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Measures for the implementation of basic medical insurance for employees in Yantai and basic medical insurance for residents in Yantai
Chapter I General Provisions Article 1 In order to establish a unified basic medical insurance system for residents in the city and ensure the basic medical needs of residents, these measures are formulated in accordance with the Opinions of the People's Government of Shandong Province on Establishing a Basic Medical Insurance System for Residents (Lu [2013] No.31) and combined with the actual situation of our city. Article 2 The basic medical insurance for residents adheres to the principles of full coverage, basic insurance, multi-level and sustainability, and the financing standard and guarantee level are compatible with the economic and social development level of the whole city; Adhere to overall planning, urban and rural areas as a whole, integrate resources and improve efficiency; Adhere to the fixed expenditure by income, balance income and expenditure, and have a slight balance. Third urban and rural residents who are not included in the basic medical insurance for employees within the administrative area of this Municipality shall participate in the basic medical insurance for residents according to law. Article 4 The basic medical insurance for residents shall be coordinated at the municipal level, with unified coverage and items, unified payment standards, unified treatment standards, unified fund management, unified handling procedures and unified information management. Article 5 The municipal human resources and social security department is responsible for the basic medical insurance for residents in the whole city, and its affiliated medical insurance agencies are specifically responsible for the fund collection, payment and management of the basic medical insurance for residents.

The county government (Administrative Committee) is responsible for organizing the implementation of the basic medical insurance for residents within its jurisdiction. Township governments (street offices) are specifically responsible for the publicity of basic medical insurance policies for residents within their respective jurisdictions, enrollment registration, material review and collection.

The development and reform department is responsible for incorporating the basic medical insurance for residents into the national economic and social development plan and supervising its implementation.

The financial department is responsible for the budget arrangement, fund allocation and fund supervision of government subsidy funds.

The education department is responsible for organizing students (kindergartens) to participate in the basic medical insurance for residents, and do a good job in registration, collection and settlement of expenses.

The civil affairs and disabled persons' Federation departments are responsible for the confirmation, insurance payment and medical assistance of orphans, destitute people, urban and rural minimum living security objects, retired old workers and severely disabled people who enjoy regular quantitative relief.

The health and family planning department is responsible for strengthening the construction of designated medical institutions, supervising the service behavior of designated medical institutions and medical personnel at all levels, and taking measures to control the excessive growth of medical expenses.

Food and drug supervision, auditing, public security, price and other departments shall do a good job in the basic medical insurance for residents in accordance with their respective responsibilities. Chapter II Fund Raising Article 6 Governments at all levels (administrative committees) shall perform the territorial management duties of residents' basic medical insurance and include residents' participation in basic medical insurance in the comprehensive assessment of scientific development. Article 7 The basic medical insurance for residents shall be financed by combining individual contributions with government subsidies, establish a normal adjustment mechanism for individual contributions, rationally divide the financing responsibilities of the government and individuals, and appropriately increase the proportion of individual contributions while raising the standard of government subsidies. Insured residents are required to pay the basic medical insurance premium and enjoy the corresponding medical insurance benefits.

(1) The individual payment standard is divided into two grades. The payment standard for 20 18 years is: 230 yuan per person per year for Grade I and 380 yuan per person per year for Grade II.

(two) the government subsidy standards shall be implemented in accordance with the provisions of the state and the province, and shall be published by the financial department in a timely manner. The difference between the central and provincial subsidies is shared by cities, counties and cities.

(3) The payment standards for all kinds of students and other minor residents (hereinafter referred to as minor residents) are as follows: the individual payment standards for all kinds of students are temporarily implemented according to 20 17, and other minor residents pay according to the first grade.

(four) adult residents can choose the payment grade voluntarily according to the economic conditions and medical security needs. Once the individual payment grade is selected, it shall not be changed during the year. Among them, special groups pay fees according to the second-class standard, and encourage the poor people who set up files to choose the second-class payment to reduce their medical burden. Governments at all levels (administrative committees) shall, in accordance with the relevant provisions, subsidize the individual contributions of special groups and poverty-stricken people who have established files.

(five) the township government (street offices) and the village (neighborhood) committees should actively create conditions to give financial support to the residents.

Residents' individual payment standards and government subsidy standards shall be adjusted in a timely manner by the municipal human resources and social security department in conjunction with the municipal finance department according to the requirements of the central government and the province, and according to the economic and social development level of our city, residents' income, medical consumption demand and fund balance. Eighth basic medical insurance for residents to implement the annual payment system. The annual payment period for the next year is from September 1 day to February 1 day, and the insured residents shall pay the basic medical insurance premium for the next year during the payment period. The paid basic medical insurance premium will not be refunded after entering the medical insurance year.

(a) students in the school as a unit to organize insurance registration and payment, other residents to their domicile or residence township government (street offices) as a unit to organize insurance registration and payment.

(2) Special groups and poor people who set up files and set up cards shall be registered and paid by the civil affairs department, the disabled persons' Federation department and the poverty alleviation office.

(three) the newborn shall go through the insurance formalities within 90 days from the date of birth and pay the residents' basic medical insurance premium in the year of birth, and enjoy the residents' medical insurance benefits from the date of birth.

(4) Actively implement universal enrollment registration, speed up the reform of collection methods, implement simple, safe, efficient and acceptable personal payment methods such as card payment and online payment, and strive to expand coverage and improve the enrollment rate.