Attention! The centralized payment of medical insurance for urban and rural residents in Shaanxi Province will begin in 2022. This information is very important.

On August 22nd, the reporter learned from Shaanxi Medical Security Bureau that the centralized payment period of medical insurance for urban and rural residents in our province in 2022 is from September 1 day to February 20th, 2022, and the specific payment time will be announced to the public by the medical insurance and tax departments in all the co-ordination areas. During the centralized payment period, the period for the insured to enjoy the medical insurance benefits is 1 in October 1 to February 20231. In 2022, the financial subsidy standard for medical insurance for urban and rural residents will be 6 10 yuan per person per year, and the payment standard for individual insurance will be 350 yuan per person per year.

Per capita financial subsidy standard plus 30 yuan.

Reach 6 10 yuan per person per year.

Recently, Shaanxi Provincial Medical Security Bureau forwarded the Notice of People's Republic of China (PRC) National Medical Security Bureau, Finance Bureau and State Taxation Administration of The People's Republic of China on Doing a Good Job in Basic Medical Security for Urban and Rural Residents in 2022. According to the requirements of the circular, in 2022, the financing standard of basic medical insurance for urban and rural residents (hereinafter referred to as "residents' medical insurance") will continue to be raised, the per capita financial subsidy standard will be raised in 30 yuan, reaching 6 10 yuan per person per year, and the individual payment standard will be raised in 30 yuan, reaching 350 yuan per person per year. Shaanxi Provincial Medical and Social Security Bureau requires that all co-ordination areas should be carefully organized and put in place as required.

Who can participate in residents' medical insurance?

The reporter learned that the residents' medical insurance system covers all urban and rural residents except those who participate in the basic medical insurance for employees (hereinafter referred to as employee medical insurance) or enjoy other medical security systems according to regulations, including rural residents, urban non-employed residents, students at school, and permanent residents who have obtained residence permits in the overall planning area (/kloc-children under 0/2 years old, whose guardians have household registration or residence permits in the overall planning area can be regarded as having obtained residence permits), who live in the mainland (mainland) and have not applied for residence permits for Hong Kong, Macao and Taiwan residents.

In 2022, the financial subsidy standard for residents' medical insurance is 6 10 yuan per person per year. After the implementation of the policy of dividing the powers of urban and rural residents' basic medical insurance, in accordance with the provisions of the Notice of Shaanxi Provincial Department of Finance on Financial Transfer Payment, financial subsidies will continue to be shared by governments at all levels. According to the relevant notice and considering the reality of economic development, it is determined that the individual payment standard of medical insurance for residents in Shaanxi Province in 2022 is 350 yuan per person per year.

In the year when the active servicemen retired from active service, the unemployed spouses with the army participated in the residents' medical insurance in the year when the active servicemen retired from active service, and the college students who graduated from other provinces and returned to Shaanxi to study in that year participated in the residents' medical insurance. Medical insurance premiums shall be paid according to the individual participation payment standard of medical insurance for residents in Shaanxi Province in 2022.

Can enjoy multi-identity insurance funding.

Insured person

You can only enjoy it in one capacity.

The medical insurance premium for residents in the province is funded by some insured individuals, and the insured funds are solved by financial funds and medical assistance funds. Insured persons who can enjoy multi-identity insurance subsidies can only enjoy the corresponding insurance subsidy policy according to one identity, and cannot enjoy the insurance subsidy policy repeatedly.

( 1)

The poor and orphans (including children who are actually neglected) will receive full subsidies. To be included in the scope of monitoring the minimum target, the rural poor (unstable poor households, marginal poor households, families with sudden serious difficulties) to give a fixed amount of funding, the city and county financial support standards are determined by the municipalities themselves. After enjoying the subsidy, the individual shall bear part of it and pay it by the insured.

(2)

The poverty-stricken population identified by the rural revitalization department shall enjoy the insurance subsidy policy in accordance with the regulations during the transition period, and give a fixed subsidy according to the minimum living allowance standard.

(3)

Finance for rural original family planning families (households) insured individual contributions continue to be subsidized according to the original policy.

The poverty-stricken population, orphans (including children who are actually left unattended), low-income recipients, and rural population (unstable poor households, marginal poor households, and suddenly severely needy households) that are included in the monitoring scope shall be approved by the civil affairs department and the rural revitalization department respectively, and the identification time shall be subject to the identification results of relevant departments before August 3/Kloc-0 of the year of payment. After September 1 every year, the relevant departments will dynamically add new personnel and enjoy the insurance subsidy policy, which will be the basis for the next year's identification.

Exceeding the period of centralized payment

Uninsured payment

Do not enjoy the insurance year.

Residents' medical insurance benefits

The centralized payment period of medical insurance for residents in the province is from September 1 day to February 20, 2022. The start-up time of each overall planning area shall be agreed by the medical insurance department and the tax department of the overall planning area, and shall be announced to the public in a timely manner. Due to special circumstances, it is necessary to extend or shorten the time of centralized payment, which shall be announced to the public by the provincial tax department in consultation with the medical insurance and other departments, and shall be uniformly implemented by the whole province. The general insured must pay the residents' medical insurance premium during the centralized payment period. After payment, residents can enjoy medical insurance benefits from 10/in October to 1 in February 2023. Those who have not been insured for more than the centralized payment period shall not enjoy the medical insurance benefits for residents during the insured year.

If employees need to participate in the residents' medical insurance in the current year after the interruption of medical insurance during the medical insurance period, they should register the residents' medical insurance in time after the interruption of the original insurance relationship. After the payment is completed according to the individual payment standard stipulated by the whole province, the treatment enjoyment period starts from the next month after participating in the residents' medical insurance payment to the date of 65438+February 3 1 or changing again.

