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Shanghai’s 2024 urban and rural residents’ medical insurance registration and individual payment will begin to be accepted from now on

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Original title: Shanghai’s 2024 urban and rural residents’ medical insurance registration and individual payment will begin to be accepted from now on

According to the Municipal Medical Insurance Bureau, the registration and payment of medical insurance for urban and rural residents in this city in 2024 will be accepted from now on and will end on December 25, 2023. In 2024, the city’s finance will continue to increase inclusive subsidies for insured residents, with per capita financial subsidies increasing by more than 430 yuan. Citizens can complete personal payments through a variety of online and offline channels.Click at the end of the article“Read original text”, for more policy details. See details↓

2024 Resident Medical Insurance Financing Standards

and personal payment standards

Please note

1

Appropriate subsidies will be provided to rural residents for their individual contributions.

2

Among the insured persons, the personal contributions of family members who enjoy the city’s urban and rural residents’ minimum living security and those over 60 years old in low-income families with difficulties, as well as the elderly, elderly survivors of employees, severely disabled people and other groups can be reduced or exempted in accordance with regulations.

Processing methods and channels

The insurance registration methods for various types of personnel are basically the same as in previous years. In addition to school students, kindergarten (school) children and rural residents, other insured persons can complete the 2024 insurance registration at the Community Affairs Acceptance Service Center, and can register through offline or online multiple services after 5 working days. A channel to complete personal payment.

1. Payment mode

In 2024, the medical insurance department will be responsible for insurance registration and review of insurance qualifications; the tax department will be responsible for determining and collecting payment amounts in accordance with policies.

2. Paying Groups

Payers who meet the insurance conditions after review can be divided into three major types according to their payment methods:

1

Students from various colleges and universities in this city

2

Rural registered residents of this city

3

In addition to the above two categories, other urban and rural residents who pay medical insurance premiums

3. Payment method

The three types of payment groups correspond to three payment methods.

(1) Centralized remittance

Students from all types of colleges and universities in this city should go tocurrent schoolComplete insurance registration and payment procedures.

Qualified for insurance

The school where you work will handle insurance payment procedures and collect client payments through tax and social insurance premiums.

Payment process

1

The school where you work shall go through the insurance payment procedures with the medical insurance department.

2

After the school receives the collective declaration approval form issued by the medical insurance department,Within 5 working daysDeclare and pay through the social security insurance collection client.

(2) Batch deductions

Rural residents should go toThe village committee where the household registration is locatedTo handle the registration procedures, the tax department will transfer funds in batches through bank deductions.

Payment process

1

Rural residents should go to the village committee where their household registration is located to go through the insurance confirmation procedures. If the information cannot be confirmed, they need to go to the community affairs acceptance service center to sign a withholding agreement, handle insurance registration, change personnel information, etc.

2

The tax departmentDecember12th, December 22ndUse bank batch deductions to transfer medical premiums.

(3) Pay by yourself

Residents who pay by themselves can go to the nearestCommunity Affairs Acceptance Service CenterGo through insurance registration procedures

Qualified for insurance

You can pay on-site at the nearest community affairs acceptance service center or designated bank outlet, or you can pay online through one-stop payment, Suiwan, Alipay, WeChat, designated banks, and the Electronic Taxation Bureau on the official website of Shanghai Taxation.

List of payment methods

Pay contributions through personal account and family mutual aid

Starting from December 1, 2023, if a family mutual aid network has been established and “mutual aid payment” is selected, the medical insurance department will directly deduct the insurance premiums of family members from the balance of the organizer’s account over the years, without the need for individuals to go through offline payment. Or pay through online channels.

Notice

Participants of the city’s employee medical insurance who are willing to pay the 2024 residence insurance premiums for their family members (parents, spouses, children) through mutual aid payments must ensure that the balance of the employee insurance account over the past years can fully pay the participation premiums. Under the premise, it must beBefore 17:30 on December 25, 2023through the “Suishinban Citizen Cloud” APP, Suishinban WeChat applet, Suishinban Alipay applet or the local area of ​​the “National Medical Insurance Service Platform” APP, set up a family mutual aid network and choose the “Mutual Aid Payment” method to facilitate medical insurance. The department completes deductions and remittances in a timely manner to avoid missing the payment deadline and affecting the enjoyment of benefits.

