Shenyang medical insurance new policy at the latest in 2022.

Centralized payment period of insurance

In 2023, the centralized payment period of basic medical insurance for urban and rural residents in Shenyang will end on February 20, 2022. Please handle the participation and payment before the end of the centralized payment period. If you pay after the centralized payment period, there will be a waiting period for medical insurance benefits.

Second, the insurance coverage

Urban and rural non-employed residents who have reached the age of 18, urban and rural residents who have obtained residence permits in this city and are not permanent residents of this city and have not participated in medical insurance in their original places of residence;

Before the end of 2008, employees of state-owned and collective enterprises with bankruptcy difficulties have been identified;

Students from full-time secondary specialized schools, technical schools, vocational high schools, ordinary high schools, junior high schools and primary schools within the scope of this Municipality; Full-time undergraduate and graduate students of various full-time colleges and universities in Shenyang (hereinafter referred to as "students");

Non-school residents under the age of 18 with household registration in this city; Migrant workers (including active servicemen)/Kloc-non-school minors under the age of 0/8 (hereinafter referred to as "non-school minors") who hold Shenyang residence permit and participate in medical insurance for more than one year (excluding one year) according to regulations;

Unemployed persons from Hong Kong, Macao and Taiwan who hold residence permits (or tourist permits) in our city; Foreigners who hold permanent residence identity cards and passports of China and foreigners and provide foreigners with temporary residence permits in Shenyang.

Third, the payment standard

Payment standard of ordinary individual medical insurance:

1, 90 yuan, a minor such as college students and primary and secondary school students.

2, preschool children and infants 420 yuan.

3. Adult resident 420 yuan.

4.420 yuan, elderly residents.

Payment standards for special groups:

1. Minimum living security and severely disabled people. College students, primary and secondary school students and other minors: the subsidy amount is 5 10 yuan. 2. Preschool children and infants: the subsidy amount is 560 yuan.

4. Insurance application

(a) students need to handle the medical insurance business with the school;

(two) civil objects, poor people, entitled groups and severely disabled people need their identification departments to handle insurance business;

(3) The rest of the staff can apply for residents' medical insurance through their communities, the personal network hall of Shenyang government service network, Shenyang Smart Medical Insurance APP, and the official account of Shenyang Smart Medical Insurance WeChat.

Verb (abbreviation for verb) payment method

(a) adult residents who have participated in the medical insurance for urban and rural residents in our city can pay directly.

(2) Newly insured adult residents, non-school minor residents, students in school, marginal objects of urban and rural subsistence allowances, and people out of poverty. , which needs to be paid after the insurance business is completed.

(III) After the insurance business of urban and rural subsistence allowances, destitute people, orphans and severely disabled people (level 2 and above) and other government-subsidized objects (no individual payers) is completed, there is no need to handle the payment business.

According to the Notice on Matters Related to the Payment of Basic Medical Insurance for Urban and Rural Residents in Shenyang, the payer can choose to use the "Pocket Office" payment channel of Liaoning Provincial Taxation Bureau, the government service platform, the entrusted bank (financial institution) payment channel and the entity tax service hall payment channel to pay the medical insurance premium for urban and rural residents. Payment methods such as Shenyang Smart Medical Insurance APP, Shenyang Smart Medical Insurance WeChat official account, original NCMS batch payment bank account, civil affairs school payment bank account, and special payment card for urban and rural residents' medical insurance have been suspended.

Six, "Pocket Office" payment process

(1) Liaoning Tax WeChat official account micro tax

Search for the official account of "Liaoning Tax" on the WeChat homepage, enter the "Social Security Payment" module in "Micro Tax", enter the operator's name and ID number for face recognition, and then you can handle the payment business.

(2) Alipay-People's Republic of China (PRC) State Taxation Bureau Liaoning Provincial Taxation Bureau applet

Search for "People's Republic of China (PRC) State Taxation Bureau Liaoning Provincial Taxation Bureau" applet on Alipay homepage, log in and pass the identity verification, and then enter the "Social Security Payment" module to handle the payment business.

(3) Liaoning Mobile Tax APP

Download the "Liaoning Mobile Tax Service" APP, register for the "tax service", and then enter the "social security" module to handle the payment business.

Seven. Policy interpretation

Medical insurance for urban and rural residents, insurance information, payment standards, medical insurance treatment period and other matters are explained by medical insurance departments at all levels, and payment methods and payment processes are explained by tax departments at all levels. Please download or pay attention to the Shenyang Smart Medical Insurance APP, the official account of Shenyang Smart Medical Insurance WeChat, and the official account of Shenyang Tax WeChat, and get the relevant information of insurance payment in time.

Legal basis:

People's Republic of China (PRC) Civil Code

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

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