1.How much will the new rural cooperative medical system cost in 2023? With local charges!
In 2023, the new rural cooperative medical system paid 350 yuan. In 2022, we will continue to raise the funding standard for basic medical insurance for urban and rural residents (hereinafter referred to as "residents' medical insurance"). All levels continue to increase subsidies for residents' medical insurance contributions. The per capita subsidy standard will be raised in 30 yuan, reaching no less than 6 10 yuan per person per year, while the individual contribution standard will be raised in 30 yuan, reaching 350 yuan per person per year. At this time, the minimum payment standard of the new rural cooperative medical system will be appropriately raised according to the actual situation. In 2023, the new rural cooperative medical system charges are as follows:
1.
In 2023, the individual payment standard for residents' medical insurance is 406 yuan/person.
2. Tianjin
In 2023, the individual payment standard of residents' medical insurance will be raised simultaneously in 30 yuan, specifically, 980 yuan per year for high-level residents and 350 yuan per year for low-level residents.
3. Zhuhai, Guangdong
In 2023, the subsidy standard for students, minors and urban and rural residents participating in residents' medical insurance in our city will be 750 yuan per person per year. The individual payment standard for students and minors is 350 yuan per person per year; The individual payment standard for urban and rural residents is 500 yuan per person per year.
4. Jilin
In 2023, the individual payment standard for medical insurance adults in the province will remain unchanged, and it will still be 360 yuan per person per year; Primary and secondary school students and people under the age of 18 (born after 24: 00 on February 3, 2004) will be increased from 220 yuan to 3 1 0 yuan per person per year. The individual payment standard for residents participating in long-term care insurance in the pilot area in 2023 remains unchanged, and it is still per person per year 10 yuan.
What is the payment standard of employee medical insurance in 2023?
The payment standards for individual medical insurance in 2023 are as follows:
1. The outpatient medical expenses that meet the requirements shall be reimbursed according to the following proportion, and the rest shall be paid by the individual:
(1) is less than 35% of the medical expenses of 1000 yuan;
(2) Medical expenses 1 1,000 yuan or more (including 1 1,000 yuan), and the part less than 5,000 yuan will be reimbursed by 45%;
(3) The medical expenses are more than 5000 yuan (including 5000 yuan), and the part less than 10000 yuan is reimbursed by 55%;
(4) Medical expenses above 10000 yuan (including10000 yuan) shall be reimbursed by 65%.
2, in line with the provisions of the hospital medical expenses, according to the following proportion to be reimbursed, the rest of the individual pays, the medical expenses of hospitalization for many times during the year:
(1) If the medical expenses are less than RMB 10000, the reimbursement rates in tertiary, secondary and primary medical institutions are 55%, 65% and 75% respectively;
(2) If the medical expenses 1 10,000 yuan or more (including 1 10,000 yuan) is less than 20,000 yuan, the reimbursement rates in tertiary, secondary and primary medical institutions are 60%, 70% and 80% respectively;
(3) If the medical expenses are more than 20,000 yuan (including 20,000 yuan), the reimbursement rates in tertiary, secondary and primary medical institutions are 65%, 75% and 85% respectively.
Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC).
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
How much medical insurance will employees pay in 2023?
In 2023, the fund-raising for residents' medical insurance participation shall not be less than 960 yuan per person. Among them, the financial subsidy is not less than 6 10 yuan/person, and the individual payment standard is 350 yuan/person. City and county financial subsidies must be fully matched before the end of 65438+2 in 2023. Not in accordance with the provisions of the timely and full support, the corresponding deduction of the central and provincial financial subsidies, the deduction part by the city and county finance to make up.
Employee medical insurance payment is related to the local social security payment base and payment ratio. In Beijing, for example, social security units and individuals should bear 16% and 8% pension insurance, 9% and 2% medical insurance, serious illness insurance in 0 yuan and 3 yuan, 0.5% and 0.5% unemployment insurance, 0.2% and 0% industrial injury insurance and 0.8% and 0% maternity insurance respectively. According to the minimum payment base of 5869 yuan, the minimum payment for five insurances is 2 174.54 yuan.
