No, you can't use it until your child has done it.
Urban residents' medical insurance is a medical insurance system that mainly targets urban minors who have not participated in urban workers' medical insurance and unemployed residents. It is an important measure for the CPC Central Committee and the State Council to further solve the medical security problems of the broad masses of people and continuously improve the medical security system after the implementation of the basic medical insurance system for urban workers and the new rural cooperative medical system. It mainly makes institutional arrangements for medical insurance for non-employed residents in cities and towns. The appearance of this system is of great significance in the course of social insurance system reform in China, and points out the direction of social insurance system reform in China.
In p>1998, China began to establish the basic medical insurance system for urban workers. In order to achieve the goal of basically establishing a medical security system covering all urban and rural residents, the State Council decided to carry out the basic medical insurance for urban residents on a pilot basis from 27.
The editing of the handling method
specifically includes four items, and if the information provided by the applicant is complete, it shall be handled immediately; If the information is incomplete, it will not be accepted for the time being, and the applicant shall be informed of what information should be supplemented. The details are as follows:
(1) Instructions for applying for insurance (enrollment)
1. Providing information (the following information should be accompanied by the original and a copy of A4 paper):
① Persons under the age of 18: Household Register (all members' information in the Household Register must be copied) and Identity Card (those under the age of 16 who have not obtained an ID card are not required to provide it).
② Those who are still studying in full-time schools over the age of 18: Household Registration Book (all members' information in the Household Registration Book needs to be copied), Identity Card, and school registration certificate issued by their school.
③ Non-employed urban residents over the age of 18: Hukou Book (all members' information in Hukou Book must be copied); "Identity Card" (demobilized soldiers need to provide certificates of retirement or job transfer).
④ objects of subsistence allowances: Hukou Book, Identity Card and Certificate of Obtaining Minimum Living Allowance for Urban and Rural Residents (Villages) in Guangdong Province.
2. Handling process:
Handling department: ① Urban residents living in the sub-district offices of Qiaoxi, Qiaodong, Jiangnan, Jiangbei, Longfeng and He 'nan 'an in Huicheng District go to the Relations Unit of Huicheng Social Security Bureau for handling; ② Urban residents living in Danshui Sub-district Office in the county town and Huiyang District, and Aotou Sub-district Office in Daya Bay District shall go to the relationship unit of the local social security bureau for handling; ③ Urban residents living in other counties (districts), townships and towns (street offices) shall go to the local labor security management office or social security bureau for handling.
after the business is completed, the handling personnel will print the proofreading form for the increase in the number of employees in Huizhou's basic medical insurance for urban residents and give it to the applicant on the spot. If the applicant finds any mistakes or omissions, he must go to the handling department to correct them within five working days. If it fails to do so within the time limit, it will be regarded as correct.
the business acceptance time is from January to 24th of each month, and the business declared in the current month will take effect from the following month. The social security year is from July 1st of that year to June 3th of the following year, and the medical insurance premium in one social security year shall be paid in one lump sum, and the medical insurance premium in the next social security year shall be paid in one lump sum from June 1st to 3th of each year.
(2) Instructions for applying for termination of insurance (downsizing)
1. Provide information (the following information requires originals and copies of A4 paper):
① Employment: sign a labor contract with the employer's certificate.
② Exit: With the Passport of the People's Republic of China and the Identity Card.
③ death: with the death certificate or the valid certificate of the local police station and the ID card.
2. Handling process:
Handling department: go to the relationship unit of the social security bureau or the labor security office where you are insured.
fill in the form: application form for increase (decrease) of basic medical insurance for urban residents in Huizhou city in duplicate.
after the business is completed, the handling personnel will print the "Verification Form for Reduction of Staff in Huizhou Basic Medical Insurance for Urban Residents" and give it to the applicant on the spot. If the applicant finds any mistakes or omissions, please go to the handling department to correct them within five working days. If it fails to do so within the time limit, it will be regarded as correct.
the business declared before 25th of the current month will take effect from the following month, and the paid medical insurance premium will not be refunded.
(3). Notes on the change of bid information
1. Provide information (the following information should be accompanied by the original and its A4 copy):
① Change of the name or ID card of the household: with the Household Registration Book and ID card.
② Change of the name or ID card of the insured: with the ID card.
③ change of household registration address, contact telephone number and other related information: based on the Household Registration Book or application form and other related information.
④ change of payment standard: students over the age of 18 who are still studying in full-time schools should present their certificates by their schools.
2. Handling process:
Handling department: go to the relationship unit of the social security bureau or the labor security office where you are insured.
fill in the form: Huizhou City Urban Residents' Insured Information Correction Checklist in duplicate.
after the business is completed, the handling personnel will print the Checklist for Correcting the Insurance Information of Urban Residents in Huizhou City and hand it over to the applicant on the spot. If there are any mistakes or omissions, please go to the handling department to correct them within five working days. If they fail to do so within the time limit, they will be treated as correct.
