Pay the basic medical insurance for urban and rural residents in 223. Pay the medical insurance for urban and rural residents in 223. Please remember to pay in time before December 2, 222! 1
who can handle the payment of medical insurance for urban and rural residents? All urban and rural residents except those insured by the basic medical insurance for urban workers. Including college students, secondary vocational schools, primary and secondary schools, special education schools, kindergarten children and other minors and newborns. Ii
payment period? 1. The time for centralized collection and payment is until December 2th, 222. 2. The enjoyment period of medical insurance payment for urban and rural residents is from January 1, 223 to December 31, 223. 3. If the payment is made after January 1, 223, there will be a one-month waiting period and you will not be able to enjoy medical insurance benefits. 3
What is the payment standard? Basic medical insurance for urban and rural residents Ordinary adult residents pay 48 yuan every year (including long-term care insurance premium in 5 yuan), and ordinary students and children pay 33 yuan every year. (See the attached table for specific payment standards) IV
How to pay in 223? The tax authorities have provided you with a variety of payment methods for those who have registered for insurance! 1. If you have signed a social security card account to withhold the premium, please deposit it in full in the social security card account, and the tax department will deduct the fee before December 2th. 2. wechat payment. The payers who have already participated in the medical insurance for urban and rural residents search for "Xinjiang tax social security payment" through WeChat, and complete the payment through WeChat scanning code payment. ★ Note: WeChat payment can be paid for me or paid for others. 3. Bank payment. Bring your ID card and social security card, go to the card-holding bank, social security agencies, and the tax service hall of the tax bureau, and complete the payment through the bank POS machine or the agent client. (During the epidemic prevention and control, it is recommended that you use online payment) 4. Tax network payment. You can log in to Xinjiang Tax Electronic Taxation Bureau and Xinjiang Tax Mobile APP, scan the payment with QR code, and pay by scanning the code through WeChat, Alipay, UnionPay or bank mobile phone. ★ Note: Newly-insured and out-of-insurance personnel can use the medical insurance service platform of Xinjiang Corps ("Xinjiang Corps Medical Insurance" mobile APP) to complete registration, real-name authentication or out-of-insurance business, or go to the social security hall to handle related business. V
What is the reimbursement ratio of residents' basic medical insurance for hospitalization? The hospitalization reimbursement of residents' basic medical insurance is divided into three steps: first, it is integrated (according to the catalogue of drugs, diagnosis and treatment and service facilities of the Corps), second, the deductible line is deducted, and finally it is reimbursed in proportion. The maximum payment limit of residents' medical insurance fund in one year is 2, yuan. The threshold of residents' medical insurance hospitalization pooling fund is: 2 yuan, a first-class and below medical institution, 4 yuan, a second-class medical institution, and 8 yuan, a third-class medical institution. The insured shall seek medical treatment in designated medical institutions within the same year, and pay the corresponding Qifubiaozhun for each hospitalization according to the above provisions. Residents' medical insurance enters the overall cost, and the fund payment ratio is 75% for tertiary medical institutions, 85% for secondary medical institutions and 9% for primary medical institutions. The proportion of hospitalization reimbursement for poor people, low-income people and residents returning to poverty-stricken population in secondary and tertiary medical institutions increased by 5 percentage points on the basis of the above. (6)
What is the treatment standard for serious illness of residents in basic medical insurance? The high medical expenses incurred by the insured residents suffering from serious illness shall be guaranteed by the serious illness insurance after being paid by the residents' basic medical insurance according to the regulations. The threshold for residents' serious illness insurance is 15, yuan. The medical expenses above the threshold of residents' serious illness insurance shall be paid in proportion by stages. The specific standards are as follows: 6% for -1, yuan (including 1, yuan), 7% for 1-2, yuan (including 2, yuan), and 8% for 2,-3, yuan (including 3, yuan). The minimum threshold for serious illness of poor people, low-income people and residents returning to poverty is 7,5 yuan, and the medical expenses above the minimum threshold are paid in proportion, with the proportion of -1, yuan (including 1, yuan) being 65%, the proportion of 1,-2, yuan (including 2, yuan) being 75%, and the proportion of 2,-3, yuan (including 3, yuan). VII < P > How can a newborn be reimbursed for medical expenses when it participates in residents' medical insurance? Newborns who complete the payment of basic medical insurance for urban and rural residents in the Corps within 3 months from the date of birth can enjoy the basic medical insurance benefits for residents from the date of birth to the month of payment. If there is a new year's eve between the date of enrollment and the date of birth of the newborn insured within 3 months, it is necessary to pay the basic medical insurance fee for urban and rural residents for two years at the same time. If a newborn completes the payment of the basic medical insurance for urban and rural residents of the Corps from 3 months after the date of birth to one year old, the start time of its enjoyment is the month of payment. VIII < P > What are the relevant regulations for residents' insured persons to seek medical treatment in different places? (1) Insured residents who want to live in a different place need to bring the residence or work certificate of the resettlement place to the social security branch to fill in the Registration Form for Medical Treatment in Different Places in the Corps or