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The payment amount for the 2022 NCMS is 350 yuan.
The National Health Insurance Administration, the Ministry of Finance, and the State Administration of Taxation issued a notice on doing a good job in basic medical security for urban and rural residents in 2022. Specifically, the per capita financial subsidy standard will be increased by 30 yuan to no less than 610 yuan per person per year, and the individual payment standard will be increased by 30 yuan to 350 yuan per person per year.
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Legal analysis: The 2022 NCMS medical insurance payment standard is 320 yuan per person per year.
In 2021, the level of medical insurance treatment for residents will continue to be improved, and the per capita financial subsidy standard for residents' medical insurance will be increased by 30 yuan to no less than 580 yuan per person per year, and the corresponding payment standard for individuals will be increased by 40 yuan to 320 yuan per person per year. Although the individual payment of NCMS has increased by 40 yuan this year, the overall compensation is also increasing.
The benefits for farmers are:
1. Relax the household registration restrictions of the insured, and be able to participate in insurance in other places;
2. Optimize the reimbursement channels for different places and provinces;
3. The proportion of reimbursement for medical treatment for special personnel will be larger;
4. The proportion of reimbursement will be increased;
5. The coverage of chronic diseases will be expanded;
6. There will be no waiting period for special groups in rural areas;
7. The calibration of payment data will be strengthened.
The NCMS will improve the relief system, and the corresponding reimbursement ratio will be larger when the extremely poor, low-income households, and people who have returned to poverty and become poor will encounter serious illnesses, which means that the preferential payment policy will be implemented for such special people. NCMS will give more care to special groups such as low-income people in rural areas, with the aim of further narrowing the gap between the rich and the poor, and promptly including eligible people in the scope of medical assistance.
It should be noted that there is a preferential policy for special groups to pay the fees of NCMS, and each person who has registered for the poor population only needs to pay 100 yuan per year, and other special groups pay according to the prescribed standards. Payment can be made through mobile phones or on behalf of others, or through rural credit cooperatives by staff.
The reimbursement ratio for hospitalization expenses for serious illnesses will be increased from a maximum of 60 percent to about 70 percent. Increasing the reimbursement ratio for serious illnesses can effectively alleviate the phenomenon of peasants returning to poverty due to illness.
Legal basis: "Social Insurance Law of the People's Republic of China" Article 24 The State shall establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.
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In 2022, the individual payment standard for resident medical insurance is 320 yuan, but the specific payment standard is different in different places. For example, the individual payment standard for basic medical insurance for urban and rural residents in Rizhao City in 2022 is 330 yuan per person (including those with household registration in other cities), of which 290 yuan per person for full-time students (including children in nursery) will pay the overall annual payment with the school. The 2022 individual payment standard for residents in Yantai remains the same as that in 2021, with the first level being 370 yuan per person per year and the second level being 520 yuan per person per year.
With the improvement of the price level and residents' living standards, the payment standard of residents' medical insurance is showing a trend, and the individual payment standard of residents' medical insurance will be from 280 yuan to 320 yuan in 2022, and each region will adjust the standard according to the local economic development level and medical insurance revenue and expenditure, that is, all localities can appropriately increase the individual payment standard according to the local situation on the basis of 320 yuan.
Legal basis. Article 24 of the "Full Text of the Social Insurance Law of the People's Republic of China" The State shall establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.
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The payment methods for NCMS in 2022 are as follows:
NCMS online payment can choose to log in to Alipay, and then find and click [City Service] - [Social Security] - [Resident Reimbursement] on the home page, and in the jump page, users need to fill in the corresponding ID number, name and payment location according to the steps. After confirming the information, click Confirm payment.
2. You can open WeChat on your mobile phone, click [My] - [Payment] in the lower right corner of the page, find [City Service] - [Social Security] - [XX Social Security Payment] - [Medical Insurance Payment for Urban and Rural Residents] in Tencent service, fill in your personal information and pay the fee.
