Anxiang Medical Insurance Policy in 2023

In 2023, the standard of medical insurance payment for urban and rural residents in Anxiang is unified as 350 yuan per person, and the centralized payment period is from September 1 day to February 3 1 day. In addition to the special circumstances that have been clearly defined, those who are not insured during the centralized insurance payment period shall not be insured and enjoy medical insurance benefits in principle.

1, mobile payment

Look up or scan the code in the mobile phone software store to download the "Hunan Tax Social Security" APP↓ Click "My" to log in (you can use SMS verification code to log in )↓ Click on the medical insurance for urban and rural residents-"Self-payment" or "Payment on behalf of" ↓ View the payment type (medical insurance) ↓ Select the payment year (2023) ↓ Click "Query" to carefully check the payment information on the page (? ) ↓ Click "Next" after confirmation → Select payment method → Payment succeeded.

2. Other payment methods

(1) Pay the premium through the WeChat applet "Micro Bank of Agricultural Bank of China Hunan Branch".

(2) Pay the premium through "Hunan Tax Social Security" APP, WeChat applet "Hunan Tax Social Security" and "Hunan Tax Social Security Online Payment System", and support WeChat and UnionPay payment.

(3) Pay the premium through the intelligent P0S machines installed in villages (communities) by ABC, CCB and rural commercial banks.

(4) Pay the premium at any outlet of rural commercial banks, industrial and commercial banks, agricultural banks, China Construction Bank and Postal Savings Bank in the county with the social security card or ID card.

(5) You can pay the premium by holding a bank card (non-credit card) to each tax service hall of the county tax bureau. Within 90 days after the birth of the newborn, after the guardian handles the registration and payment procedures according to the regulations of the township where the household registration is located with the residence booklet or residence permit, the compliant medical expenses incurred since the date of birth can be included in the medical insurance reimbursement.

It mainly includes general outpatient service, "two diseases" outpatient service drug guarantee, outpatient chronic and special diseases, hospitalization (including maternity) and serious illness insurance benefits. Eligible people with difficulties can also enjoy medical assistance.

3. Outpatient treatment

(1) general outpatient service

When insured residents go to primary medical and health institutions (mainly township hospitals and village clinics with conditions), there is no deductible for outpatient medical expenses within the scope of the policy, and the payment ratio is 70%. Within a settlement year, the highest outpatient medical expenses are actually reimbursed to 350 yuan.

(2) "Two Diseases" Clinic

"Two diseases" refer to hypertension and diabetes. When the patients with "two diseases" see a doctor in the agreed primary medical and health institutions, the expenses of blood pressure lowering and blood sugar lowering drugs that meet the scope of medication will be paid according to the proportion of 70%, and there is no deductible. Patients with hypertension are reimbursed 360 yuan at the highest level every year, while patients with diabetes are reimbursed 600 yuan at the highest level every year.

(3) Outpatient chronic diseases

Eligible insured persons can enjoy 4 1 special disease treatment according to the policy after their voluntary application and examination by the medical insurance department of the insured place.

(4) medical insurance "dual channel" drug management

For patients who meet the "dual-channel" drug management regulations, 60% of the insured patients will be reimbursed according to the "dual-channel" drug management medical insurance payment standard within a medical insurance settlement year, and the reimbursement amount will be included in the annual maximum payment limit.

4. Hospitalization

Basic medical care: after deducting the hospitalization deductible, the medical expenses incurred by urban and rural residents in the medical insurance catalogue will be reimbursed by 70% in tertiary hospitals, 80% in secondary hospitals and 90% in township hospitals and street health service centers. The reimbursement ratio of provincial or inter-provincial designated medical institutions shall be implemented according to the provisions of provincial documents. The annual cumulative reimbursement limit of basic medical insurance for urban and rural residents in the city is 6.5438+0.5 million yuan.

Serious illness insurance: after the high medical expenses incurred by urban and rural residents in hospitalization are paid by the basic medical insurance for urban and rural residents according to the regulations, the medical expenses within the scope of individual annual cumulative burden policy exceed the deductible line of serious illness insurance by more than 6,543,800 yuan, which will be reimbursed by the serious illness insurance in proportion. Accumulated compensation in four phases, with an annual compensation limit of 400,000 yuan.

Poor people, low-income households and returning poor people enjoy preferential treatment of serious illness insurance, that is, the deductible is reduced by 50%, the proportion of segmented reimbursement is increased by 5 percentage points, and the capping line is cancelled.

5. Medical assistance

For those who have participated in the basic medical insurance and meet the policy requirements (destitute dependents, orphans, actually unattended children, minimum living security objects, severely disabled people, marginal family members of minimum living security, monitoring objects included in the scope of poverty prevention monitoring, and patients suffering from poverty and serious illness due to high medical expenses), after being reimbursed by the basic medical insurance and serious illness insurance, they can enjoy inpatient medical assistance and outpatient medical assistance as required.

PS Tips: If there are any changes in the above policies, they shall be implemented according to the new policy standards.

Anxiang medical insurance service hotline

(1) employee medical insurance hotline: 4338538

(2) Residents' medical insurance consultation hotline: 4388555

(3) Accident insurance hotline:

Employee medical insurance: 43 19859

Medical insurance for residents: 4333009,4313130.

(4) critical illness insurance Hotline: 4309239

(5) medical assistance hotline: 4338537

(6) Employee's medical insurance enrollment, change and personal account inquiry hotline: 4338539.

(7) Telephone number for reporting fraud and insurance fraud: 43 13073.