In 2023, the financing for residents’ medical insurance will be no less than 960 yuan per person.
Among them, the financial subsidy is not less than 610 yuan/person, and the individual payment standard is 350 yuan/person.
Financial subsidy funds at the city and county levels must be fully matched by the end of December 2023. If the funds are not matched in full and in time as required, the central and provincial financial subsidy funds will be deducted accordingly, and the deductions will be borne by the city and county levels.
The finances will be replenished on their own.
Employee medical insurance payment is related to the local social security payment base and payment ratio.
Taking Beijing as an example, social security units and individuals have to bear 16% and 8% respectively for pension insurance, 9% and 2% medical insurance, 0 yuan and 3 yuan critical illness insurance, 0.5% and 0.5% unemployment insurance, and 0.2% and 0% work injury insurance.
Insurance, 0.8% and 0% maternity insurance.
The minimum payment base is 5,869 yuan to participate in the insurance, and the minimum payment for the five insurances is 2,174.54 yuan.
For those who participate in employee medical insurance, the medical insurance fund payment standard is: the cumulative payment limit per person per year is 1,000 yuan; for medical treatment at primary health service institutions, secondary and tertiary designated medical institutions within the administrative region of this city, the medical insurance fund for a single outpatient visit
The payment proportions are 80%, 60%, and 55% respectively; for outpatient expenses transferred (including emergency cases) from designated outpatient institutions to other designated medical institutions within the administrative region of this city, the payment proportions will be reduced by 10 percentage points and will be paid by individuals in 2023.
The monthly payment standard for employee medical insurance is 475.12 yuan, and the annual payment standard is 5701.44 yuan.
The supplementary medical insurance payment standard in 2023 is 260 yuan/year.