the Registration Form for Medical Treatment in Different Provinces in the Corps, or go through the medical insurance service platform APP line of Xinjiang Corps and go through the medical treatment procedures in different places. The time limit for the insured to seek medical treatment in different places is 6 months, which shall not be changed within 6 months. (II) The insured person of the Corps shall go through the medical record in different places according to the regulations, and the outpatient, chronic and special diseases and hospitalization expenses incurred during the temporary return to the overall planning area shall be settled online according to the payment ratio of medical institutions at the same level in the overall planning area. (3) Since September 7, 221, the medical expenses incurred by the insured in the Corps due to emergency and rescue in other co-ordination areas can be temporarily filed for emergency and rescue with the medical records (including chief complaint, current medical history, diagnosis and treatment) and hospitalization certificates issued by medical institutions before discharge, and can be directly settled and reimbursed through the Internet. (4) For the insured person who really needs to be transferred to a medical institution outside the Eighth Division as a whole due to illness, the First Affiliated Hospital of Shihezi University will issue a transfer certificate and the hospital will directly handle the transfer procedures. (5) The seriously ill patients who really need regular radiotherapy and chemotherapy in different places need continuous radiotherapy and chemotherapy in the same medical institution within six months after going through the referral and transfer procedures, and there is no need to go through the referral and transfer procedures again. 9
What benefits can residents enjoy in outpatient service? (a) outpatient chronic diseases, serious illness residents medical insurance outpatient chronic diseases, serious illness annual overall fund payment limit (see the table below) (II) residents "two diseases" residents "two diseases" refers to hypertension and diabetes; The annual reimbursement limit for drug purchase for hypertension is 3 yuan/person; The reimbursement limit for purchasing drugs for diabetes is 4 yuan/person, and the reimbursement ratio is 6% (the individual pays in advance for Class B drugs is 1%). (III) Residents' Outpatient Service Co-ordinates the medical expenses incurred by residents in outpatient service, and they can also enjoy the reimbursement policy of 8 yuan/the whole year. X
what benefits can I enjoy if I participate in the basic medical insurance for residents? Insured residents with long-term disability due to old age, illness, disability and other reasons can also apply for long-term care insurance benefits. Before 216 (including 216), those who have participated in the medical insurance for residents in the city will enjoy long-term care insurance benefits in accordance with the regulations in the month after the start of long-term care insurance. From 217 onwards, those who participate in the long-term care insurance for the first time in this co-ordination area will be given a two-year waiting period, during which they will not enjoy the long-term care insurance benefits. New insured persons who have been insured for more than 2 years in this overall planning area can enjoy long-term care insurance benefits normally. If the medical insurance relationship of the insured person is transferred from other areas to the local area, the long-term care insurance in that year shall be regarded as the new insurance.
attachment: details of the funding standards for all kinds of insured persons in the residents' medical insurance of the Eighth Division in 223
Address of Shihezi Medical Security Bureau of the Eighth Division: 5th Floor, Main Building of Party and Government Service Center, Shihezi Development Zone. You can take bus H1, H2, 1 and 12 in the city and get off at the Party and Government Service Center.
contact telephone number of organs and departments of medical security bureau: _ office (policy and regulation section) No.151: 993—277413 993—22 993—26976 993—26971 (organization of personnel, comprehensive business, party building and clean government)
All departments of medical insurance center. House No.151: 993—2614256 993—277413 993—2614235 993—269723 (Organization of Personnel, Comprehensive Business, Party Building, Party Style and Clean Government) _ Door number of Long-term Care Insurance Management Section: 2428: 993—2613126 993—2613191 993—261317 993—269732 (Determination of collection, transfer and payment period of long-term care insurance and medical insurance) _ House number of Medical Security Service Section 2427: 993—261576 993—261571 993—261582 993—261583 993—261593 995 (reimbursement of medical maternity insurance, management of chronic and special diseases in outpatient department, management of designated medical institutions and pharmacies) _ The number of the Department of Medicine Price and Bidding Procurement is 158: 993—261424 993—269779 993—2614238 993—2614237 (unified procurement of medicines and medical consumables, medical assistance). _ The number of the Audit Department is 2428: 993—2613157 993—261311 993—2613135 993—269719 (two institutions supervise and report cases) _ fund finance department house number 159: 993—2614292 993—2614281 993—2614236
No. of social security branches in Shihezi, Eighth Division Tel: Xiangyang Social Security Branch: 993—756837 Dongcheng Social Security Branch: 993—26675 Laojie Social Security Branch: 993. 993—269723 Hongshan Social Security Branch: 993—26653 Xincheng Social Security Branch: 993—756819 Shihezi Town Social Security Branch: 993—26612 121 Social Security Branch: 993—521619 133 Social Security Branch: 993—579129 134 Social Security Branch: Bureau: 99—6936527 141 Social Security Branch: 993—5751464 142 Social Security Branch: 993—563572 143 Social Security Branch: 993—519878 144 Social Security Branch: 993—59563 Stone General Field (Beiquan Town) Social Security Branch: 993-2266479 147 Social Security Branch: 993-5363189 148 Social Security Branch: 993-538754 149 Social Security Branch: 993-5667347 15 Social Security Branch: 993-5163129 152 Social Security Branch: 993-28142.