For employees participating in medical insurance, the payment standard of medical insurance fund is: the cumulative payment limit per person per year is 1000 yuan; Within the administrative area of this Municipality, primary health service institutions, secondary and tertiary designated medical institutions seek medical treatment, and the proportion of single outpatient expenses paid by medical insurance fund is 80%, 60% and 55% respectively; Within the administrative area of this Municipality, the outpatient fees for referral from designated outpatient institutions (including emergency departments) to other designated medical institutions decreased by 10 percentage point respectively.
In 2023, the monthly payment standard for individual employees' medical insurance is 475. 12 yuan, and the annual payment standard is 570 1.44 yuan. The payment standard of supplementary medical insurance in 2023 is 260 yuan/year.
Payment Standards and Policies of Medical Insurance in 2023
In 2022, the number of urban and rural residents participating in medical insurance in our county was 6 17284, with the participation rate of registered population reaching 87.29% and that of permanent population reaching 105.7%. According to the spirit of the superior medical insurance policy document, in 2023, the individual payment standard of residents' medical insurance will be unified as 350 yuan/person, and the insurance payment period will be September 1 to February 1 in principle.
Insurance time
The period from September 1 2022 to February 28, 2023 is the centralized insurance period. The insured shall pay the fees during the centralized insurance period. Urban and rural residents will enjoy basic medical insurance benefits from June 65438+1 October 2023 to February 3 1 February 2023.
After the end of the centralized insurance period, dynamically adjusted poor people, orphans, urban and rural residents' minimum living allowances, monitoring objects recognized by rural revitalization departments (unstable poor households, marginal poor households, sudden severe poor households), poor policy personnel, people returning to poverty, first-and second-class disabled people, newborns born in the same year, and employees who participated in the basic medical insurance for urban and rural residents within 3 months after the interruption of medical insurance payment can participate in the insurance according to the payment standard during the centralized insurance period, and there is no waiting period for treatment. Other personnel can be insured according to the payment standard of centralized insurance period, and set a waiting period of 3 months.
Relevant personnel pay insurance
1. The individual contributions of poor people, orphans, first-class and second-class disabled people (including transfer personnel) with household registration in this Municipality shall be fully funded by the Banner District Government.
2. The monitoring objects (unstable poverty-stricken households, marginal poverty-stricken households, households with sudden severe difficulties), policy-oriented poor people, and poverty-stricken people returning to poverty (including dynamic adjustment personnel) identified by the urban and rural residents with household registration in this Municipality shall implement the payment mode of "pay first and then make up", and the insured shall pay individual contributions in full according to the individual payment standard, and each flag area shall give subsidies according to 330 yuan per person.
3. Newborns born in that year shall be implemented according to the relevant provisions of the Notice of Ordos Medical Security Bureau on Further Implementing the Newborn Insurance Policy (E.D.F. [2021] No.51). At the same time, in accordance with the requirements of the Notice of the Office of the Leading Group for "One Case, One Discussion" in Erdos City on Promoting the Online Handling of the Whole Process of "One Case, One Discussion" for Newborns (E Government Affairs Fa [2022] No.7), we will comprehensively do a good job in neonatal insurance.
Social security payment standard in 2023
The basic medical insurance for urban and rural residents is an important livelihood security system. In life, residents who did not participate in insurance in time could not enjoy medical insurance reimbursement when they were hospitalized for sudden illness, which caused a great economic burden to their families. Here is an initiative: please take the time to participate in medical insurance and add a guarantee for the health of yourself and your family!
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Insurance payment time
The payment time for insurance is tentatively set at 2022 10/month 1 to February 25, 2022 1. The payment period is1-25th every month, and the settlement period is from 26th to the end of the month.
