What are the latest regulations for medical insurance payment in Jiangxi Province in 2023?

Recently, the Jiangxi Provincial Medical Security Bureau, the Jiangxi Provincial Department of Finance, and the State Administration of Taxation Jiangxi Provincial Taxation Bureau issued the "Notice on Providing Basic Medical Security for Urban and Rural Residents in Our Province in 2022" (hereinafter referred to as " Notice"), which made new regulations on the payment standards for urban and rural residents' medical insurance. The editor below will take you to understand~

1. How much is the insurance premium? When should it be paid?

1. Continue to improve the financing standards for urban and rural residents’ medical insurance to adapt to the increase in medical expenses. and increase basic medical needs to ensure the medical insurance rights and interests of insured persons. In 2022, the financing standard for resident medical insurance will continue to be raised to 960 yuan per person per year. The per capita financial subsidy standard for resident medical insurance has been increased by 30 yuan, reaching 610 yuan per person per year. This is part of the state subsidy. Simultaneously, the individual payment standard for resident medical insurance will be increased by 30 yuan, reaching 350 yuan per person per year. This is the portion payable by the individual.

2. Clarify that the centralized collection and payment period for residents’ medical insurance during the centralized collection and payment period is determined to be from September 1, 2022 to December 31, 2022. People who pay after the centralized collection and payment period, except those who have Unless it is clearly stipulated that there is no waiting period for benefits, a 90-day waiting period for benefits will be set from the date of insurance participation and payment.

Special reminder, without special reasons, ordinary residents please remember to pay the insurance premiums in time during the centralized payment period. Otherwise, if you pay for insurance beyond the centralized payment period, you will not be able to participate in the insurance at any time and immediately enjoy medical insurance reimbursement benefits, but there will be a 90-day waiting period for benefits.

2. Who can enjoy the subsidy for participating in insurance?

The subsidized insurance participants are divided into two categories: fully subsidized insurance participants and fixed-amount subsidized insurance participants. For: Supporters of extremely poor people (for orphans, please refer to the implementation). The subjects of fixed-amount subsidy insurance are: urban and rural subsistence allowance recipients, and the fixed-amount subsidy standard is 320 yuan per person per year. 3. During the transition period, the fixed-amount subsidy and insurance targets are: 1. Populations who have returned to poverty, people who have been unstable from poverty, and people on the margins who are likely to fall into poverty. The fixed amount subsidy standard is 320 yuan per person per year. 2. Severely disabled students and children, severely disabled adults who have lost the ability to work, minors from low-income families in urban areas and elderly people over 60 years old, and 14 categories of retired soldiers in urban areas who are unemployed and not included in the basic medical insurance for employees will receive fixed subsidies. The insured object is executed. 3 College students do not pay individual fees, and their personal payment portion is fully borne by the finance department. Special reminder: In principle, college students should participate in the residents’ medical insurance in the place where the school is located. Remember to inform their parents and family members not to pay for themselves to participate in the residents’ medical insurance in their hometown.

3. How much are the insurance premiums for various types of personnel?

1. The individual payment standard for ordinary residents is 350 yuan per person. Persons who paid during the centralized collection period.

The benefit period is from January 1, 2023 to December 31, 2023.

2. Subsidized insured persons: Fully subsidized insured persons do not have to pay individual premiums; fixed-amount subsidized insured persons have an individual payment standard of 30 yuan per person. The benefit period is from January 1, 2023 to December 31, 2023.

3. College and technical secondary school students (including full-time graduate students)

In principle, college and technical secondary school students should participate in the resident medical insurance in the place where they study. If students from colleges and technical secondary schools are special persons such as subsidized insurance recipients or medical assistance recipients, they can choose to participate in insurance in the identification area.

For duplicate insurance due to enrollment, the medical insurance department in the place of student registration will promptly notify the medical insurance department in the original insurance place to terminate the insurance relationship.

For repeated insurance participation after employment, the medical insurance department in the place of employment will promptly notify the medical insurance department in the place of original study to suspend the insurance relationship. Under the premise of ensuring seamless connection with the medical insurance benefits of the students' original insured areas, qualified coordinating regions can adjust the insurance payment period for residents' medical insurance for college and technical secondary school students from the academic year to the natural year. Students in coordinating regions who have made the adjustment If medical expenses occur in the place of student registration in the year of enrollment, the expenses will be directly settled and reimbursed for medical treatment in other places. The reimbursement ratio is not subject to the regulations on the reduction ratio for medical treatment abroad.

4. Newborns

Newborns’ insurance registration should use their real names and valid identity certificates. For newborns who have used their parents’ names to participate in insurance and pay premiums, their guardians should be asked to update the information as soon as possible.

Within 90 days after the birth of a newborn, the guardian shall register for insurance in accordance with relevant regulations. After paying the resident medical premium for the year of birth in accordance with regulations, all medical expenses incurred since the date of birth can be included in the medical insurance reimbursement;

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When the guardian registers for insurance in accordance with relevant regulations within 90 days after the birth of the newborn, if the payment period for the resident medical insurance in the year following the birth of the newborn has reached, the guardian can also choose to only pay the resident medical insurance premium in the year after the birth. It is stipulated that after payment, medical expenses incurred in the year following the birth can be included in the medical insurance for reimbursement, but medical expenses incurred in the year of birth are not reimbursed. When newborns are registered for insurance by their guardians in accordance with relevant regulations 90 days after birth, the policies for insurance premiums and benefits for ordinary residents will be implemented.

