There is no need to change the old-age insurance and medical payment cards in Jingmen. According to the regulations of Jingmen Social Security Bureau, individual pension insurance and medical insurance payment need to be paid by social security card. You already have a social security card, so you can use it directly without replacing it. You don't have a social security card yet, so you need to apply to the local social security card service center. The specific process is as follows:

1. Go to the local social security card service center, fill out the Social Security Card Application Form and submit relevant materials, including ID card, household registration book and other documents.

2. Waiting for review. After review, you will get a social security card.

3. after getting the social security card, you need to go to the bank to activate it, and you can use it after activation. It should be noted that your social security card has expired or is damaged, so you need to go to the social security card service center to change it. In addition, the social security card service centers in different regions are different, and you can consult the local social security card service center for specific procedures.