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Payment standard
(a) the implementation of annual insurance, prepaid system. In 2023, the individual payment standard of basic medical insurance for urban and rural residents will be 350 yuan per person per year, and the government financial subsidy standard will not be lower than 6 10 yuan per person per year.
(2) Newborn payment: Newborns (new-born babies of that year) shall register for insurance and complete payment within 90 days from the date of birth, and enjoy medical insurance benefits from the date of birth. Those who pay insurance after 90 days of birth will enjoy medical insurance benefits from the next month of payment.
(3) payment standards for special groups:
Persons who enjoy the insurance subsidy policy among medical assistance objects shall be classified and funded according to regulations.
The subsidy standards for poor people and severely disabled people shall be implemented in accordance with the subsidy standards of the Disabled Persons' Federation.
Note: The needy people with multiple special identity attributes can enjoy the insurance subsidy according to the principle of "high priority, not low priority", and the subsidy cannot be repeated.
According to the notice of Provincial Medical Insurance Bureau, Provincial Department of Finance, State Taxation Bureau, Guizhou Provincial Taxation Bureau, Provincial Education Department and Provincial Civil Affairs Department, Notice of the Provincial Rural Revitalization Bureau, the Provincial Disabled Persons' Federation on Doing a Good Job in the Collection of Basic Medical Insurance for Urban and Rural Residents in 2023 (Qian Medical Insurance Fa [2022]15) and the Notice of the Municipal Medical Insurance Bureau and other ten departments on Doing a Good Job in the Collection of Basic Medical Insurance for Urban and Rural Residents in 2023 (Zhu Medical Insurance Fa [2022] is not based on the spirit of the document, and the centralized collection period of basic medical insurance for urban and rural residents in 2023 is The specific matters concerning the collection of basic medical insurance for urban and rural residents in 2023 (hereinafter referred to as residents' medical insurance) are hereby announced as follows:
First, the residents' medical insurance financing standards
In 2023, the funding standard for residents' medical insurance will not be lower than that of 960 yuan. Among them, the per capita financial subsidy standard is not less than 6 10 yuan; The individual payment standard is 350 yuan/person.
Second, the disadvantaged groups enjoy the insurance subsidy policy.
Persons with special difficulties who confirm their identity and pay fees before the end of the centralized collection period of residents' medical insurance can enjoy insurance subsidies; Those who pay after the centralized collection period only enjoy dynamic insurance and do not enjoy insurance subsidies (except orphans and minors who are actually unattended). Newborns from families with special difficulties who meet the Medicaid policy can enjoy the corresponding insured status within 90 days (including 90 days) from the date of birth. For recipients with multiple identities, funding will be provided according to the principle of high priority and non-repetition. If the identity attribute changes within one year, no secondary funding will be provided.
(a) Full funding objectives and criteria
Poverty-stricken people, orphans, actually unattended minors, old workers laid off in the early 1960s, mentally handicapped people who make troubles, "two families" and family members with special difficulties in family planning, low-income recipients, people who are prone to poverty in rural areas (unstable poverty-stricken families and marginal poverty-prone families) and people with sudden serious difficulties, and severely disabled people who hold the "People's Republic of China (PRC) Disabled Persons' Card" issued by Gui 'an District of Guiyang City (1).
(B) the objectives and standards of fixed funding
1. The stable population out of poverty will be subsidized according to the standard of per capita 120 yuan.
2. The elderly over the age of 60 and the minors under the age of 18 in the marginal families with minimum living allowance shall be subsidized according to 30% of the individual payment standard (105 yuan).
Three. Time limit for collection and treatment and enjoyment of rights and interests
(1) Time limit for receipt and payment
In 2023, the individual contributions of residents' medical insurance will continue to be collected centrally, supplemented by sporadic collection. The collection period is divided into centralized collection period and sporadic collection period.
1. Centralized collection period
2022 1 October 20th to March 30th, 20231.
2. Sporadic collection period
(1) Ordinary people: from April 1 day in 2023 to October 3 1 day in 2023.
