2022 Xiamen Urban and Rural Resident Medical Insurance Adjustment Transition Period Payment Standards Starting from January 1, 2023, the annual adjustment of Xiamen’s medical insurance will be based on the natural year, that is, from July 1 of each year to June 30 of the following year, it will be adjusted to annual
From January 1st to December 31st, the second half of this year will be used as an adjustment and transition period.
"Three adjustments": During the transition period, the basic medical insurance payment standard for urban and rural residents will be paid on a half-year basis. The current basic medical insurance payment standard for urban and rural residents in our city is 1,140 yuan/person/year.
During the transition period, the current half-year standard is 570 yuan/person, of which the personal payment is 200 yuan/person and the subsidy is 370 yuan/person.
The medical premiums for urban and rural residents during the half-year transition period will be collected and paid from April to June this year.
It should be specially reminded that the medical insurance year is adjusted to a natural year, and the concentrated payment period for resident medical insurance is adjusted to October to December each year to pay the next year's premium. The specific payment standards will be implemented in accordance with the relevant laws and regulations of our country, that is, the 2023 payment will be made from October to December this year.
Medical insurance premiums for urban and rural residents from January to December of the year.
Adjustment 2: Employees’ medical insurance personal accounts will be pre-allocated on a semi-annual basis. On July 1 of each year, the city’s employees’ personal medical insurance account funds for the entire year will be pre-allocated to their personal accounts in one go.
During the transition period, the city’s employee medical insurance personal accounts will be pre-deposited in one go at a half-year standard.
Starting from 2023, the standards and methods for transferring personal accounts of employees in this city will be implemented in accordance with relevant laws and regulations of our country.
Adjustment 3: The family doctor contract service fee is charged at the half-year standard. The current standard for the family doctor contract service fee in our city is 120 yuan/person/year. During the transition period, it will be paid at the half-year standard of 60 yuan/person, of which the contracting individual is responsible for 10 yuan.
The medical insurance co-ordination fund will pay 35 yuan, and the basic public health service fund will bear 15 yuan.
Starting from 2023, it will be implemented in accordance with relevant laws and regulations of our country.
"One extension": During the transition period for the extension of the deadline for reimbursement of medical insurance expenses, that is, the deadline for reimbursement of medical insurance expenses incurred by insured persons from July 1 to December 31, 2022 is extended to September 30, 2023.
Starting from 2023, the medical insurance expenses incurred by the insured in the natural year will be reimbursed within 3 months after the beginning of the next natural year, that is, before March 31 of the following year.
"Stay unchanged": Medical insurance benefits remain unchanged In order to protect the rights and interests of insured persons, during the transition period, all medical insurance benefits of insured persons will remain unchanged, that is, basic medical insurance, serious illness medical insurance, and medical assistance will all be treated as one complete
Medical insurance is implemented annually and benefits remain unchanged.