Payment and reimbursement of medical insurance for urban and rural residents

  First, the payment time

  (a) in 2024, the time for centralized participation in the basic medical insurance for urban and rural residents in this city was from November 15, 2023 to January 31, 2024. The insured person is insured in the current month and pays the fee in the next month.

  (2) Payment time: before 15:00 on the working day during the period from May to 20th of each month, and the bank’s batch deduction date is 15th of each month (postponed to the next working day in case of legal holidays and weekends); Among them, in December 2023, the bank’s batch deduction dates were 15th, 18th and 19th. Insured persons with valid payment agreement (batch deduction) cannot use other channels to pay on the date of bank batch deduction.

  Second, the payment method

  (1) Payment by Jingtong applet

  Insured people can search for the "Jingtong" applet through WeChat, Alipay and Baidu clients, enter the "Social Security Fee Handling" function under the "Social Security" column, and click "Urban and Rural Residents’ Basic Medical Insurance Payment Handling" to pay. You can also choose "Social Security Payment" through Alipay Citizen Center (Beijing) or WeChat "City Service (Beijing)-Social Security".

  (2) Payment by electronic tax bureau

  Insured persons can pay through the Web terminal of Beijing Electronic Taxation Bureau (https://etax.beijing.chinatax.gov.cn/ enters "I want to do tax-social security"), Beijing Tax APP (Android version) (enter "do tax" and select "handle social security fee") and WeChat Beijing Tax Service Number (enter "mobile tax").

  (3) Bank APP payment

  Payment can be made through the Postal Savings Office, Beijing, Nongshang and Shanghai Pudong Development Bank APP. Please consult the relevant banks for details.

  (four) the bank batch deduction payment.

  Banks that have signed an effective payment agreement (batch deduction) with the insured will deduct the money on the bank’s batch deduction date. Please pay attention to the payment situation in time.

  (5) Payment at the bank counter

  The insured person needs to carry his/her ID card, and the agent needs to carry his/her ID card and the insured person’s ID card to handle the payment business at the Postal Savings Office, Beijing, Nongshang, Transportation, Pudong, Huaxia, Agriculture, Construction, CITIC, China Merchants, China Everbright and Minsheng Bank in this city.

  Third, the payment inquiry

  adoptBank APP payment,Electronic tax bureau,Bank counterThree kinds of paymentPayment method, payment results can be known in real time. If the bank deducts money in batches, you can check the changes of bank accounts in time. The medical insurance department can pass the "Beijing Medical Insurance Public Service Platform" the next day after receiving the successful payment information from the tax department (https://fw.ybj.beijing.gov.cn/hallEnter/#/index) query.

  IV. Other matters

  (1) Insured persons who are unwilling or unable to continue to participate in the basic medical insurance for urban and rural residents in 2024, please go to the social security office where they are insured in time to go through the formalities of downsizing and avoid deduction.

  (2) Persons who are eligible for exemption shall be provided with the list by the relevant functional departments to the Municipal Medical Insurance Bureau, and the insurance payment procedures shall be completed.

  (3) When using the personal medical insurance account to pay premiums for family members for the first time, you need to go through the "Beijing Medical Insurance Public Service Platform (https://fw.ybj.beijing.gov.cn/hallEnter/#/index)" or the handling counter for mutual aid filing. In the case of sufficient funds in the personal medical insurance account, in addition to paying medical insurance premiums for urban and rural residents, they can also pay premiums for family members who have established mutual aid relationships. The medical insurance department will initiate the deduction on the last day of each month.

  (4) You can call 12333 if you have any questions about participating in insurance and using medical insurance personal account payment business; If you have any questions about the tax channel payment business, you can call 12366; If you have any questions about using Beijing Electronic Taxation Bureau, you can call 4007112366.

Pay line

Cap line

Reimbursement ratio

Level 1 and below

secondary

three-level

Level 1 and below

secondary

three-level

Children, students

375 yuan/year

100 yuan

550 yuan

550 yuan

5,000 yuan

55%

50%

50%

the aged

400 yuan/year

100 yuan

550 yuan

550 yuan

5,000 yuan

55%

50%

50%

Residents of working age

705 yuan/year

100 yuan

550 yuan

550 yuan

5,000 yuan

55%

50%

50%

Pay line

Cap line

Reimbursement ratio

Level 1 and below

secondary

three-level

Level 1 and below

secondary

three-level

Children, students

375Yuan/year

150 yuan

400 yuan

650 yuan

25ten thousand

80%

78%

75%-78%

the aged

four hundredYuan/year

300Yuan Dynasty (1206-1368)

eight hundredYuan Dynasty (1206-1368)

1300Yuan Dynasty (1206-1368)

25ten thousand

80%

78%

75%-78%

Residents of working age

705 yuan/year

300Yuan Dynasty (1206-1368)

eight hundredYuan Dynasty (1206-1368)

1300Yuan Dynasty (1206-1368)

25ten thousand

80%

78%

75%-78%

    Note:

  (1) the above hospitalization deductible refers to the first hospitalization this year, and the elderly and working-age residents are hospitalized for the second time and later this year, and the deductible is halved.

  ② The hospitalization deductible line for students and children is halved.

  ③ The reimbursement rate of inpatients in the district-level hospitals was 78%.