Important Reminder!
The city's 2024 annual medical insurance for urban and rural residents
Enrollment registration and payment.
December 25th is about to close!
If you have not yet paid the premium, please hurry up.
2024 City FinanceContinues to increase
For insured residentsInclusive subsidies
The per capita financial subsidy has increasedMore than 430 yuan
Citizens can pass"Citizen Cloud with Bid" APP
Complete the individual payment.
Let's take a look at the detailed strategy.
2024 Resident Medical Insurance Financing Standardsand individual payment standards
Please note
1. Pay fees to rural residentsAppropriate subsidies are given.
2. For the insured persons, enjoy the urban and rural residents of the cityFamily members with minimum living allowance and persons over the age of 60 from low-income families in difficulty, as well as the elderly, the survivors of the elderly, and the severely disabledThe part of the group's individual contributions may be reduced or exempted in accordance with regulations.
Handling methods and channels
The registration method for all types of personnel is basically the same as in previous years. In addition to school students, kindergarten (school) children and rural residents, other insured persons can go to the Community Affairs Reception Service Center to complete the 2024 annual insurance registration, and can do soAfter 5 working daysThrough offline and online channels, individual payment can be completed.
First, the payment mode
In 2024, the medical insurance department will be responsible for insurance registration and review of insurance qualificationsThe tax department is responsible for approving and collecting the payment amount according to the policy.
2. Payment groups
The payers who meet the conditions for insurance can be divided into three types according to the payment method:
1. Students of all levels and types of colleges and universities in the city.
2. Rural residents of the city.
3. In addition to the above two categories, other urban and rural residents who pay for medical insurance.
3. Payment method
1) Centralized remittance.
Students of all levels and types of colleges and universities in this city shall arriveHandled by the schoolProcedures for registration and payment.
Eligible for Enrollment:
The school shall handle the insurance payment procedures and pass the unified proceduresTax and social insurance premiums are paid on the client side.
Payment process:
1. The school shall go through the insurance payment procedures with the medical insurance department.
2. After receiving the collective declaration verification form issued by the medical insurance department, the school shall declare and pay the fee through the social security premium collection client within 5 working days.
2) Batch deduction.
Rural residents should arriveThe village committee where the household registration is locatedFor registration, the tax department shall transfer funds in batches by bank deductions.
Payment process:
1. Rural residents shall go to the village committee where their household registration is located to go through the formalities for confirming their participation in insurance, but the information cannot be confirmedYou need to go to the Community Affairs Reception Service CenterSign the withholding agreement, handle the registration of insurance, change the information of the personnel, etc.
2. On December 12 and December 22, the tax department will pay the medical insurance premiums by bank deduction in batches.
(3) Self-payment
Eligible for Enrollment:
It can be passedWith the application for the "Citizen Cloud" app is inOnline payment can also be done through the nearest community affairs reception service center to register for insurance.
Content**: Shanghai Medical Insurance Bureau.
Stay at home!Online Payment Guide
Step 1:Open the "Citizen Cloud with Application" APP, search for "personal social security payment" in the search bar on the home page, and click the corresponding search option to enter the service.
Step 2:Fill in your personal information as prompted on the page and complete them in turnID card information, insurance information selection, and payment information submissionYou can apply in three steps.
"Follow the Shanghai code" to see a doctor
If you don't need a medical insurance card and have less queuing, you can also open the medical scene with the Shanghai QR code on the configuration page of the Shanghai QR code and enjoy itThe whole process of seeing a doctorDigital health care.
After opening, it will support the city's medical insurance users to participate in medical insurance designated medical institutions and pharmaciesScan the code to seek medical treatment and buy medicine. All it takes is a finger and you're doneEasy to open in the palm of your hand
Household mutual aid contributions are made through a personal account
From December 1, 2023, if a family mutual aid network has been established and chooses "mutual aid payment", the medical insurance department will directly deduct the insurance contributions of family members from the balance of the account of the organizer over the years, and there is no need for individuals to pay through offline or online channels.