Urban and rural residents covered by medical insurance

Anyone who has not participated in other basic medical insurance and meets one of the following conditions can participate in this city’s urban and rural residents’ medical insurance:

1

Persons with household registration in this city and over 18 years old

2

Primary and secondary school students and infants with local household registration

3

Full-time college students, higher vocational college students, and non-working postgraduate students receiving general higher education in various colleges and universities and scientific research institutes in this city

4

Other persons who meet the requirements

Those renewing insurance who pay directly online

In order to further facilitate residents to handle the insurance enrollment procedures, those who have participated in the city’s urban and rural residents’ medical insurance in 2023, do not have basic medical insurance benefits from 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 When the center handles insurance registration procedures, you can pay directly through online payment channels or have others pay on your behalf, or complete payment through “mutual payment” to achieve “zero movement” (people who are accustomed to offline window processing can still pay through Pay by yourself through offline payment channels).

The specific conditions are as follows:

01

Persons with urban household registration in this city who were 19 years old or above in the previous year.

02

Persons under the age of 18 who have registered residence in this city except students in schools and children in kindergartens (schools).

03

Persons holding a permanent residence permit for foreigners (within the validity period, the same below).

04

The spouses and children under the age of 18 who hold the “Residence Permit for Hong Kong and Macao Residents” or the “Residence Permit for Taiwan Residents” of the residents with household registration in this city and the “Shanghai Residence Permit” who have reached the standard points, as well as the spouses and children under the age of 18 who actually live in this city and have Unemployed Hong Kong, Macao and Taiwan residents who have held a residence permit for Hong Kong, Macao and Taiwan residents issued by the city’s public security department for more than 2 years.

05

Spouses registered in other provinces and cities, students (under 18 years old) who are not in school in this city, and children who are not in kindergarten (school) who hold the “Shanghai Residence Permit” and whose points have reached the standard score.

Important reminder

01

In 2024, the registration and payment period for the city’s urban and rural residents’ medical insurance will end at 17:30 on December 25, 2023. It is hoped that eligible residents will go through the registration and insurance procedures in a timely manner within the specified period and pay in time to ensure that personal medical insurance benefits can be enjoyed in a timely manner.

02

Regarding the insurance registration and payment procedures, you can go to the nearest community affairs acceptance service center for consultation; or call the medical insurance service hotline 12393 for consultation on insurance registration and mutual aid payment, and the tax hotline 12366 for consultation on online and offline payment issues.

Frequently Asked Questions

What are the medical insurance benefits for urban and rural residents in 2024?

In 2024, the reimbursement ratio of resident medical insurance for hospitalization and outpatient and emergency medical insurance will be implemented in accordance with the current policy. The basic medical insurance treatment standards for residents’ medical insurance participants are shown in the table below:

In addition, those who participate in the city’s residents’ medical insurance can also enjoy residents’ critical illness insurance. After the basic medical insurance reimburses the medical expenses incurred by insured residents for dialysis treatment for severe uremia, anti-rejection treatment for kidney transplantation, malignant tumor treatment and treatment for some mental illnesses, their personal out-of-pocket expenses can be reimbursed by the critical illness insurance funds. 60%, and 65% is reimbursed for members of the city’s minimum living allowance and low-income families. Medical expenses incurred by college students suffering from hemophilia, aplastic anemia, etc. are also included in the coverage of resident critical illness insurance.

How to adjust the financing standards for urban and rural residents’ medical insurance in 2024?

