Pay attention to Zhuhai urban and rural residents!It's about 2023 medical insurance benefits!

Author:Zhuhai Published Time:2022.09.19

Zhuhai residents pay attention!

2023 students and minors of the year of medical insurance,

Medical insurance expenses for urban and rural residents,

It will be from late September to December 31st

Start withdrawal!

Recently, the Zhuhai Medical Security Business Management Center issued the "Announcement on the Basic Medical Insurance Premiums on the Basic Medical Insurance of the Year of the Medical Insurance and Urban and Rural Residents" (hereinafter referred to as the "Notice").

The "Notice" proposes that according to the basic medical insurance policy of Zhuhai City, our city will withdraw from students and minors and urban and rural residents from late September 2022 to December 31, 2022 (January 1, 2023 (January 1, 2023, 2023 Basic medical insurance premiums in urban and rural residents on December 31, 2023.

2023 students and minors of the year of medical insurance,

What is the standard for medical insurance payment for urban and rural residents?

What are the aspects of paying when paying?

Let's understand together!

Payment standard

(1) Personal payment standards for students and minors are 350 yuan per person per year;

(2) Personal payment standards for urban and rural residents are 500 yuan per person per year.

Payment, renewal method

The insured (guardian) is requested to ensure that the funds of the payment account are sufficient in order to withdraw the basic medical insurance premiums. You can also pay the basic medical insurance premiums of urban and rural residents through the "Guangdong Tax" WeChat public account or the municipal tax department.

Participants can inquire through the "Zhuhai Social Security" WeChat public account, "Zhuhai Medical Insurance" WeChat public account or logging in to Zhuhai Human Resources and Social Security Online Service Platform (https://wsfw.zhrsj.zhuhai.gov.cn/zhrsclient) Insurance payment and modify the deduction bank account.

Students who are still at the age of 18, at the age of 18, 2022, are still at the age of 18 (including vocational schools, technical schools, and technical secondary schools). Guarantee the online service platform to go through renewal procedures.

Before December 31, 2022, the residence permit is valid for the city's household registration personnel or Hong Kong, Macao and Taiwan residents, please bring your ID card or hukou book, and the residence permit that has been renewed. ) Council or China Resources Bank, Rural Commercial Bank and other social banking cooperation outlets go through renewal procedures.

Do not pay in time for suspension of insurance

Due to the insufficient balance of the insured person's payment account, which failed to successfully withdraw the basic medical insurance premiums of the city and rural residents in the 2023 medical insurance year, it will stop enjoying medical insurance benefits from January 1, 2023, and from December 31, 2022, 2022, 2022, December 31, 2022 Conduct for insurance.

Know Duo D

According to the "Notice on Adjusting the Basic Medical Insurance Financing Standards and Benefits" issued by the Municipal Medical Insurance Bureau and the Municipal Finance Bureau, the level of treatment of residents' medical insurance clinics in 2023 has improved.

(1) Significant expansion of the scope of payment of the outpatient clinic. The general outpatient clinic is implemented in accordance with the implementation of the Basic Medical Insurance Drug Catalog, Medical Consumption and Diagnosis and Treatment Project Catalogs in Guangdong Province.

(2) Increase the outpatient payment ratio. First, the outpatient medical expenses occurred by the general outpatient clinic for medical institutions in general outpatient clinics. There is no maximum payment limit for each medical insurance year. The corresponding increase of 5 percentage points of the package protocol. The second is that the outpatient medical expenses that occurred by first aid and rescue were clearly paid by 90%of the hospitalization ratio, and the highest payment limit for medical insurance was 400,000 yuan.

(3) Improve the overall referral policy of outpatient clinics. According to the condition, the insured person can refer to the second and above -level or above designated hospitals after the signing of the contracting clinic for the consulted institution, and allows a referral to be valid for 30 days.

Forward to remind you of the people around you!

The material is integrated from Zhuhai Social Security and Zhuhai Media Group

Edit/Chen Shuxian

Editor -in -chief/Lan Huilong

Third Trial/Wang Jinxia

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