Note
If the employee medical insurance participants in this city are willing to pay the 2024 residence insurance premiums for their family members (parents, spouses, and children) in the form of mutual aid payment, they must pay the premiums in full on the premise of ensuring that the balance of the account balance of the occupational insurance over the years can pay the premiums in fullBefore 17:30 on December 25, 2023Passed"Citizen Cloud with Bid" APPFormationFamily Mutual Aid Network, choose the "Mutual Aid Payment" usage method, so that the medical insurance department can complete the deduction and remittance in a timely manner, so as to avoid missing the deadline for payment and affecting the enjoyment of benefits.
Guidelines for Forming a Family Mutual Aid Network
Step 1:After entering the service, click "Apply Now" and the organizer (funder) will choose to form a family mutual aid network according to the situation ("ID card" or "other documents").
Step 2:According to the application process, complete the formation of the family mutual aid network, and choose the method of using the family mutual aid funds.
Urban and rural residents are covered by medical insurance
Those who have not participated in other basic medical insurance and meet one of the following conditions can participate in the city's urban and rural residents' medical insurance:
1. Persons with household registration in the city and over 18 years old.
2. Primary and secondary school students and infants with household registration in this city.
3. Full-time college students, vocational college students and non-in-service graduate students who receive general higher education in various institutions of higher learning and scientific research institutes in the city.
4. Other personnel who meet the requirements.
Renewal personnel who pay directly online
In order to further facilitate residents to go through the insurance procedures, those who have participated in the 2023 medical insurance for urban and rural residents in the city, have no basic medical insurance treatment in other provinces and cities, and meet any of the following conditions, are regarded as renewal personnel, and do not need to go to the community affairs reception service center to go through the insurance registration procedures, and can directly pay through the online payment channel or have others pay on their behalf, or complete the payment through the "mutual aid payment" method, so as to achieve "zero running" (those who Xi are used to handling it at the offline window can still pay by themselves through the offline payment channel).
The specific conditions are as follows:
01. Persons with urban household registration in the city who have reached the age of 19 or above in the previous year.
02. Persons under the age of 18 who are registered in the city except for school students and children in kindergartens (institutes).
03. Holders of Foreigners' Permanent Residence Permits (within the validity period, the same below).
04. Spouses and children under the age of 18 holding "Residence Permit for Hong Kong and Macao Residents" or "Residence Permit for Taiwan Residents" of persons with household registration in Shanghai and those who have reached the standard score of "Shanghai Residence Permit", as well as unemployed Hong Kong, Macao and Taiwan residents who have actually lived in Shanghai and have held a residence permit for Hong Kong, Macao and Taiwan residents issued by the public security department of Shanghai for more than 2 years.
05. Spouses of persons with household registration in other provinces and cities who hold the "Shanghai Residence Permit" and whose points reach the standard score, and non-school students (under the age of 18) and children who are not in the kindergarten.
Important Reminder!
In 2024, the registration and payment period of medical insurance for urban and rural residents in the cityUntil 17:30 on December 25, 2023It is hoped that eligible residents will go through the registration procedures and pay the premiums in a timely manner within the specified time limit to ensure that the benefits of individual medical insurance are enjoyed in a timely manner.
For more information about the registration and payment process, please visit the nearest community affairs reception service centerOr call the medical insurance service **12393 to consult the registration and mutual aid payment, and call the tax **12366 to consult online and offline payment.
Frequently Asked Questions
What are the medical insurance benefits for urban and rural residents in 2024?
In 2024, the reimbursement ratio of inpatient and outpatient and emergency medical insurance for residents will be implemented according to the current policy. In addition, those who participate in the city's resident medical insurance can also enjoyResident Critical Illness Insurance。Insured residentsDue to severe uremia dialysis**, kidney transplant anti-rejection**, malignant tumors** and some psychiatric diseases**The medical expenses incurred shall be borne by the individual after being reimbursed by the basic medical insuranceIt can be reimbursed by 60% of the critical illness insurance funds, and 65% by the city's low-income and low-income family members。Medical expenses incurred by college students due to hemophilia, aplastic anemia, etcIt is also included in the coverage of resident critical illness insurance.
How to adjust the financing standards of medical insurance for urban and rural residents in 2024?