The reimbursement process for rural cooperative medical insurance is as follows:
1. Hospitalization of medical personnel or outpatients with specific diseases who see a doctor in a designated hospital can be settled and reimbursed online in real time, such as reimbursement by the medical office for other reasons. The medical expenses shall be paid in advance by the individual, and the hospital shall obtain the certificate of disease diagnosis, the invoice of the hospital charges, the detailed list of the summary of expenses, bring the information of the hospital and the information of the participating in the cooperative medical treatment, ID card or household registration booklet, bank passbook (card) and fill in the approval form for the reimbursement of cooperative medical treatment, which shall be reviewed by the village committee and add opinions, and will not be processed after the deadline.
2. The preliminary examination materials will be handled by the sub-district medical office.
3. The joint medical office will send the audit materials to the Municipal Social Security Bureau for examination and approval.
The information that needs to be provided for reimbursement of rural cooperative medical insurance is as follows:
1. Fill in the Luoding Rural Cooperative Medical Reimbursement Approval Form as required;
2. The preliminary examination materials will be handled by the sub-district medical office.
3. The joint medical office will send the audit materials to the Municipal Social Security Bureau for examination and approval.
2. Original certificate of disease diagnosis;
3. The original invoice of the hospital;
4. The original of the summary list of patient expenses;
5. Copy of ID card or household registration book (original);
6. Copy of cooperative medical invoice (original);
7. Copy of bank passbook (card) (original);
8. Admission records and village committee certificates are also required for traumatic injuries;
9. If you give birth in a hospital, you need to provide a birth permit.
Social Insurance Law of the People's Republic of China
Article 4 Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.
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Legal analysisThe payment standard of NCMS is 320 yuan per person per year. This standard is clearly stipulated in the notice on the basic medical security for urban and rural residents issued by the relevant state departments, which means that the level of medical insurance treatment for residents will continue to be improved, and the per capita financial subsidy standard will be increased by 30 yuan to no less than 580 yuan per year.
However, at the same time, the individual payment standard will be increased to 320 yuan per person per year.
Legal basis. Article 20 of the Social Insurance Law of the People's Republic of China The State shall establish and improve a new type of rural social endowment insurance system. The new rural social endowment insurance implements a combination of individual contributions, collective subsidies and subsidies.
Article 21 The new type of rural social endowment insurance benefits shall be composed of basic pensions and personal account pensions. Rural residents who participate in the new rural social endowment insurance and meet the conditions stipulated by the state shall receive the benefits of the new rural social endowment insurance on a monthly basis. Article 22 The State shall establish and improve a social endowment insurance system for urban residents.
The people of provinces, autonomous regions and municipalities directly under the Central Government may, according to the actual situation, combine the social endowment insurance for urban residents and the new rural social endowment insurance.
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The growth rate is basically the same as that of the market economy.
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In 2022, the per capita financial subsidy standard for residents' medical insurance will be increased by 30 yuan, reaching no less than 580 yuan per person per year; At the same time, the individual payment standard will be increased by 40 yuan to reach 320 yuan per person per year. The payment fee is increasing year by year, the reimbursement ratio is also increasing, and the state is also including more common drugs and chronic diseases in the scope of medical insurance reimbursement. More than 300 million urban and rural residents with hypertension and diabetes will be reimbursed for 50% of outpatient medications.
Further reduce the financial burden of patients' medical expenses. In 2022, the payment standard for NCMS is 320 yuan per person per year.
This standard is clearly stipulated in the notice on the basic medical security for urban and rural residents issued by the State Administration of Taxation in 2022, pointing out that the level of medical insurance treatment for residents will continue to be improved in 2022, and the per capita financial subsidy standard will be increased by 30 yuan, and the annual amount of Zhiyun will not be less than 580 yuan. However, at the same time, the individual payment standard will be increased to 320 yuan per person per year. Although the individual payment of NCMS has increased by 40 yuan, the overall compensation is also increasing, and farmers will get more real benefits.
Mainly because of rural social security.
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