according to the spirit of the document "Notice of Guizhou Provincial Department of Finance of Guizhou Provincial Medical Security Bureau State Taxation Administration of The People's Republic of China Guizhou Provincial Taxation Bureau Guizhou Provincial Department of Education Guizhou Provincial Department of Civil Affairs Guizhou Provincial Rural Revitalization Bureau Guizhou Provincial Disabled Persons' Federation on Doing a Good Job in the Collection and Payment of the Basic Medical Insurance for Urban and Rural Residents in 223" (Qian Bao Fa [222] No.15), this paper interprets the collection and payment policy of medical insurance for urban and rural residents in 223: 1. Policy Interpretation (1) On the issue of individual financing standards for medical insurance for urban and rural residents in 223. On the basis of last year, the individual payment standard has increased 3 yuan, but the financial subsidy funds have also increased 3 yuan. That is to say, as long as individuals pay 35 yuan, they can get the national 61 yuan subsidy. (II) On the issue of subsidizing the insured objects and standards, the medical insurance for urban and rural residents will continue to implement the subsidy policy for groups with special difficulties, and individuals only need to pay the contribution after financial assistance. The insurance subsidy is divided into full subsidy and fixed subsidy. 1. The funds (35 yuan/person) required for the full-funded object and standard poverty-stricken personnel, orphans, de facto unaccompanied minors, downsizing retired old workers in the early 196s, and causing troubles for mentally handicapped patients are fully borne by the medical assistance fund. Family planning "two households" and family planning special family members individual contributions (35 yuan/person) required funds by the county finance in full. 2. Targets and Standards for Fixed Subsidies 1. The low-income target, the unstable population out of poverty, the marginal population prone to poverty, and the population with sudden severe difficulties are funded by the medical assistance fund according to the standard of 175 yuan/person. 2. The elderly aged over 6 years old, minors under 18 years old and severely disabled people in marginal families with minimum living allowance are funded by the medical assistance fund according to the standard of 15 yuan/person. 3 The stable poverty-stricken population that is not included in the above target range shall be funded according to the 12 yuan per capita standard. I would like to remind you that the policy of subsidizing insurance has changed. First, it only subsidizes medical insurance for urban and rural residents and no longer subsidizes medical insurance for employees; Second, only those who participated in the special status of urban and rural residents' medical insurance during the centralized collection period were funded, that is, only those who participated in the medical insurance payment for urban and rural residents from October 2, 222 to March 31, 223 were funded. If the identity attribute changes during the year, no secondary funding will be provided. We should also pay attention to the funding types of different funds and the identification of various populations, and we should do a good job in system identification. In addition to the above funding targets, other people with special difficulties, counties and cities can be based on the central and provincial policy documents combined with the actual self-clear. (III) Regarding the time limit for unified centralized collection and payment, the individual contributions of medical insurance for urban and rural residents in 223 are divided into centralized collection period and sporadic collection period, and the centralized collection period is from October 2, 222 to March 31, 223; There are three kinds of sporadic collection periods: the first is the sporadic collection period for specific groups and difficult groups who enjoy the dynamic insurance policy from April 1, 223 to December 31, 223; The second type is the ordinary people and the difficult groups who do not enjoy the dynamic insurance policy. The sporadic collection period is from April 1, 223 to October 31, 223; The third type is newborns: from April 1, 223 to March 31, 224, from January 1 to March 31, 224, only newborns born from October 1 to December 31, 223 (newborns less than 9 days from the date of birth to the date of payment) will be collected. Everyone should publicize and mobilize the broad masses to pay the medical insurance fee for urban and rural residents in 223 (35 yuan) during the centralized collection period. Those who do not enjoy the dynamic insurance policy should pay the medical insurance fee in 223 according to the sum of the individual payment standard (35 yuan) and the government subsidy standard (61 yuan) (96 yuan). (IV) On the issue of treatment enjoyment rights and interests, those who pay the medical insurance premium for urban and rural residents in 223 during the centralized collection period will enjoy the medical insurance benefits for urban and rural residents from January 1, 223, and those who enjoy the dynamic insurance policy will enjoy the medical insurance benefits for residents from the date of payment. Those who did not pay in the centralized collection period and did not enjoy the dynamic insurance policy, who paid the medical insurance premium for residents in 223 in the sporadic collection period, have a waiting period for treatment, and can enjoy the medical insurance benefits for urban and rural residents after 6 days (excluding 6 days) from the date of payment. Second, the state-level collection of medical insurance for urban and rural residents in 223 requires that the collection of medical insurance for urban and rural residents in 223 has begun. All counties and cities should act as soon as possible, formulate a collection work plan, and hold a kick-off meeting before the end of October to concentrate on the collection of medical insurance for urban and rural residents in 223. The overall target requirement is: the number of insured tasks in each county and city shall be based on the number of insured tasks in 222 in principle, and will be adjusted appropriately after the provincial medical insurance bureau issues the number of insured tasks in our state. Ensure that 3% of the tasks are completed before the end of November 222; 6% of the tasks completed before the end of December; 8% of the tasks completed before the end of January 223; 99% of the tasks completed before the end of February; Complete 1% of the tasks before the end of March.