From June 5438+1 October1day, 2023, within 90 days after the birth of the newborn, the guardian will register with the medical insurance agency at the place where the newborn's household registration or residence is located, and pay the medical insurance premium of the year of birth. The treatment period is from the date of birth to 1 February. If the newborn fails to pay the medical insurance premium of the year of birth within 90 days, it can be insured according to the individual payment standard stipulated by the whole province in that year. After the payment is completed, the treatment period is from the next month of payment in the year of birth to 65438+February 3 1.

The birth date of the newborn is less than 90 days from 65438+February to 3 1 day. Those who enjoy the medical insurance benefits of the year of birth must pay the medical insurance premium of the year of birth within 90 days after birth, and the period of enjoying the benefits is from the date of birth to 65438+February to 3 1 day. Those who enjoy the medical insurance benefits for the next year after birth must pay the medical insurance premiums for the next year within 90 days after birth. The treatment period is February 3 1 day 1 to 1 day. If you don't pay the corresponding annual medical insurance premium within 90 days, you can't enjoy the corresponding annual medical insurance benefits.

If the newborn dies after birth and the guardian pays the insurance money within 90 days from the date of birth, the medical expenses incurred after birth will be reimbursed according to the policy.

In those days, college students who have entered the school and new college students take the school (campus) as the unit to participate in the annual medical insurance for residents where the school is located, and enjoy medical insurance benefits from the date when students pay fees. If you are a person who enjoys government-funded insurance, you can choose to participate in school registration or identity recognition and enjoy medical insurance benefits for residents according to regulations. The medical insurance benefits enjoyed by college students who graduated this year during the enrollment year in Shaanxi Province lasted until 65438+February 3 1 year. After graduation, those who participate in employee medical insurance or move out of Shaanxi Province and move into other provinces shall be handled in accordance with relevant regulations.

Special personnel who are not insured during the centralized payment period, need to be insured after the start of the treatment enjoyment period and are allowed to be insured by the policy, and after completing the insurance payment according to the individual payment standard stipulated by the province, the treatment enjoyment period is calculated from the month after the residents' medical insurance payment. Insured persons who enjoy the classified funding of individual contributions should be insured during the centralized payment period. Those who are not insured during the centralized payment period do not enjoy the individual payment classification funding policy, and can enjoy the original medical insurance benefits after paying according to the individual payment standard stipulated by the province. The treatment period is calculated from the month after the payment of residents' medical insurance.

Persons with dynamic identity change during the insured year will enjoy the corresponding medical insurance benefits after the new identity change from the next month. Persons who change their identities during hospitalization in different months shall be hospitalized in accordance with the principle of benefiting the treatment of the insured.

The insured place must be at least the same as the household registration place.

Or place of residence.

Insured persons should take the initiative to pay according to the payment channels disclosed by the tax authorities at the domicile or place of residence, carefully check the personal identity and information of the insured place, and pay the insured individual contributions in full and on time. Insured individuals can inquire about the payment through the way announced by the tax department. The insured person's chosen place of insurance must be at least the same as one of the domicile or residence permit, in order to complete the declaration of insurance payment.

The newly-added insured persons who have no information from the tax department, or those who need to adjust the place of insurance payment in the new insurance year, must hold their valid household registration certificate, residence permit issued by the public security department of their long-term residence, and their valid ID card (special personnel must carry relevant identification certificates), and go to the medical insurance handling department where the household registration or residence permit is located for insurance registration. After the medical insurance handling department handles the insurance registration, it reminds and guides the insured person to pay the medical insurance fee in full according to the payment channels provided by the tax department, and the medical insurance handling department records the personal rights and interests of the insured person in time according to the medical insurance payment feedback from the tax department to ensure that the insured person enjoys the medical insurance treatment in time.

After the start of the centralized payment period, the 2022 annual policy allows special people who pay for insurance to apply for new insurance and payment according to the above process. Repeated insurance refers to the insurance information that the insured has twice or more normal insurance payment status in the same period of time. Repeated insured persons cannot enjoy medical insurance benefits repeatedly, and enjoy corresponding medical insurance benefits according to the principles of giving priority to employees' medical insurance, giving priority to college students' medical insurance and giving priority to permanent residence medical insurance.

After successful payment, the insured person enters the treatment enjoyment period (1, 2023), and the individual payment will not be refunded. Before the treatment enjoyment period, if you die, pay repeatedly, participate in employee medical insurance or participate in residents' medical insurance in other overall areas, you can apply for personal refund at the same time when the relevant residents' medical insurance participation relationship is terminated. The application for refund of the insured shall be submitted by the payer to the tax department of the original place of payment, and the refund shall be completed after the final approval of the medical department of the original place of payment.

Inter-annual medical insurance settlement for urban and rural residents who are insured continuously in the overall planning area shall be handled in accordance with the annual settlement policy of the discharge time of insured patients. Cross-annual and cross-regional insured inpatients shall be settled separately according to the settlement policies of different insured areas in the natural year.

At the same time of issuing the notice, Shaanxi Provincial Medical Security Bureau requires that all co-ordination areas should stabilize the hospitalization level of residents' medical insurance and ensure that the proportion of fund payment within the policy scope is stable at around 70%. Strengthen the outpatient assistance for chronic diseases and special diseases. The outpatient assistance and hospitalization assistance will be the same as the annual assistance amount, and the funds will be used as a whole to reduce the burden of medical expenses for chronic diseases and special diseases. Implement the three-child birth policy, do a good job in ensuring the medical expenses and benefits of residents' medical insurance and reproductive health care, and participate in neonatal insurance. Pay maternity medical expenses in full and on time according to regulations, and effectively protect the rights and interests of the insured.