5. Retired military personnel

For military personnel who have retired from active service within 3 months, if they and their unemployed spouses and children participate in the resident medical insurance, they are not subject to the centralized collection period restrictions, among which : Those who pay during the centralized collection and payment period will enjoy benefits from January 1, 2023 to December 31, 2023; those who pay after the centralized collection and payment period will enjoy benefits from the next day after participating in the insurance and paying premiums.

6. Short-term seasonal workers and flexible employment personnel

Short-term seasonal workers or flexible employment personnel who have participated in resident medical insurance shall participate in employee medical insurance during the period of resident medical insurance benefits. , the medical security department should ensure that insured persons enjoy the new medical insurance benefits and suspend the original residents’ medical insurance benefits; after the insured person’s short-term employment ends, the medical security department should promptly restore the original residents’ medical insurance benefits to ensure effective connection of benefits.

7. Other special personnel

Those who are not eligible for subsidized medical assistance, religious clergy, employees whose medical insurance payment has been suspended within 3 months, and whose household registration has newly moved into our province, Situations such as those returning from abroad, prisoners released upon expiration, children of migrant workers, and college students returning home after graduation are not subject to the centralized collection and payment period. Those who pay after the centralized collection and payment period will enjoy benefits from the next day of insurance participation and payment.

4. What are the payment methods?

Payment methods

(1) Tax WeChat payment Follow the "Jiangxi Provincial Taxation Bureau" WeChat official account and click on the lower left corner "Tax Service" - "I want to pay", select "Urban and Rural Residents (Medical Insurance)". a. Self-payment this year: After entering the name and ID number, the system will bring out the amount payable, and the payer will pay by himself. b. Medical insurance approved payment. After entering your name and ID number, the system automatically brings out the payment information that has been approved by the medical insurance agency, and the payer pays after confirming it is correct. "Jiangxi Provincial Taxation Bureau" WeChat public account

(2) WeChat Life Payment Open WeChat, click "Me" in the lower right corner - "Service" - "Life Payment" - "Social Security and Medical Insurance", first choose to participate Baodi City, then select "Jiangxi Province Urban and Rural Residents Medical Insurance" and enter your ID number and name to pay.

(3) Ganfutong (Alipay) payment through Alipay "Ganfutong"-"Payment"-"Social Security Payment", after facial recognition authentication, select "Urban and Rural Residents (Medical Insurance)" , you can pay.

(4) Payment via Cloud QuickPass. The payer opens the UnionPay APP, searches for the "Jiangxi Social Security Payment" applet on the homepage, selects the type of insurance that needs to be paid, enters the payer's ID number and name, and then pays. Please refer to the "Jiangxi Provincial Taxation Bureau" WeChat official account for the specific payment process.

(5) Payment at the tax window The payer takes the ID card or social security card to the administrative service center, convenience service center, and tax service hall of the insured place, and uses WeChat, Alipay, or POS machine to swipe the card or cash at the window Payment method.

(6) Bank payment The cooperative banks that can currently pay include Industrial and Commercial Bank of China, Agricultural Bank of China, Bank of China, China Construction Bank, Bank of Communications, Postal Savings Bank, China Merchants Bank, China CITIC Bank, China Everbright Bank, and Rural Commercial Bank. , Jiangxi Bank, Ganzhou Bank, Jiujiang Bank, Shangrao Bank, etc. 1. Mobile banking payment. Download and install the mobile banking APP, enter your ID number and password, and you can pay. 2. Pay over the counter. The payer takes his or her ID card or social security card to pay over the counter at a cooperative bank outlet. 3. Pay via WeChat. Follow the WeChat official account of the cooperative bank to pay. For example, on the official account of "Jiangxi Rural Commercial Bank Micro Bank", click "Beneficial Life" - "Convenient Life" - "Social Security Pass" in the lower right corner, select the insured area, insured type, payment type, and enter your name and ID number , select the payment time and payment grade, and click Query to pay.

The WeChat public accounts of other banks are similar, and the payment procedures of each bank are slightly different. Please consult your local bank for details.

(7) Medical Insurance WeChat Payment Follow the "Ganzhou Medical Insurance" WeChat public account, click on the bottom menu "Service Hall" - "Resident Insurance Payment", and jump to the Urban and Rural Resident Medical Insurance "Payment Center" page. It is important to remind residents that the residents’ medical insurance insists on mutual aid, responsibility, and construction and sharing! Don’t think that the cost of participating in the residents’ medical insurance is two to three hundred yuan per year. The cost is high. If you are in good health and are not sick, you will suffer a loss if you pay for medical insurance. If you suddenly get sick one day, and after seeing a doctor and buying medicine, you find out that you have not participated in medical insurance and the medical expenses cannot be reimbursed, you will regret it! I hope that the general public Actively participate in and purchase insurance in a timely manner to add a solid barrier against disease risks for yourself and your relatives.