(2) Specific groups (ex-servicemen, unemployed spouses, employees who changed from medical insurance to residents' medical insurance) and people with special difficulties: April 1 to February 3 1.
(3) Newborns: from April 1 day to March 3 1 day in 2023, of which only June 1 day in 2024 to March 3 1 day in 2023 was collected.
(2) Enjoy rights and interests
1. Ordinary people. Ordinary people who participate in the insurance during the centralized collection period will pay the insurance premium according to the standard of 350 yuan/person, and enjoy the residents' medical insurance benefits from June 65438+1 October1day, 2023. Those who pay in the sporadic collection period shall pay the insurance premium according to the standard of 960 yuan/person, and enjoy the residents' medical insurance benefits after 60 days (excluding 60 days) from the date of payment.
2. Minimum living allowances, stable poverty-stricken population, rural poverty-stricken population and other entitled groups shall be insured dynamically throughout the year, and the payment shall not be restricted by the centralized collection period. Those who pay during the centralized collection period will enjoy the insurance subsidy, and will enjoy the medical insurance benefits for residents from June 65438+ 10/day, 2023. Those who pay during the sporadic collection period shall pay the insurance premium according to the standard of 350 yuan/person, and enjoy the residents' medical insurance benefits from the date of payment, but do not enjoy insurance subsidies.
3. Retired soldiers and their spouses. Unemployed spouses in the army in the year when soldiers retired from active service and in the year when soldiers retired from active service participated in residents' medical insurance, and the payment was not limited by the number of years of centralized collection. Those who pay the insurance premium according to the 350 yuan/person standard will enjoy the medical insurance benefits for residents from June 65438+ 10/day, 2023; Those who pay fees during the sporadic collection period will enjoy medical insurance benefits for residents from the date of payment.
4. Newborns. A 90-day dynamic policy is implemented in the year of birth. During the sporadic collection period, if the newborn uses the household registration information to register and pay the insurance fee within 90 days (including 90 days) from the date of birth, the insurance premium will be paid according to the 350 yuan/person, and the residents will enjoy medical insurance benefits from the date of birth; If the insurance premium is paid after 90 days (excluding 90 days) from the date of birth, the insurance premium shall be paid according to 960 yuan/person, and residents shall enjoy medical insurance benefits after 60 days (excluding 60 days) from the date of payment.
5. Workers' medical insurance will be transferred to residents' medical insurance personnel, and a 90-day dynamic insurance policy will be implemented. Those who participate in employee medical insurance can participate in residents' medical insurance within 90 days (including 90 days) after the suspension of employee medical insurance, pay insurance premiums according to the standard of 350 yuan/person, and enjoy residents' medical insurance benefits from the date of payment; If the payment is over 90 days (excluding 90 days), the insurance premium shall be paid according to the standard of 960 yuan/person, and residents shall enjoy medical insurance benefits after 60 days (excluding 60 days) from the date of payment.
6 student groups in principle to the school as a unit, to participate in the medical insurance for residents in the school. If you are a student with special difficulties who enjoys government-funded insurance or has specific payment conditions (such as collective economic withholding, enterprise funding, etc.). ), you can choose to participate in the insurance where the household registration is located and enjoy the medical insurance benefits of residents according to regulations.
Fourth, common payment methods.
Residents' medical insurance can mainly pay the insurance premium of residents' medical insurance in 2023 according to the prescribed individual payment standard through the following channels:
(1) Pay via WeChat, Alipay, China UnionPay Express and "Guizhou Tax" WeChat official account "Enjoy Service".
(2) Pay by mobile banking (APP) such as China Industrial and Commercial Bank, China Agricultural Bank, Guizhou Bank and Guizhou Rural Credit Cooperative.
(3) You can go to ICBC, Agricultural Bank, Guizhou Bank, Guizhou Rural Credit Cooperative, Guiyang Bank and other related business outlets to pay the fees.
(four) through the government service center to pay tax self-service tax terminal (need to carry a bank card).