(4). Instructions for printing, consulting and inquiring the information of applying for insurance
1. Printing: With the householder's "ID card", you can go to the social security bureau's relationship unit or labor security office where you are insured, and print the insurance information of the previous year in July every year.
2. Consultation and inquiry: With the ID card of the insured person, go to the relationship unit of the social security bureau or the labor security office where the insured person is located.
(5) Precautions
If the information provided by the applicant is complete, it will be handled immediately; If the information is incomplete, it will not be accepted for the time being, and the applicant shall be informed of what information should be supplemented.
The main difference between editing
and employee medical insurance
First, it faces different people. The medical insurance for urban workers is mainly for employees and retirees who have work units or are engaged in individual economy. Urban residents' medical insurance mainly faces elderly residents who have urban household registration and have no jobs, low-income objects, severely disabled people, students and children and other urban non-employees;
Second, the payment standards and sources are different. Medical insurance for urban workers is paid by the employer and individual workers, and does not enjoy government subsidies. The payment standard of urban residents' medical insurance is generally lower than that of employees' medical insurance, and the government gives appropriate subsidies on the basis of individual contributions;
Third, the treatment standards are different. Due to the low level of financing, the medical treatment standard of urban residents' medical insurance is slightly lower than that of employees' medical insurance.
Fourth, the payment requirements are different. If the minimum payment period is set for medical insurance for urban workers, and the payment period reaches 25 years for men and 2 years for women, they can enjoy basic medical insurance benefits without paying after retirement; Medical insurance for urban residents does not set a minimum payment period, and it must be paid every year. If you don't pay, you don't enjoy treatment.
Medical Insurance Subsidy Editor
In p>213
Premier Wen Jiabao of the State Council presided over the the State Council executive meeting to study and deploy the deepening reform of the medical and health system during the Twelfth Five-Year Plan period. The meeting pointed out that the current medical reform still faces some prominent contradictions and problems, especially the deep-seated contradictions such as institutional and structural problems have not been resolved. We must further strengthen organizational leadership and push the reform further.
The meeting said that during the Twelfth Five-Year Plan period, we should focus on building a basic medical and health system in line with China's national conditions and make key breakthroughs in three aspects:
First, we should speed up the improvement of the universal medical insurance system. Consolidate and expand the coverage of basic medical insurance, focusing on migrant workers, employees of non-public economic organizations, flexible employees, and retirees from bankrupt enterprises and employees of difficult enterprises. Improve the level of basic medical insurance. By 215, the government subsidy standard for urban residents' medical insurance and the new rural cooperative medical system will be raised to above 36 yuan per person per year, and the proportion of hospitalization expenses within the scope of the three basic medical insurance policies will reach about 75%. Reform and improve the medical insurance payment and medical assistance system. Actively develop commercial health insurance.
the second is to consolidate and improve the basic drug system and the new operating mechanism of primary medical and health institutions. The implementation scope of the basic drug system has gradually expanded to village clinics and non-governmental primary medical and health institutions. Continue to support the standardization of village clinics, township hospitals and community health service institutions, and train more than 15, general practitioners for primary medical and health institutions.
Third, actively promote the reform of public hospitals. Deepen the reform of compensation mechanism, break the mechanism of "supporting doctors with medicine", and promote the separation of medicine and management. Establish modern hospital management system, standardize diagnosis and treatment behavior, and mobilize the enthusiasm of medical staff. In 215, it is necessary to achieve the goal of phased reform of county-level public hospitals and comprehensively push forward the reform of urban public hospitals.
In 214
On April 25th, 214, I learned from Ministry of Human Resources and Social Security that China will further improve the financial subsidy standard for urban residents' medical insurance, and in 214, the per capita will be no less than that of 32 yuan, and the individual payment standard will be adjusted accordingly. [1]
In 215,
The Notice on Doing a Good Job in the Basic Medical Insurance for Urban Residents in 215 jointly issued by the Ministry of Human Resources and Social Security and the Ministry of Finance pointed out that in 215, the subsidy standards for residents' medical insurance by governments at all levels will increase in 6 yuan on the basis of 214, reaching the per capita 38 yuan. Among them, the central government subsidizes the 12 yuan base according to the original proportion, subsidizes the increased 26 yuan according to the proportion of 8% in the western region and 6% in the central region, and subsidizes the eastern provinces according to a certain proportion. At the same time, in order to balance the responsibilities of the government and individuals, a sustainable financing mechanism should be established. In 215, residents' individual contributions will be higher in 3 yuan than in 9 yuan in 214, and the per capita contribution will be not lower than in 12 yuan. [2]
Implementation case editor
Since 215, the individual payment part of the basic medical insurance for urban residents in Beijing will also implement new standards. This is the first time since 211 that Beijing has raised the individual payment standard for urban residents' medical insurance. [3]
Among them, the individual payment standard for students and children will be adjusted from 1 yuan per person per year to 16 yuan per person per year; The elderly in cities and towns are adjusted from 3 yuan to 36 yuan per person per year. Unemployed residents will be adjusted from 6 yuan to 66 yuan per person per year, and unemployed residents with disabilities and Grade 7-1 disabled soldiers will be adjusted from 3 yuan to 36 yuan per person per year. [3]
