Guizhou medical insurance payment standard in 2023

The basic medical insurance contribution standard for urban and rural residents in Guizhou Province in 2023 is 350 yuan per person, and the centralized collection period is from October 20, 2022 to March 31, 2023.

It is understood that in 2023, the financing for residents' health insurance participation will be no less than 960 yuan per person. Among them, the financial subsidy will be no less than 610 yuan per person, and the individual contribution will be 350 yuan per person.

In 2023, the individual contribution to the residents' health insurance adopts the centralized collection as the main, sporadic contribution as the supplementary collection method, the collection period is divided into the centralized collection period and sporadic collection period.

The centralized collection period is:

October 20, 2022 to March 31, 2023.

The sporadic collection period is:

1. April 1, 2023 to October 31, 2023 for the general public.

2. Specific groups (veterans and non-working spouses, workers' health insurance to residents' health insurance) and people with special difficulties: from April 1, 2023 to December 31, 2023

3. Newborns: April 1, 2023 to March 31, 2024, of which January 1 to March 31, 2024 will only be levied on newborns born between October 1 and December 31, 2023 (newborns who have not yet reached 90 days from the date of their birth to the date of payment of fees).

During the centralized collection period, the general public will participate in the insurance contribution at the standard rate of 350 yuan per person; the fixed-subsidy recipients will only be required to pay the portion of the fee that should be paid by the individual after the government subsidy is paid; and the fully-subsidized recipients will not be required to pay the fee individually. Those who enroll and pay premiums during the centralized collection period will be entitled to resident health insurance treatment from January 1, 2023 onwards.

During the sporadic collection period, the general public will participate in the insurance and make contributions at the rate of 960 yuan per person, and enjoy the resident health insurance treatment after 60 days (excluding 60 days) from the date of contribution. Special hardship cases will be enrolled at 350 yuan per person and will be entitled to resident health insurance benefits from the date of payment.

The year the military withdrew from active duty, the year the military withdrew from active duty with the military spouses who are not employed, to participate in the residents' health insurance to implement the year-round dynamic enrollment, payment is not subject to the centralized collection period, according to the standard of 350 yuan / person to pay the enrollment fee in the centralized collection period to pay the fee, since January 1, 2023 to enjoy the residents' health insurance treatment; in the sporadic contribution period to pay the fee from the day of the contribution to enjoy the residents' health insurance treatment.

The 90-day dynamic enrollment policy is implemented in the year of birth of newborns. Sporadic collection of newborns within 90 days from the date of birth (including 90 days) to pay 350 yuan / person to participate in the insurance fee, the use of household registration information to participate in the insurance fee from the date of birth to enjoy the residents of the health insurance treatment, the use of household registration information for the newborn did not use the registration information to participate in the insurance fee, since the date of birth of the medical expenses incurred in the guardian to improve the information of its identity, can be included in the medical insurance reimbursement; birth For those who enroll and pay premiums after 90 days from the date of birth (excluding 90 days), they will pay the enrollment fee at 960 yuan per person and enjoy the resident health insurance treatment after 60 days from the date of payment (excluding 60 days).

Employee health insurance to resident health insurance personnel, the implementation of the 90-day dynamic participation policy. Participants in the employee health insurance, employee health insurance within 90 days after the suspension of payment (including 90 days) to participate in the residents' health insurance, according to 350 yuan / person to pay the participation fee, and from the date of payment to enjoy the residents' health insurance treatment; more than 90 days (excluding 90 days) to pay the fee, according to the standard of 960 yuan / person to pay the participation fee, and from the date of payment to enjoy the residents' health insurance treatment after 60 days (not including 60 days).