In order to ensure the sustainable development of the urban and rural residents’ medical insurance system, the government finance will continue to increase investment in urban and rural residents’ medical insurance in 2024 and raise the total financing standards for residents’ medical insurance. Specifically:

For those over 70 years old, the financing standard is adjusted to 7,169 yuan/year, including personal payment of 595 yuan/year and financial subsidy of 6,574 yuan/year;

For people aged 60-69, the financing standard is adjusted to 7,169 yuan/year, including personal payment of 765 yuan/year and financial subsidy of 6,404 yuan/year;

For people aged 19-59, the financing standard is adjusted to 4,149 yuan/year, including personal payment of 935 yuan/year and financial subsidy of 3,214 yuan/year;

For primary and secondary school students and infants, the financing standard is adjusted to 2,419 yuan/year, including personal payment of 295 yuan/year and financial subsidy of 2,124 yuan/year; full-time students receiving general higher education in various colleges and universities and scientific research institutes in the city For undergraduate students, higher vocational college students, and non-working graduate students (hereinafter referred to as “college students”), the financing standard is adjusted to 1,149 yuan/year, including personal payment of 295 yuan/year and financial subsidy of 854 yuan/year.

How will the individual payment standards for urban and rural residents’ medical insurance be adjusted in 2024?

In 2024, the individual payment standards will be appropriately adjusted with full consideration of residents’ affordability and in accordance with national requirements. Specifically:

For those over 70 years old, personal payment is adjusted to 595 yuan/year;

For people aged 60-69, personal payment is adjusted to 765 yuan/year;

For people aged 19-59, personal payment is adjusted to 935 yuan/year;

For primary and secondary school students, infants, and college students, the individual payment is adjusted to 295 yuan/year.

What changes will be made to the subsidy policy for urban and rural residents’ medical insurance for needy groups in this city in 2024?

Same as previous years. In 2024, this city will continue to provide assistance and subsidies to needy groups to participate in urban and rural residents’ medical insurance. The government will continue to subsidize the personal contributions of urban and rural minimum living allowance family members and low-income elderly, severely disabled people, and elderly people. Among them, people over 60 years old from low-income families in this city need to pay 120 yuan when participating in the insurance, and the remaining part will be subsidized by the medical security department; other people in need will be fully subsidized.

How to set the registration and payment period for the city’s urban and rural residents’ medical insurance in 2024?

In 2024, the registration and payment period for urban and rural residents’ medical insurance in this city will end at 17:30 on December 25, 2023. It is recommended that eligible residents complete the registration and insurance procedures in time before December 22, 2023, and complete the payment in time within the specified time. , ensure that personal medical insurance benefits are enjoyed on time.

How will urban and rural residents in this city handle insurance registration and payment procedures in 2024?

In 2024, the medical insurance department will be responsible for insurance registration and review of insurance qualifications; the tax department will be responsible for determining and collecting payment amounts in accordance with policies. The insurance registration methods for various types of personnel are basically the same as in previous years.

For full-time college students, students enrolled in primary and secondary schools, and children in kindergartens, schools and daycare institutions will handle the registration procedures and collect individual fees on their behalf;

Rural residents shall go through registration confirmation procedures with the village committee where their household registration is located;

Other insured persons can apply online through the “one-stop service” (limited to those registered in this city to apply in person, the spouses of persons registered in this city to live in other provinces or cities to apply in person, and those who meet the points notification requirements to apply for their spouses or children) or go to the community The transaction acceptance service center has completed the insurance registration for 2024 and can complete individual payment through multiple online and offline channels after 5 working days.

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In order to further facilitate residents to handle the insurance registration procedures, those who have participated in the city’s urban and rural residents’ medical insurance in 2023, do not have basic medical insurance benefits from other provinces and cities, and meet any of the following conditions, are regarded as renewal persons and do not need to go to the community affairs acceptance service When the center handles insurance registration procedures, you can pay directly through online payment channels or have others pay on your behalf, or pay through mutual assistance to achieve “zero movement” (people who are accustomed to offline window processing can still pay by themselves through offline payment channels) Pay the fees). The specific conditions are as follows:

1. Persons with urban household registration in this city who were 19 years old or above in the previous year.

2. Persons under the age of 18 with local household registration, except students in school and children in kindergartens (schools).