The payment time of medical insurance for urban residents in 215 is from September 1th to the end of November, 214. Insured residents should go through the insurance formalities in time according to the new standards and fully prepare the insurance payment funds. [3]
At present, the outpatient reimbursement policy of residents' medical insurance requires continuous participation for more than one year. If the insurance payment procedures are not handled on time, the payment may be cut off, which will affect the outpatient reimbursement of the insured person in the next year. [3]
Editing by Law
Guiding Opinions of the State Council on Launching the Pilot Project of Basic Medical Insurance for Urban Residents
Guo Fa [27] No.2
People's governments of all provinces, autonomous regions and municipalities directly under the Central Government, ministries and commissions of the State Council and institutions directly under it:
The CPC Central Committee and the State Council attach great importance to solving the medical security problems of the broad masses of the people and constantly improve the medical security system. In 1998, China began to establish the basic medical insurance system for urban workers, and then launched the pilot of the new rural cooperative medical system, and established the urban and rural medical assistance system. At present, there is no medical security system arrangement mainly for urban non-employed residents. In order to achieve the goal of basically establishing a medical security system covering all urban and rural residents, the State Council decided to launch a pilot program of basic medical insurance for urban residents from 27. All localities and departments should fully understand the importance of this work, regard it as an important task to implement Scientific Outlook on Development and build a harmonious socialist society, attach great importance to it, make overall plans, standardize and guide it, and make steady progress.
objective principle
(1) pilot objectives. In 27, two or three cities were selected from provinces with
medical insurance for urban residents. In 28, the pilot cities were expanded, aiming to reach more than 8% in 29. In 21, the pilot cities will be fully promoted throughout the country, gradually covering all urban non-employed residents. It is necessary to explore and improve the policy system of basic medical insurance for urban residents through pilot projects, form a reasonable financing mechanism, a sound management system and a standardized operation mechanism, and gradually establish a basic medical insurance system for urban residents with serious illness as a whole.
(2) pilot principle. The pilot work should start at a low level, reasonably determine the financing level and security standards according to the level of economic development and the affordability of all aspects, focus on ensuring the medical needs of non-employed urban residents for serious illnesses, and gradually improve the security level; Adhere to the principle of voluntariness and fully respect the wishes of the masses; Clarify the responsibilities of the central and local governments, the central government determines the basic principles and main policies, and the local governments formulate specific measures to implement territorial management of insured residents; Adhere to overall planning and coordination, and do a good job in connecting basic policies, standards and management measures among various medical security systems.
coverage and financing level
(iii) coverage. Students in primary and secondary schools (including vocational high schools, technical secondary schools and technical schools), children and other non-employed urban residents who are not covered by the basic medical insurance system for urban employees can voluntarily participate in the basic medical insurance for urban residents.
(4) the level of financing. The pilot cities should properly determine the financing level according to the local economic development level and the basic medical consumption needs of different groups such as adults and minors, and considering the affordability of local residents' families and finances; Explore the establishment of a mechanism linking the level of financing, payment period and treatment level.
(5) payment and subsidy. The basic medical insurance for urban residents is mainly based on family contributions, and the government gives appropriate subsidies. Insured residents pay the basic medical insurance premium according to the regulations and enjoy the corresponding medical insurance benefits. Conditional employers can subsidize the insured payment of employees' families. The state formulates tax incentives for individual contributions and unit subsidy funds.
The government will give the insured residents in the pilot cities an annual subsidy of not less than the per capita 4 yuan, in which the central government will make an annual special transfer payment from 27, and give subsidies to the central and western regions according to the per capita 2 yuan. On this basis, the government will, in principle, subsidize the part of the family contributions required for students and children who belong to the minimum living allowance or are severely disabled to participate in insurance, and the central government will subsidize the central and western regions according to the per capita 5 yuan; For other low-income recipients, severely disabled people who have lost their ability to work, elderly people with low-income families over 6 years old and other difficult residents who need to pay for insurance, the government will give subsidies every year at a rate of not less than the per capita 6 yuan. Among them, the central government will give subsidies to the central and western regions at a per capita 3 yuan. The central government will give appropriate subsidies to the eastern region with reference to the subsidy measures for the new rural cooperative medical system. The specific scheme of financial subsidy shall be determined by the financial department, labor and social security, civil affairs and other departments, and the subsidy funds shall be included in the financial budget of governments at all levels.
(6) payment of fees. The basic medical insurance fund for urban residents is mainly used for inpatient and outpatient medical expenses of insured residents, and areas with conditions can gradually try out outpatient medical expenses as a whole.
the use of the basic medical insurance fund for urban residents should adhere to the principle of fixed expenditure based on income, balance of payments and a slight balance. It is necessary to rationally formulate the minimum payment standard, payment ratio and maximum payment limit of the basic medical insurance fund for urban residents, improve the payment method, and reasonably control the medical treatment.