The main responsibilities of Nanjing Medical Security Bureau:
1. Formulate policies, plans and plans for the city's basic medical insurance, maternity insurance, serious illness insurance, medical assistance, medical price and other medical security systems, promote the establishment of a long-term care insurance system, establish and improve a multi-level medical security system, and organize their implementation. Carry out foreign cooperation and exchanges in the field of medical security.
2 do a good job in the management of medical insurance fund budget and final accounts, and organize the formulation and implementation of measures for the supervision and management of medical insurance funds. Establish and improve the unified security prevention and control mechanism of the city's medical insurance fund, organize and carry out the work of cracking down on medical insurance fund fraud, promote the construction of intelligent monitoring system for medical services of medical insurance institutions in the city, and review the operation report of medical insurance funds implemented by medical insurance institutions. Reform the payment method of medical security fund.
Nanjing medical insurance payment standard: the financing standard for elderly residents is 1.730 yuan/person-year, in which the financial subsidy standard is 1.270 yuan/person-year, and the individual payment standard is 460 yuan/person-year. The financing standard for other residents is 1.750 yuan/person-year, in which the financial subsidy standard is 1.65438 yuan/person-year, and the individual payment standard is 560 yuan/person-year. The funding standard for students and children is 14 10 yuan/person-year, in which the financial subsidy standard is 1 160 yuan/person-year, and the individual payment standard is 250 yuan/person-year. The subsidy standard for college students is 830 yuan/person-year, in which the financial subsidy standard is 650 yuan/person-year and the individual contribution standard is 180 yuan/person-year. Individual contributions of elderly residents and other residents include individual contributions of disability insurance. It is understood that in 2022, the annual fund payment limit for outpatient high-cost compensation will be increased from 200 yuan to 2,800 yuan/year. All urban and rural residents with household registration in this city can participate in medical insurance for urban and rural residents, except those who should be insured in the basic medical insurance for urban workers and some eligible non-local residents.