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Is there any new policy for Shanghai Medical Insurance?

The Shanghai Municipal Government recently issued Document No. 44 announcing the "Shanghai Urban Resident Basic Medical Insurance Trial Measures", which will be officially implemented from January 1 next year. According to the measures, most insured persons, primary and secondary school students with Shanghai household registration, and infants and young children

You will pay 50% out-of-pocket for outpatient and emergency services, and only 40% of out-patient expenses for medical treatment in community medical institutions.

The trial measures are applicable to persons over 18 years old who have not participated in the Shanghai Urban Employee Basic Medical Insurance, Small Town Medical Insurance and New Rural Cooperative Medical Care and have urban household registration in this city, as well as primary and secondary school students and infants with household registration in this city.

Shanghai's urban residents' medical insurance fund consists of individual contributions, government financial subsidies, employee medical insurance fund transfers and special funds.

The financing standards and individual payment standards are determined according to the different age groups of the insured persons. They are tentatively determined as follows: for those over 70 years old, the financing standard is 1,500 yuan per person per year, of which 240 yuan is the personal payment; for those over 60 years old and under 70 years old,

The financing standard is 1,200 yuan per person per year, including 360 yuan for personal contributions; for those over 18 years old and under 60, the financing standard is 700 yuan per person per year, including 480 yuan for personal contributions; for primary and secondary school students and infants, the financing standard is 260 yuan per person per year

, of which the individual payment is 60 yuan.

The fund is included in the special financial account of the social security fund, subject to unified management, separate accounts, dedicated funds, and subject to the supervision of the finance and audit departments in accordance with regulations.

The medical expenses incurred by insured persons in outpatient, emergency and hospitalization shall be paid by the resident medical insurance fund in different proportions, and the remainder shall be borne by the individual: for persons over 70 years old, 70% of hospitalization expenses shall be paid by the medical insurance fund, and 50% shall be paid for outpatient and emergency services; for those aged 60 years and above,

People over 70 years old and under 70 years old will pay 60% for hospitalization and 50% for outpatient and emergency care; people over 18 years old and under 60 years old will pay 50% for hospitalization. The annual cumulative outpatient and emergency medical expenses exceeding 1,000 yuan will be paid by the medical insurance fund.

50%; for primary and secondary school students and infants, 50% is paid for hospitalization and 50% for outpatient and emergency services.

Insured persons receive outpatient treatment at first-level medical institutions such as community health service centers, and 60% of the expenses are paid by the medical insurance fund.

After the insured persons enjoy the above medical insurance benefits, they will no longer enjoy the labor insurance benefits of the dependent unit and other basic medical security benefits stipulated by Shanghai.

The registration and payment period for resident medical insurance is from October 1 to December 20 each year, and you will enjoy corresponding resident medical insurance benefits the following year.