns who have been unemployed and have not been included in the basic medical insurance for employees shall be implemented with reference to the quota-funded insured objects.
3. College students do not pay individual fees, and individual fees are fully borne by the finance.
Special reminder: in principle, college students should participate in residents' medical insurance at the school location, and remember to tell their parents and family members not to pay for residents' medical insurance repeatedly in their hometown.
Three, the specific amount of insurance paid by all kinds of personnel?
Ordinary residents
The individual payment standard is 350 yuan per person.
In which: if the payment is made during the centralized collection period, the treatment period is from 2023 1 October1to February 20231; For those who pay after the end of the centralized collection period, the waiting period for treatment shall be set at 90 days from the date of insurance payment, except for those who explicitly stipulate that there is no waiting period for treatment.
Special reminder, ordinary residents should remember to pay insurance in time during the centralized collection period if there is no special reason. Otherwise, you will not be able to enjoy the medical insurance reimbursement treatment at any time after the centralized collection period, but there will be a waiting period of 90 days.
Subsidize the insured object
Fully funded, the insured individual does not pay; The individual payment standard of the insured is 30 yuan per person.
The treatment period is from 2023 1 October 1 to February 20231.
College students (including full-time graduate students)
In principle, college students should participate in residents' medical insurance at the location of the school.
If college students are special personnel such as subsidized insured persons or medical assistance objects, they can choose to participate in the insurance in the identified areas.
Due to repeated enrollment, the medical security department of the school registration place shall promptly notify the medical security department of the original enrollment place to terminate the enrollment relationship.
Double insurance formed after employment shall be promptly notified by the medical security department of the place of employment to terminate the insurance relationship.
On the premise of ensuring the seamless connection with the medical insurance benefits of the students' original insured places, the conditional overall planning areas can adjust the insurance payment period for college students to participate in residents' medical insurance from the academic year to the natural year. If the students in the adjusted overall planning area have medical expenses during their school days, they can directly settle the reimbursement expenses through medical treatment in different places, and the reimbursement ratio is not limited by the provisions on reducing the proportion of medical treatment abroad.
neonatus
Newborn insurance registration should use my real name and valid identity documents. For newborns who have been insured under their parents' names, their guardians should be required to update the information as soon as possible.
Within 90 days after the birth of the newborn, the guardian shall handle the insurance registration according to the relevant regulations, and after paying the medical insurance premium of the residents in the year of birth according to the regulations, the medical expenses incurred since the date of birth can be included in the scope of medical insurance reimbursement;
When the guardian handles the insurance registration according to the relevant regulations within 90 days after the birth of the newborn, and the year after the birth of the newborn has reached the collection period of residents' medical insurance, the guardian may also choose to pay only the residents' medical insurance fee in the year after the birth. After payment according to regulations, the medical expenses incurred in the year after childbirth can be included in the medical insurance reimbursement, but the medical expenses incurred in the year after childbirth will not be reimbursed.
When the newborn is registered by the guardian according to the relevant regulations 90 days after birth, the policy will be implemented according to the insurance payment and treatment of ordinary residents.
Retired military personnel
Servicemen who have been discharged from active service for less than 3 months, and their unemployed spouses and children who participate in residents' medical insurance, may not be restricted by the time limit for centralized collection and payment. Among them, if the payment is made during the centralized collection period, the treatment period is from 2023 1 October1to February 20231; Those who pay after the centralized collection period will enjoy treatment from the day after the insured payment.
Short-term seasonal workers and flexible employees
Short-term seasonal workers or flexible employees who have participated in residents' medical insurance will participate in employees' medical insurance during the period of enjoying residents' medical insurance benefits. The medical security department should ensure that the insured enjoy the new medical insurance benefits and suspend the medical insurance benefits of the original residents; After the short-term work of the insured, the medical security department will restore the medical insurance benefits of the original residents in time to ensure the effective convergence of benefits.
Other special personnel
Medical assistance targets, religious figures, employees whose medical insurance payment has been interrupted for less than 3 months, personnel whose registered permanent residence has newly moved into our province, returned overseas students, released prisoners, children of floating population, and college students returning home after graduation. Those who are not restricted by the centralized collection period and pay after the centralized collection period will enjoy treatment from the day after the insured payment.
4. What are the payment methods?
( 1)
pay taxes
Pay attention to the official account of WeChat, Jiangxi Provincial Taxation Bureau, click on "Tax Service"-"I want to pay" in the lower left corner, and select "Urban and Rural Residents (Medical Insurance)".
A. Self-payment this year: after entering the name and ID number, the system will bring out the payable amount, and the payer will pay by himself.
B. approved payment of medical insurance. After entering the name and ID number, the system will automatically bring out the payment information approved by the medical insurance agency, and the payer will pay after confirmation.
(2)
living expenses
Open it, click "Me"-"Service"-"Living Payment"-"Social Security and Medical Insurance" in the lower right corner, first select the insured city, then select "Medical Insurance for Urban and Rural Residents in Jiangxi Province", and then enter the ID number and name to pay.
(3)
Ganfutong (Alipay) payment
Through Alipay "Ganfutong"-"Payment"-"Social Security Payment", after face recognition authentication, you can choose "Urban and Rural Residents (Medical Insurance)" to pay.
(4)
China unionpay express payment.
The payer opens the China UnionPay Express APP, searches for the "Jiangxi Social Security Payment" applet on the homepage, selects the insurance type to be paid, and enters the payer's ID number and name to pay. For the specific payment process, please refer to the official account of WeChat, Jiangxi Provincial Taxation Bureau.
(5)
Tax window payment
The payer holds his ID card or social security card to the administrative service center, convenience service center and tax service hall of the insured place, and pays the fee at the window through Alipay, POS card or cash.
(6)
bank payment
At present, cooperative banks that can pay fees include Industrial and Commercial Bank of China, Agricultural Bank, China Bank, China Construction Bank, Bank of Communications, Postal Savings Bank, China Merchants Bank, China CITIC Bank, China Everbright Bank, Rural Commercial Bank, Jiangxi Bank, Ganzhou Bank, Jiujiang Bank and Shangrao Bank.
1. Mobile banking payment. Download and install the mobile banking APP, enter the ID number and password, and you can pay.
2. Counter payment. The payer pays the fee at the counter of the cooperative bank outlet with his ID card or social security card.
3. Pay the fee. Pay attention to the official account of the cooperative bank WeChat to pay. For example, the official account of WeChat, Weizhong Bank of Jiangxi Rural Commercial Bank, click "Hui Life"-"Convenience Life"-"Social Security Link" in the lower right corner, select the insured area, insurance type and payment type, enter the name and ID number, select the payment time and payment grade, and click Query to pay.
The official account of WeChat is similar to other banks, and the payment process of each bank is slightly different. Please consult your local bank for details.
(7)
Medical insurance payment
Pay attention to the official account of "Jiangxi Medical Insurance" WeChat, click on the bottom menu "Micro-service"-"Residents' Insurance Payment" to jump to the page of "Payment Center" for urban and rural residents' medical insurance.
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