Legal basis:

Notice on Doing a Good Job of Participating and Paying Fees for Urban and Rural Residents' Basic Medical Insurance for the Year of 2023

I. Objectives of Work

Adhereby adhering to the people-centered development ideology, aiming to achieve the coverage of the entire population and participation in accordance with the law, in-depth implementation of the Universal Participation Plan, optimizing the The participation and payment services, improve the quality of participation information, the basic medical insurance (including residents' medical insurance, employee medical insurance) participation rate of the resident population will continue to stabilize at more than 95%, to ensure the prevention of the return of poverty monitoring objects (including unstable households out of poverty, the edge of the households susceptible to poverty, households with sudden and serious difficulties, hereinafter referred to as the "monitoring objects"), low income insurance objects, The following are referred to as "monitoring objects", low-income insurance objects, low-income insurance objects, marginal family members under the minimum subsistence guarantee, persons in special hardship, persons with severe disabilities, orphans, de facto unsupported children and other needy people, as well as people who have steadily escaped from poverty, all of them are included in the scope of basic medical insurance coverage, and all of them should be insured and all of them should be paid.

Two, participation and payment policies

(a) Clearly define the scope of participants. The urban and rural residents' medical insurance system covers all urban and rural residents other than those who should be insured under the basic medical insurance for employees, including rural residents, urban non-working residents, school students, and the resident population who have obtained residence permits in the integrated area.

(2) unified financial subsidy standards. 2022 residents health insurance financial subsidy standards for 610 yuan per person. 2023 residents health insurance financial subsidy standards in accordance with national regulations. Among them, the province, city (state), county (urban area) three levels of financial subsidies for urban and rural residents to participate in health insurance subsidy sharing in accordance with the "Hunan Provincial People's Government General Office on the issuance of the" health care field of provincial and municipal and county financial rights and expenditure responsibility division reform implementation program "notice" (Xiang Zhengban Fa [2019] No. 40) of the provisions of the implementation. The financial departments of cities (states) and counties (urban areas) shall arrange the budget in full according to the prescribed standards and allocate the subsidy funds in a timely manner. The financial subsidy funds at the city (state) and county (urban area) levels must be fully in place by the end of July 2023. Failure to comply with the provisions of the full and timely in place, the provincial financial will correspondingly deduct the central and provincial financial subsidies, the deduction of part of the city (state), the county (urban) financial self-supplementation.

(C) unified individual contribution standards. According to the "National Health Insurance Bureau Ministry of Finance State Administration of Taxation on doing a good job in 2022 urban and rural residents of the basic medical insurance work notice" (medical insurance hair [2022] No. 20) requirements, in 2022 the residents of the medical insurance individual contribution standard to 350 yuan per person per year. In order to adapt to the growth of medical costs and basic medical needs enhancement, to ensure that the rights and interests of insured persons health insurance, combined with the actual situation in our province, after the study, the province's residents in 2023 annual health insurance individual contribution standard unified 350 yuan per person.

(D) fully implement the policy of subsidizing the participation of people in difficulty. The individual contribution part of the special hardship people to participate in the residents' medical insurance will be fully subsidized (severe disability, orphans, de facto unsupported children with reference to the implementation), and 50% subsidy will be given to the low-income objects, monitoring objects, and family members on the edge of the minimum subsistence guarantee. Municipalities and states may, in conjunction with the actual situation, provide appropriate subsidies for the individual contribution portion of the participation in the residents' medical insurance for other groups in difficulty, such as veterans in difficulty and children in difficult circumstances, with the specific standards to be determined by the local people's governments. Encourage conditional townships, streets, collectives, units or other social and economic organizations to support or subsidize urban and rural residents to participate in insurance contributions.

Difficult objects dynamically added by the relevant departments during the period of centralized participation and payment of premiums can enjoy the 2023 participation subsidy policy. In the centralized participation in the premium payment period for the difficult objects to implement the same contribution and subsidies, individuals only need to pay the required part of the funds payable. If the people in difficulty have already joined the residents' medical insurance in other places, they can enjoy the participation subsidy policy in the place of domicile.

(E) unified participation and payment time. The urban and rural residents pay the basic medical insurance premiums in a lump sum on an annual basis. 2023 residents' medical insurance centralized enrollment and payment period is in principle from September 1, 2022 to December 31, 2022. Coordination areas that fail to meet the required participation rate as scheduled may extend the centralized participation and payment period to February 28, 2023 as appropriate. Except for the special circumstances that have been specified, those who have not participated in the centralized participation and payment period shall not, in principle, participate in the insurance and enjoy the medical insurance treatment halfway.