3. Persons holding permanent residence permits for foreigners (within the validity period, the same below).

4. The spouses and children under the age of 18 who hold the “Residence Permit for Hong Kong and Macao Residents” or the “Residence Permit for Taiwan Residents” of persons registered in this city and whose “Shanghai Residence Permit” points have reached the standard points, as well as those who actually live in this city, Unemployed Hong Kong, Macao and Taiwan residents who have held a residence permit for Hong Kong, Macao and Taiwan residents issued by the city’s public security department for more than 2 years.

5. Spouses of persons registered in other provinces and cities who hold a “Shanghai Residence Permit” and whose points have reached the standard score, students (under 18 years old) who are not in this city, and children who are not in kindergarten (school).

6. Spouses of persons holding Category B residence permits and non-school students (under 18 years old) and children not in kindergarten (school) in this city.

You can pay online or offline, and you can also pay through your personal account and family mutual aid.

Offline payment channels:

Community affairs acceptance service center and tax service department window.

Counters at all branches of designated banks (Industrial and Commercial Bank of China, Agricultural Bank of China, Shanghai Pudong Development Bank, China Construction Bank, Ping An Bank, Minsheng Bank, and China Merchants Bank) across the city.

Online payment channels:

“Urban and Rural Residents Social Security Premium Payment” module of “One-stop service” (http://zwdt.sh.gov.cn).

Follow the application APP-“Personal Social Security Payment” module or “Urban and Rural Resident Social Security Payment” module.

Shanghai Taxation official website or APP, electronic tax bureau real-name authentication login, “I want to file taxes-Social insurance premium processing-Declaration and payment-Urban and rural residents social insurance premium payment” module.

Alipay APP: Method 1: Civic Center-Social Security-Individual Social Security Payment; Method 2: Civic Center-Social Security-Third-Party Service-Shanghai Urban and Rural Resident Social Security Payment.

WeChat APP: Method 1: Follow the application mini program-Personal Social Security Payment; Method 2: Follow the ICBC Shanghai Branch WeChat official account-eDiantong-Service Hall-Social Security Area-Personal Social Security Payment” module.

Cloud QuickPass APP: Urban Services-Social Security Payment-Social Security Payment for Urban and Rural Residents.

Designated bank APP (Industrial and Commercial Bank of China APP, Agricultural Bank of China APP, Bank of Shanghai APP, China Merchants Bank APP).

Payment through personal account Family Mutual Aid:

Starting from December 1, 2023, if a family mutual aid network has been established and “mutual aid payment” is selected, the medical insurance department will directly deduct the insurance premiums of family members from the balance of the organizer’s account over the years, without the need for individuals to go online. Pay through offline or online channels. Reminder: If participants of the city’s employee medical insurance are willing to pay the 2024 residence insurance premiums for family members (parents, spouses, children) through mutual aid payment, they can ensure that the balance of the account for the previous years of employment insurance can be fully paid for the insurance. On the premise of paying the fee, you must use the “Suishinban Citizen Cloud” APP, Suishinban WeChat applet, Suishinan Alipay applet or the local area of ​​the “National Medical Insurance Service Platform” APP before 17:30 on December 25, 2023. Set up a family mutual aid network and choose the “mutual aid payment” method so that the medical insurance department can complete deductions and remittances in a timely manner to avoid missing the payment deadline and affecting the enjoyment of benefits.

How to check whether the “mutual aid payment” for urban and rural residents in this city in 2024 is successful?

Citizens who have chosen “Mutual Aid Payment” can view it through the “Suishinban Citizen Cloud” APP, Suishinban WeChat applet, or Suishinban Alipay applet “Medical Insurance Personal Account Family Mutual Aid Zone” after December 2, 2023 Mutual payment results can also be viewed through the “National Medical Insurance Service Platform” APP and local area.

In addition, it is recommended that 10 working days after the mutual aid payment deduction from the medical insurance account is successful, you can download the payment certificate online through the application, the Shanghai Tax official website Electronic Taxation Bureau, or go to the nearest community affairs acceptance service center and tax service hall to print the payment prove.

Information: Municipal Medical Insurance Bureau

(Editors: Yan Yuan, Xuan Zhaoqiang)

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Tags: Shanghais urban rural residents medical insurance registration individual payment accepted

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