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Payment time of residents' medical insurance in 2024
Individual contributions shall be paid annually within the prescribed payment period. If the medical insurance fee for 2024 is paid before June 30, 2024, only the standard part of individual contribution, namely 380 yuan, needs to be paid. After July 2024 1, he will be insured, and will pay in 2024. All expenses (1060 yuan) will be borne by the individual, and he will enjoy medical insurance benefits 60 days after the payment date.
The reimbursement process for residents' medical insurance usually includes the following steps:
1, preparation before seeing a doctor. Insured residents need to carry valid certificates such as ID card, electronic medical insurance card or social security card before seeking medical treatment.
2, medical settlement. When seeking medical treatment in designated medical institutions, medical insurance networking procedures shall be handled with medical insurance card or ID card, and settlement shall be made when leaving the hospital.
3. Submit reimbursement materials. After discharge, patients need to submit the receipt of hospitalization expenses, a copy of the first page of medical records, a summary of discharge, details of hospitalization expenses and other materials to the community for registration.
4. Community audit and reporting. The community collects relevant materials before 1 every month, conducts preliminary examination, and then reports the materials to the district medical insurance office.
5, district audit and approval. The district medical insurance office will review the relevant bills and calculate the reimbursement amount from 5th to 10 every month, and report the materials to the municipal medical insurance center for approval.
6. Pay reimbursement expenses. After the approval, the district medical insurance office will pay the reimbursement fee to the patient in the first ten days of the following month.
To sum up, in 2024, the centralized payment of basic medical insurance for urban and rural residents will be from September 1 to February 3 1. In addition, reimbursement for hospitalization in different places or under special circumstances may require additional materials and special procedures.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 27
Individuals who participate in the basic medical insurance for employees, who have reached the statutory retirement age and accumulated contributions have reached the number of years stipulated by the state, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations. Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
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