In order to ensure the sustainable development of the medical insurance system for urban and rural residents, the government will continue to increase investment in medical insurance for urban and rural residents in 2024 and improve the total financing standard for medical insurance for residents. Specifically:
For those over the age of 70, the fund-raising standard is adjusted to 7,169 yuan per year, of which 595 yuan is paid by individuals and 6,574 yuan is subsidized by financial subsidies
For those aged 60-69, the fund-raising standard is adjusted to 7,169 yuan per year, of which 765 yuan is paid by individuals and 6,404 yuan is subsidized by financial subsidies
For those aged 19-59, the financing standard is adjusted to 4,149 yuan per year, of which 935 yuan is paid by individuals and 3,214 yuan is subsidized by financial subsidies
For primary and secondary school students and infants and young children, the financing standard has been adjusted to 2,419 yuan per year, of which 295 yuan is paid by individuals and 2,124 yuan is subsidized by financial subsidiesFor full-time undergraduate students, vocational college students and non-in-service graduate students (hereinafter referred to as "college students") receiving general higher education in various institutions of higher learning and scientific research institutes in the city, the financing standard is adjusted to 1,149 yuan per year, of which 295 yuan is paid by individuals and 854 yuan is subsidized by financial subsidies.
How to adjust the individual payment standard for medical insurance for urban and rural residents in 2024?
In 2024, we will give full consideration to the affordability of residents and appropriately adjust the individual payment standards in accordance with national requirements. Specifically:
For those over 70 years old, the individual contribution is adjusted to 595 yuan per year;
For those aged 60-69, the individual contribution is adjusted to 765 yuan per year;
For those aged 19-59, the individual contribution is adjusted to 935 yuan per year;
For primary and secondary school students, infants and young children, as well as college students, the individual contribution is adjusted to 295 yuan per year.
Important Reminder!
In order to further facilitate residents to go through the insurance procedures, those who have participated in the 2023 medical insurance for urban and rural residents in the city, have no basic medical insurance treatment in other provinces and cities, and meet any of the following conditions, are regarded as renewal personnel, and do not need to go to the community affairs acceptance service center to go through the insurance registration procedures, and can directly pay through the online payment channel or by others on their behalf, or through mutual aid payment, to achieve "zero running" (Xi those who are accustomed to handling it at the offline window can still pay by themselves through the offline payment channel). The specific conditions are as follows:
1. Persons with urban household registration in the city who have reached the age of 19 or above in the previous year.
2. Persons under the age of 18 who are registered in the city except for school students and children in kindergartens (institutes).
3. Holders of permanent residence permits for foreigners (within the validity period, the same below).
4. Spouses and children under the age of 18 holding "Residence Permit for Hong Kong and Macao Residents" or "Residence Permit for Taiwan Residents" of persons with household registration in Shanghai and those who have reached the standard score of "Shanghai Residence Permit", as well as unemployed Hong Kong, Macao and Taiwan residents who have actually lived in Shanghai and have held a residence permit for Hong Kong, Macao and Taiwan residents issued by the public security department of Shanghai for more than 2 years.
5. Spouses of persons with household registration in other provinces and cities who hold the "Shanghai Residence Permit" and whose points reach the standard score, and non-school students (under the age of 18) and children who are not in kindergartens (institutions).
6. Spouses of holders of Class B residence permits and non-school students (under the age of 18) and children who are not in the kindergarten.
Household mutual aid contributions are made through a personal account
From December 1, 2023, if a family mutual aid network has been established and chooses "mutual aid payment", the medical insurance department will directly deduct the insurance contributions of family members from the balance of the account of the organizer over the years, and there is no need for individuals to pay through offline or online channels. Reminder: Employee medical insurance participants in this city who are willing to pay the 2024 residence insurance premiums for their family members (parents, spouses, and children) in the form of mutual aid payment, on the premise of ensuring that the balance of the account balance of the occupational insurance over the years can pay the insurance premiums in full, must be before 17:30 on December 25, 2023, through the "Sui Shen Citizen Cloud" APP, Sui Shen Ban WeChat Mini Program, Sui Shen Alipay Mini Program or the local area of the "National Medical Insurance Service Platform" APP, set up a family mutual aid network, and select " The use of "mutual aid payment" allows the medical insurance department to complete the deduction and remittance in a timely manner, so as to avoid missing the deadline for payment and affecting the enjoyment of benefits.
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