What is the charging standard of Jiangsu social security in 2023?

Meeting Point News In order to do a good job in the basic medical insurance for urban and rural residents in 2023, according to the spirit of the Notice of the Municipal Government on Printing and Distributing the Municipal Overall Implementation Plan for Basic Medical Insurance and Maternity Insurance in Yangzhou (Yang Fu Fa [2065 438+09] 195), the relevant departments of Yangzhou issued a notice on doing a good job in the medical insurance for urban and rural residents in 2023.

First, the scope of the insured object

(1) Urban and rural non-employed residents, minor residents and newborns who have registered in Yangzhou;

(two) students within the administrative area of Yangzhou City (kindergarten children, primary and secondary school students, full-time students in institutions of higher learning and vocational and technical schools), students are not restricted by household registration, but they may not participate in insurance again;

(3) Non-employees who have obtained residence permits within the administrative area of Yangzhou City and are not registered in this Municipality;

(4) Other personnel who meet the requirements.

Second, the way to participate in insurance

(a) ordinary urban and rural residents and minor residents who are not insured (entrusted) shall go through the insurance registration procedures in their communities and administrative villages; Within 3 months from the date of birth of the newborn, the legal guardian shall go through the insurance registration formalities in the community and administrative village where the household registration is located (except for the five certificates that can be jointly handled through the "one-thing-to-one" system for newborn birth in designated hospitals); Non-employees who hold residence permits and are not registered in this Municipality shall go through the insurance registration procedures in the community or administrative village where they live.

(two) students in school by the school (nursery institutions) through the Jiangsu provincial national medical security public service platform for unified registration. In principle, eligible students with difficulties will be insured in their place of residence to reduce the burden of payment for students with difficulties. Local medical insurance agencies should strengthen communication and coordination with local schools and optimize the process of insurance payment. In September, 2022, 1 1, medical insurance agencies at all levels took schools as the unit and transmitted the effective enrollment registration information of students to the tax authorities according to the new insurance types, and the insurance types were valid until August 3 of the following year. The insurance information of the last year registered by the above-mentioned personnel before August 3 1 of that year will automatically become invalid.

Third, the mode of payment

There are four main payment methods: bank inquiry payment, tax window centralized declaration payment, online payment and self-service terminal payment.

(1) Bank-side inquiry payment refers to that ordinary residents go through relevant payment procedures at the outlet window of the handling bank with their ID cards (residence permits) after registering for insurance; Minor residents and newborns who are not enrolled in school (going to nursery school) shall go through the relevant payment procedures at the outlet window of the handling bank by presenting their ID card (residence permit) and the "Confirmation Sheet for Payment of Basic Medical Insurance for Urban and Rural Residents in Yangzhou" issued by communities and administrative villages.

(2) Centralized declaration and payment in the tax window refers to the units such as towns (streets), villages (communities) and schools that centrally handle the registration of medical insurance for urban and rural residents, and apply for summary declaration and payment in the window of the local tax authorities. The agency shall provide the payer's name, ID number, payment period, payment amount and other detailed information in the prescribed format.

(3) Online payment means that the payer handles relevant payment through online channels such as WeChat and Alipay, and searches for Jiangsu tax and social security payment.

(4) Self-service terminal payment refers to the relevant payment made by the payer through self-service terminal equipment such as tax-controlled silver POS machines.

Four, the insured payment time

The date of issuance of this notice to June 5438+February 3, 20221is the payment period of centralized medical insurance for urban and rural residents in 2023.

Verb (abbreviation of verb) financing methods and standards

Medical insurance for urban and rural residents shall be financed by combining individual contributions with financial subsidies, and individual contributions shall be subject to the annual payment system.

(A) individual payment standards

1. Ordinary urban and rural residents

In 2023, the individual payment standard for ordinary urban and rural residents will be 480 yuan/person. Medical insurance premiums paid by urban and rural residents will not be refunded after they enter the treatment enjoyment period (June 65438+1 October1to February 3, 20231) (except for repeated payment and wrong payment standard selection).

2. Students and children

In 2023, the individual payment standards for students, underage residents (kindergartens) and newborns will remain unchanged from 2022, and they will still be 260 yuan/person, enjoying the same treatment as ordinary urban and rural residents.

Newly enrolled students who are insured for the first time in this city will enjoy the corresponding medical insurance benefits for urban and rural residents from September 1 day, 2022, after they have obtained their school status and paid the medical insurance premiums for urban and rural residents in full on schedule (those who have been insured in other places and are within the treatment period).

(B) financial subsidy standards

The financial subsidy standard of medical insurance for urban and rural residents shall be implemented in accordance with the standards not lower than those stipulated by the state and the province.

(3) Financing standard for serious illness insurance

In 2023, the funding standard of serious illness insurance for urban and rural residents in the city is 100 yuan/person (paid from the medical insurance fund, and individuals do not pay).

(four) to give full financial assistance to eligible individuals who have difficulties in participating in the medical insurance for urban and rural residents.

According to the relevant requirements of the "Implementation Opinions of the General Office of the Provincial Government on Improving the Medical Insurance Assistance System for Serious and Serious Diseases" (No.54 [2022] of Su Zhengban), eligible key medical assistance recipients, low-income people with established files and other people with difficulties within the administrative area of this Municipality will participate in individual contributions for medical insurance for urban and rural residents after being identified by relevant functional departments, and they will be fully funded by governments at all levels.

Work requirements of intransitive verbs

All localities and relevant departments should establish a coordinated linkage mechanism between urban and rural residents' medical insurance participation and financing payment, adhere to the principle of "fixed income and expenditure, balance of payments and slight balance", and jointly do a good job in the implementation of individual medical insurance contributions and financial subsidies for urban and rural residents. Medical insurance departments at all levels should strengthen the comparison of insurance data in accordance with the requirements of "two risks" municipal co-ordination and review and rectification, avoid repeated insurance and enjoy treatment, and pay attention to the insurance payment and treatment guarantee for all kinds of difficult personnel. Financial departments at all levels should do a good job in the implementation of financial subsidy funds for urban and rural residents' medical insurance, and remit the subsidy funds to Yangzhou financial accounts in a timely manner. Tax departments at all levels should do a good job in the collection and payment of individual contributions for medical insurance for urban and rural residents. Education departments at all levels should do a good job in the propaganda and mobilization of students (kindergarten children, primary and secondary school students, full-time students in institutions of higher learning and vocational and technical schools), and organize schools to handle the registration of insurance and the collection of individual contributions on their behalf.