1. According to the Implementation Measures of Basic Medical Insurance for Urban and Rural Residents, the insured person will enjoy the corresponding medical insurance benefits in the next medical insurance year after paying the fee. After the payment period, except for eligible newborns, they can be insured at any time and enjoy medical insurance benefits at any time. Other urban and rural residents should pay insurance premiums within the specified time, and they cannot pay back after the expiration.
2. Residents' medical insurance is insured in advance, and residents' medical insurance needs to pay annual fees. If they don't pay, they won't enjoy treatment. "The treatment and payment amount of residents' medical insurance are different for different groups, and there will be some adjustments every year. Therefore, one-time payment will be difficult to operate for several years.
The key guarantee for residents' medical insurance is "one old and one young". Whether it is a newborn baby or an elderly person over 60 years old, eligible people of all ages can participate in the insurance.
3. According to the regulations, to participate in residents' medical insurance, it is necessary to have permanent household registration in cities and towns and non-employed residents who are not covered by the basic medical insurance system for urban employees.
Primary and secondary school students, preschool children, infants and college students who are not permanent residents of this city but attend kindergartens or kindergartens in this city all the year round.
It should be noted that migrant farmers who meet the conditions for participating in the basic medical insurance for urban workers can also voluntarily participate in the basic medical insurance for residents.
4. If you don't pay, you won't enjoy the escort of residents' medical insurance. The payment of residents' medical insurance will not only affect whether you can enjoy the treatment in the coming year, but also affect the proportion of hospitalization reimbursement.
5. Relevant information:
According to the regulations, the number of years for residents to pay the basic medical insurance premium is linked to the reimbursement ratio. For those who continue to pay insurance premiums, the proportion of the basic medical insurance fund will increase by 1% for each additional payment year from the second year, with the maximum increase not exceeding 10%.
Urban residents' medical insurance is a medical insurance system with urban minors and unemployed residents who have not participated in urban workers' medical insurance as the main participants.
It is an important measure for the CPC Central Committee and the State Council to further solve the medical security problems of the broad masses of people and continuously improve the medical security system after implementing the basic medical insurance system for urban workers and the new rural cooperative medical system.
Mainly to make institutional arrangements for medical insurance for urban non-employed residents. The appearance of this system is of great significance in the process of social insurance system reform in China, which points out the direction for the reform of social insurance system in China.
Extended data:
Urban residents basic medical insurance payment service guide table:
Application materials:
1. Original and photocopy of resident ID card;
2. The original and photocopy of the household registration book;
3 according to the "minimum living security object" to apply for payment of residents, but also to submit the "Wuhan city residents minimum living security certificate" and a copy of the original; According to the "severely disabled" residents to apply for payment, but also need to submit the "People's Republic of China (PRC) disabled card" and a copy of the original; Residents who apply for the payment of "elderly people from low-income families" also need to submit proof materials issued by the neighborhood office of their place of residence that they do not enjoy pensions or receive monthly pensions;
4. Residents other than students fill in the Application Form for Basic Medical Insurance for Urban Residents in Wuhan, and students fill in the Application Form for Basic Medical Insurance for Urban Residents in Wuhan in duplicate (download address: Wuhan Human Resources and Social Security Service Network www.wh 12333.gov.cn).
Working conditions: any resident who fails to pay the insurance premium within the specified time can apply to the street government service center or the community handling window to pay the individual medical insurance premium of the current year. Among them, students at school apply to the school for payment procedures.
Set the basis:
Guiding Opinions of the State Council on Launching the Pilot Project of Basic Medical Insurance for Urban Residents (Guo Fa [2007] No.20)
Notice of the Municipal People's Government on Printing and Distributing the Trial Measures for the Basic Medical Insurance for Urban Residents in Wuhan (No.84 [2007] of Yifufa)
Notice on adjusting the payment policy of basic medical insurance for urban residents in our city (No.201513 of Wurenshefa)
Notice of Wuhan Municipal Bureau of Human Resources and Social Security on Adjusting Policies Related to Basic Medical Insurance (No.[2065 438+02]43 of Wurenshe Office)
Opinions on the Implementation of Decentralizing Part of Social Security Handling Services to Street Government Affairs Service Centers (No.[20 16]4 1)
Notice on Further Standardizing the Operation Process of Payment of Basic Medical Insurance for Urban Residents in Wuhan (Wuren Social Security Center [2065 438+05] 12No.)