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How to pay medical insurance premiums for urban and rural residents

Legal analysis:

1. Payment method: Currently, the basic medical insurance premiums for urban and rural residents are mainly collected through bank withholding, supplemented by cash payment. Among them, the district civil affairs department is responsible for organizing the work of participating in the basic medical insurance for urban and rural residents for those who have the minimum subsistence allowance. The funds required for payment are borne by the district civil affairs bureau, and individuals do not pay.

2. Processing time: Those who meet the conditions for participating in resident medical insurance pay annually, and the payment period is from September to December each year. If the payment is successful, they will enjoy medical insurance from January 1 to December 31 of the following year. Assure. For babies born within the year, insurance premiums can be paid before June 25. After successful payment, the benefit period is from the 1st of the month following successful payment to December 31 of the current year.

3. Materials required for application: For those who participate in the insurance as a family unit, they need to hold their resident ID card and household registration book, and keep a copy of the household registration book and a recent one-inch color bareheaded photo. . Among them, people with minimum subsistence allowances need to provide the original copy of the "Urumqi Minimum Subsistence Security Personnel Benefit Receipt Certificate" to participate in the insurance. People with disabilities need to provide the original and duplicate copies of the "Disabled Persons Card of the People's Republic of China" to participate in the insurance. Low-income elderly people need to provide proof of low income to participate in the insurance, and special education students need to provide school certificates.

Legal basis:

"Social Insurance Law of the People's Republic of China"

Article 28 In line with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.

Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) Should be paid from the work-related injury insurance fund;

( 2) Should be borne by a third party;

(3) Should be borne by the public health department;

(4) Seek medical treatment abroad.

Medical expenses should be borne by a third party according to law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund will pay first. The basic medical insurance fund pays first and then rents, and has the right to recover from the third party.

Article 31: Based on the needs of management services, social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behaviors.

Medical institutions should provide reasonable and necessary medical services to insured persons.

Derived questions:

How to transfer online medical insurance from another place to the local one?

The handling personnel shall bring the "Basic Pension Insurance Participation and Payment Voucher" issued by the social security agency in the place of transfer, the return letter of "Unemployment Insurance Relation Acceptance Letter", the "Basic Medical Insurance Participation and Payment Voucher", and the insurance A copy of the person's ID card and the "Unemployment Insurance Relationship Transfer Form for Active Employees" issued by the social insurance agency in the place of transfer can be used to go to the social insurance transfer window of the Human Resources and Social Security Bureau to complete the transfer procedures. If the transfer of medical insurance is handled across provinces, social security and medical insurance are two separate and independent departments. To transfer medical insurance, you need to print the "Basic Medical Security Participation (Consolidated) Voucher", go to the local social security online service hall to handle it, and then take the insurance voucher to the Social Security Bureau of your current place of employment to submit the materials.

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