Personal payment of 350 yuan!In 2023, the medical insurance payment of urban and rural residents has begun!

In 2023, urban and rural residents' medical insurance payment begins

Resident friends:

In 2023, the payment of basic medical insurance for urban and rural residents has been fully launched. In order to ensure that you can participate in insurance and enjoy medical insurance treatment in time, please read the following content carefully and go through new insurance, renewal, and payment procedures in time.

1. Scope of insurance

Urban and rural residents who do not belong to urban and rural residents with the coverage of the basic medical insurance system in urban employees, including rural residents, non -employee residents, and residents who have lived in the city for a long time. Certificate) The non -adult children who live in the cities and other personnel stipulated in the state, and the provincial and municipalities.

2. Personal payment standards

In 2023, the basic medical insurance for urban and rural residents was 350 yuan per person.

3. Concentrated payment time

Already started! The concentrated payment period is from September 1, 2022 to November 30, 2022.

Fourth, new insurance and renewal methods

1. Normal payment: Insured persons who have normal insurance and payment in 2022 and the benefits are normal, there is no need to go through the new insurance and renewal procedures, and the payment can be directly paid;

2. For the first time to participate in and interrupt the renewal: You need to contact the medical insurance service station of each town and street convenience service center, and the Dedicheng District Medical Insurance Center to apply for new insurance and renewal insurance registration before paying the fee. When paying the fee, please check the insured person and the information of the insured place, and then pay the fee after confirming it to avoid errors.

3. Medical Insurance Assistance Object: Our district's medical assistance to poverty -stricken people, such as members of the minimum -fidible marginal family during the transitional period of special difficulties, subsistence allowances, and poverty alleviation. Object (according to the provisions of Document No. 16] No. 16), the individual payment section of the basic medical insurance of the residents will be given a full subsidy or fixed subsidy. Individuals do not need to apply. In December 2022 Participate in insurance payment.

special reminder

1. The newborn should apply for insurance payment within 6 months after birth, otherwise you cannot enjoy the treatment normally;

2. Since 2015, residents have continuously paid the basic medical insurance premiums for 5 years, and the proportion of reimbursement in hospitalization (including outpatient chronic diseases) has increased by 1 percentage point; if it is over 10 consecutive years, the reimbursement ratio has increased by 2 percentage points.

3. If the residents pay insurance premiums on time in the concentrated payment period, they will enjoy the basic medical insurance benefits of the residents from January 1, 2023; if the fee is paid on January 1, 2023, the three -month treatment waiting period is set up.

5. Payment method

1. Concentrated payment: In the village (residence) and communities as the unit, the insured persons to the village (residence) and community payment of the insured person to the place where the insured is located.

2. Autonomous payment: Use "Shandong Tax Social Security Payment of WeChat Essentials", "Alipay Social Payment", "UnionPay Business QR Code Payment".

1) WeChat payment, follow the WeChat public account of "Shandong Tax", select "WeChat Taxation -Social Security Fee -Urban and Rural Residents -Resident Medical" for payment. Code for the payment interface, one person certification, you can pay for multiple people;

2. Alipay payment, select "Urban Service -Social Security -Social Security Payment", or search for "social security payment" to enter the "Shandong tax social security premium payment" interface for payment.

3. UnionPay polygen two -dimensional code payment:

Payeers can scan the QR code provided by the UnionPay to enter the "Shandong Social Security Payment" interface for payment.

special reminder

Live in Decheng District

Or the residents of the city in Decheng District

And the students in Dicheng District

Time

Please check the information of the insured and the place of insurance

Pay after confirming it as Decheng District

Avoid errors

6. Reimbursement treatment for participating in the basic medical insurance for residents

During a medical insurance for residents' medical insurance, the basic medical insurance was 150,000 yuan, the major disease insurance was 400,000 yuan, and the total can be paid up to 550,000 yuan.

(1) Medical treatment of hospitalization costs within the scope of policy:

(2) Slow special treatment of outpatient clinics:

From January 1, 2022, employees and residents' outpatient clinics have increased to 70 kinds of slow disease diseases. Can't mix with each other.

(3) Ordinary outpatient treatment

From January 1, 2022, insured residents within the scope of the outpatient medical expenses within the scope of the policy scope of the designated medical institutions at the village (station) level, township (community), and the fund payment ratio is 50%, the annual fund is the highest in the year fund, the highest annual fund is the highest in the year. The payment limit is 200 yuan.

(4) Specific standards for hypertension, diabetes (referred to as "two diseases"):

"Two diseases" patients purchase drugs at the second and below medical institutions, and drug expenses within the scope of policy. Patients with simple hypertension and diabetes (not using insulin therapy), the maximum annual payment limit of the medical insurance fund is 300 yuan and 400 yuan, respectively. Diabetes (treatment with insulin) and "two diseases" at the same time. It is 600 yuan.

(5) Compensation standard for major illness insurance. The scope of residents' illness insurance is connected with the basic medical insurance of residents. Individuals do not need to pay separately. The compensation standards are as follows:

Since 2022, medical treatment in different places in the province has been canceled, and the proportion of residents' medical insurance for medical insurance has been paid first. It has opened an outpatient and special place in the province and inter -provincial -inter -provincial networking settlement, so that the insured persons can enjoy the dividends of medical insurance reform to the greatest extent.It is hoped that the general public will actively participate and apply for insurance in a timely manner, and add a solid barrier to the risk of disease to themselves and relatives.I wish residents who are healthy, lively, and happy family!

support hotline:

Ertun Town: 0534-2742500

Guangchuan: 0534-2100236

Huangheya Town: 0534-2712993

Tianyan: 0534-7530691

Xinhua: 0534-2263376

Xinhu: 0534-2272663

Canal: 0534-8105652

Decheng District Medical Insurance Center:

0534-2671737, 2671733

Source | Decheng District Medical Security Bureau

Edit | Tian Wenyue

Decheng District Rong Media Center

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