The social medical insurance system currently implemented in Jiaxing City is applicable to employees of urban units. Rural residents cannot currently participate in social medical insurance, but they can participate in the cooperative medical insurance for urban and rural residents. The annual insurance fee is not high. The specific procedures are as follows: For policies, please refer to the following municipal government documents:
In order to further promote the cooperative medical insurance for urban and rural residents at the municipal level, do a good job in the pilot work of the new rural cooperative medical system in the province, and accelerate the integration with the urban employee medical security system pace to gradually realize the integration of urban and rural social medical security. The following opinions are now put forward to further improve the cooperative medical insurance work for urban and rural residents at the municipal level in 2005-2006. Please implement it conscientiously.
1. Objectives and tasks
(1) The participation rate of rural residents’ cooperative medical insurance on a district basis should reach more than 90%; the participation rate of universal cooperative medical insurance should reach more than 50%. .
(2) Actively organize urban residents, primary and secondary school students with non-local household registration who are studying or working locally and apply for temporary residence permits, and rural enterprise employees and other floating populations to participate in cooperative medical insurance, and gradually increase the participation rate.
(3) Comprehensively implement computer information management, realize interface networking between cooperative medical management agencies and designated medical institutions above township health centers (community health service centers), and actively implement a real-time reimbursement system.
(4) The cooperative medical insurance pooling fund shall be managed at the district level; the pooling year shall be consistent with the fiscal year.
(5) Implement the personnel, office space, office facilities, and working funds of municipal, district, town (street) cooperative medical management (management) agencies to meet provincial-level standardized construction requirements.
2. Insured objects
(6) Rural residents and urban residents with local household registration who are not insured by the basic medical insurance system and non-enterprise employee medical insurance and their child.
(7) Floating population such as non-local primary and secondary school students and rural enterprise employees who are studying or working locally and applying for temporary residence permits.
3. Policies and Measures
(8) Financing methods. In 2005-2006, the city-level cooperative medical insurance funds were composed of three parts: individual investment, collective support and government funding. They were specifically raised according to the following standards:
1. Major illness cooperative medical insurance. The individual contribution for rural residents to participate in the serious illness cooperative medical insurance is 30 yuan/person·year. The district and town (subdistrict) finances provide subsidies at the standard of 10 yuan/person·year to rural residents participating in the serious illness cooperative medical insurance. The municipal finance provides a subsidy of 5 yuan/person·year to urban and rural residents participating in the serious illness cooperative medical insurance at the municipal level.
The serious illness overall fund is composed of 30 yuan/person·year contributed by individuals and 30 yuan/person·year financed by the province, city, district, town (street) and collective support funds. The total financing limit Not less than 60 yuan/person·year.
2. Universal cooperative medical insurance. The individual contribution for rural residents to participate in the universal cooperative medical insurance is 60 yuan/person·year. The district and town (sub-district) finances will subsidize urban and rural residents who participate in the universal cooperative medical insurance at a standard of no less than 15 yuan/person·year. The municipal finance provides subsidies at the standard of 15 yuan/person·year to urban and rural residents participating in the universal cooperative medical insurance at the municipal level.
The universal cooperative medical fund is composed of 60 yuan/person·year contributed by individuals and 50 yuan/person·year financed by the province, city, district, town (township, street) and collective support funds. The total financing amount shall not be less than 110 yuan/person·year. Among them, the universal overall pool fund shall not be less than 60 yuan/person·year. The universal personal account fund is established on a household basis and is no less than 50 yuan/person·year.
The individual contribution standards for urban residents and landless farmers to participate in the universal cooperative medical insurance are determined by each district.
3. Village-level collective economic organizations and urban communities must provide support to residents participating in cooperative medical insurance, and the specific details shall be determined by each district based on the actual conditions of each region. All other government-funded funds and social donations are included in the cooperative medical insurance pooling fund.
4. In principle, the following people participate in the universal cooperative medical insurance: (1) Local primary and secondary school students with rural household registration who are receiving compulsory education, in principle, participate in the universal cooperative medical insurance on a household basis; (2) ) Primary and secondary school students with non-local household registration who are studying locally and applying for a temporary residence permit; (3) For non-local registered employees in rural enterprises, the personal investment standards are the same as those of rural residents in insured areas, and their government subsidies are borne by the enterprises where they work, and they are at the forefront of tax (4) Urban residents and landless farmers; hold the "Minimum Living Security Assistance Certificate" or "Social Assistance Fund Receipt Certificate" issued by the civil affairs departments of the two districts and the Social Development Bureau of Jiaxing Economic Development Zone, and the "Special Poverty Alleviation Certificate" issued by the Municipal Federation of Trade Unions Municipal-level subsistence allowance personnel, extremely poor employees and extremely poor disabled persons issued by the Municipal and District Disabled Persons' Federations. Each district will formulate policies to help solve the individual payment part of the universal cooperative medical insurance.
5. The construction of the city center, Xinxing, Nanhu, Xinjia, Jiefang and other five streets should be funded by the street investment part and the individual investment part of the above-mentioned "three certificates" insured objects, by the city and district. Each level's finance will bear 50%.
6. The municipal-level cooperative medical insurance overall fund is coordinated on a district basis and is managed at the district level.