Adjustment of individual payment standard. In 2022, for those who participate in residents' medical insurance, the high-grade individual payment standard is 950 yuan/person, and the low-grade individual payment standard is 320 yuan/person. Students and children are subject to low-grade individual payment standards and enjoy high-grade reimbursement treatment.
Treatment Since 2022, the insured will seek medical treatment in the first, second and third-level designated medical institutions of their own choice. The annual minimum payment standard is unified as 600 yuan, and the maximum payment limit is unified as 4,000 yuan. The proportion of high-level insured personnel is 55%, 55% and 50%, and the low-level insured personnel are 50%, 50% and 45% of the basic medical insurance for urban residents respectively.
Cooperate to promote the reform of medical and health system and drug production and circulation system, coordinate the reform and system convergence of medical and health system, drug production and circulation system and medical security system in accordance with the overall requirements of deepening the reform of medical and health system, and give full play to the role of medical security system in raising medical funds, improving medical quality and controlling medical expenses.
Medical insurance is one of the five insurances, which is divided into employee medical insurance and resident medical insurance. Employee medical insurance means that we work elsewhere, and the company helps us pay five insurances together, which cannot be separated. Those who have flexible employment or no job can participate in medical insurance alone, that is, residents' medical insurance.
Tianjin individual medical insurance policy:
1. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employing unit and other flexible employees may choose to participate in the basic medical insurance for employees or residents.
Second, individual industrial and commercial households without employees, part-time employees who are not insured by employers and other flexible employees can pay basic medical insurance premiums in accordance with relevant regulations without establishing personal accounts.
Three, residents to participate in the basic medical insurance to implement the differential payment system. Students, children and adult residents pay the basic medical insurance premium according to the prescribed standards. The payment standard for adult residents is set in grades, and I voluntarily choose to pay. Government compliance
Set standards and give appropriate subsidies to individual contributions. Family members with severe disabilities, subsistence allowances and special difficulties are insured in accordance with the prescribed grades. Individuals do not pay fees, and the government fully subsidizes them. Residents should pay the basic medical insurance premium for the next year in one lump sum from September to the end of February.
Four, individual industrial and commercial households without employees, part-time employees and other flexible employees who are not insured by the employer shall enjoy the basic medical insurance benefits from the payment of 6 months.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 24 The state establishes and improves the new rural cooperative medical system.
Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.