Within 90 days after the birth of a newborn, the guardian of the newborn, on the basis of the hukou book or residence permit and using the real name of the newborn as registered in the hukou book or medical birth certificate, shall go through the procedures of enrollment and payment in accordance with the regulations of the coordinating area, and all regular medical expenses incurred from the day of the birth can be included in the reimbursement of the medical insurance. Children admitted to a child welfare institution who are verified to be uninsured may enroll and pay as they go along, and enjoy medical insurance benefits from the date they enter the child welfare institution. If the employee health insurance is terminated due to the termination of the labor relationship, within 90 days of the termination of the employee health insurance, with the certificate of participation in the employee health insurance, the person can participate in the resident's health insurance, and enjoy the health insurance treatment from the date of the termination of the employee's health insurance. Newly employed workers can join the residents' health insurance for the first time in their place of residence with their residence permits, and military personnel who have been rehabilitated, ex-prisoners, and fresh graduates of colleges and universities who have not been employed in a timely manner can enjoy the health insurance treatment since the date of their enrollment and payment of premiums. Households that are unstable in escaping from poverty, households on the verge of poverty, households with sudden and serious difficulties, low-income insurance recipients, family members on the verge of the minimum subsistence guarantee, people in difficulty such as people in special hardship, people with severe disabilities, orphans, de facto unsupported children and other groups of people who are stable in escaping from poverty, and those who have not enrolled in the insurance during the period of centralized enrollment for payment of premiums for objective reasons after verification, are entitled to the health care benefits from the date of enrollment and payment of premiums. The above special circumstances, are in accordance with the residents of medical insurance individual contribution standards.

Because of objective reasons such as changes in household registration or other special circumstances (specifically, the year of the new household registration, newborns did not participate in the insurance premiums within 90 days, employee health insurance is not broken within 90 days of participation in the insurance premiums, and the cities and states in conjunction with the actual specific other special circumstances) can not be in the coordinating area within the prescribed time for participation in the premium payment formalities, you can be in accordance with the standard of financing of the current year's residents' health insurance (including individual contributions and financial subsidies). The basic medical insurance premiums can be paid in full at one time according to the current year's residential medical insurance financing standard (including individual contributions and financial subsidies), and the medical insurance treatment can be enjoyed from the next month after the payment of the premiums.

(6) Unification of participation and payment. In accordance with the principle of territorial management, urban and rural residents (including primary and secondary school students and pre-school children) in the family unit in the place of household registration or permanent residence to participate in the insurance; in schools and colleges and universities students (including newborns) in the school unit in the school location as a whole to participate in the insurance, by the school on behalf of the residents of the medical insurance premiums, unified registration procedures for participation in the insurance. Newly enrolled students in colleges and universities will be enrolled in their schools, and will not be allowed to repeat their enrollment in their original household registration. Urban residents (including permanent residents who have obtained residence permits) who are not enrolled in the employee health insurance, the community to participate in the residents' health insurance.

Three, the work requirements

(a) Strengthen the organization and leadership. Cities, counties and municipalities should be in accordance with the "Hunan Province on further deepening the implementation of tax collection and management reform" (Xiangbanfa [2021] No. 14) on the "construction of a unified government organization, multi-party collaboration, centralized collection or entrusted to collect the collection of urban and rural residents of the social insurance premiums collection system," the requirements, co-ordinate and coordinate the residents of the medical insurance premiums collection The government should coordinate the collection of residents' health insurance premiums, and improve and perfect the mechanism for coordinating and guaranteeing the work. All localities shall promptly study and formulate the 2023 Work Plan for the Collection of Urban and Rural Residents' Health Insurance Premiums, clearly define the goals of the work of participation and payment of premiums, and the standards of subsidies for the participation of people in difficulty, as well as clarify the responsibilities and tasks of the relevant departments of health insurance, taxation, education, civil affairs, finance, rural revitalization, and federations of the handicapped, as well as of the townships, streets, villages, and communities in organizing residents' participation in and payment of insurance premiums. Extensive mobilization and deployment of participation and payment, the establishment of assessment, incentives, supervision mechanism, to ensure that the 2023 urban and rural residents of health insurance participation and payment of the target task of the work as scheduled.

(2) Strengthen departmental collaboration. The tax department should fully fulfill the responsibility of collecting urban and rural residents' medical insurance premiums and increase the collection efforts. Continuously optimize the residents' medical insurance premium collection information system, do a good job of collection policy maintenance; broaden the payment channels, optimize the payment service.

The health insurance department should closely cooperate with the tax department to do a good job of urban and rural residents to participate in the payment of insurance premiums, to clarify the standards for various types of people in difficulty to participate in the insurance subsidy, and in conjunction with the financial sector to implement the subsidies for people in difficulty to participate in the insurance funds. Before the centralized collection work, should be in the health insurance information system to do a good job of all kinds of people in difficulty identity accurate identification, the establishment of people in difficulty to participate in insurance subsidy work account, after the approval of the list of people in difficulty subsidy and participation in insurance subsidy amount and the amount of personal contributions and other information feedback to the same level of the tax department, the tax department according to the current special identification of the contributor levy people in difficulty personal contributions due. In the medical insurance information system to accurately record the amount of participation in insurance subsidies for the needy people, the amount of individual contributions.

The education department is responsible for scheduling and mapping the situation of full-time general colleges and universities (all including private schools) participating in the urban and rural residents' health insurance, providing an inventory of the colleges and universities that should be insured to the health insurance and tax departments, and interviewing the schools that refused to cooperate in organizing and mobilizing the students to participate in the urban and rural residents' health insurance in the whole of the school location, and supervising and rectifying the situation in conjunction with the health insurance and tax departments. Responsible for urging universities and colleges to provide an accurate list of poor students who can enjoy the participation subsidy policy according to the policy. Responsible for urging primary and secondary schools and kindergartens to cooperate in the mobilization of participation and payment of contributions, and provide the list of people to the health insurance and tax departments for participation information comparison.

The civil affairs department is responsible for approving the list of social assistance recipients such as special hardship cases, low-income insurance recipients, marginal family members of the minimum subsistence guarantee, orphans, and de facto unsupported children, etc., and providing the dynamic adjustment information to the health insurance and tax departments on a monthly basis to assist in the work related to the enrollment and payment of insurance premiums.

The finance department is responsible for working with the health insurance and other relevant departments to promptly transfer the funds for subsidizing the participation of people in difficulty into the financial account of the medical insurance fund after the end of the centralized participation and contribution period.

The rural revitalization departments are responsible for approving the list of monitoring objects and stable poverty-eradicating populations, and feeding back information on the dynamic adjustment of monitoring objects to the health insurance and tax departments at the same level on a monthly basis, and assisting the health insurance and tax departments in urging them to go through the procedures of participating in the insurance and paying the premiums.

The Disabled Persons' Federation is responsible for providing a list of persons with severe disabilities and feeding back the dynamic adjustment information to the health insurance and tax departments on a monthly basis to assist in the work related to participation and payment of insurance premiums.

(3) Optimizing payment services. The establishment of a unified and efficient medical insurance premium collection and management system. Conditional places can explore the employee medical insurance personal account for the spouse, parents, children to participate in the residents of the medical insurance personal contributions. All localities should continue to follow the requirement of full coverage of basic medical insurance, and take townships as the fulcrum and villages and groups as the end, and establish a grid-based management mechanism of "tax administrator + social security specialists + coordinators". During the period of centralized participation and payment of contributions, all localities should strengthen the analysis and judgment based on the progress of participation and payment of contributions, and carry out precise push publicity for the uninsured. We will vigorously promote the "non-contact" payment methods such as Xiangtax social security APP, WeChat mini program and mobile banking.

(4) Strengthen publicity and guidance. To press the work responsibility, to ensure that the urban and rural residents of medical insurance policies and measures to take effect, and continue to promote the protection and improvement of people's livelihood. To explore innovative ways of publicity, to further increase the policy publicity, popularize the concept of medical insurance mutual assistance ****ji, responsibility ****take, ***build ****share, to enhance the awareness of the masses to participate in the premiums, and reasonably guide the expectations of the community.

This notice is valid from September 1, 2022 to December 31, 2023. The Notice on Doing a Good Job of Participating in and Paying Fees for Urban and Rural Residents' Basic Medical Insurance in 2022 (Xiangmedaifa [2021] No. 31) is repealed at the same time.