1. For mobile payment, search through the mobile software store or scan the code to download the "Xiangshui Social Security" APP↓Click "My" to log in (you can log in with SMS verification code)↓Click on Urban and Rural Residents Medical Insurance - "Pay by yourself" or "Pay on behalf of others" ↓ Check the payment insurance type (medical insurance) ↓ Select "Payment Year" (2023) ↓ After clicking "Query", carefully check the payment information on the page (focus on the insured area!) ↓ Confirm After everything is correct, click "Next" → Select the payment method → ??Payment is successful.
2. Other payment methods (1) Pay premiums through the WeChat applet "Agricultural Bank of China Hunan Branch Micro Banking". (2) Pay premiums through the "Xiang Tax Social Security" APP, WeChat mini program "Xiang Tax Social Security", and "Hunan Tax Social Security Online Payment System", and support WeChat and UnionPay payments. (3) Pay the premium through the smart POS machines installed in the village (community) by the county Agricultural Bank of China, China Construction Bank, and Rural Commercial Bank. (4) Use your social security card or ID card to pay premiums at any outlet of Rural Commercial Bank, Industrial and Commercial Bank of China, Agricultural Bank of China, China Construction Bank and Postal Savings Bank in the county. (5) You can use your bank card (not a credit card) to pay the premium at any tax service office of the county taxation bureau. Within 90 days after the birth of a newborn, the guardian must present the household registration book or residence permit and use the household registration book to complete the insurance registration and payment procedures in accordance with the regulations of the town or town where the household registration is located. Compliant medical expenses incurred since the date of birth can be included in the medical insurance reimbursement. It mainly includes general outpatient service, "two disease" outpatient medication protection, outpatient chronic disease, hospitalization (including childbirth), and critical illness insurance benefits. Qualified needy people can also enjoy medical assistance benefits.
3. Outpatient benefits
(1) When insured residents in general outpatient clinics receive treatment at the agreed primary medical and health institutions (mainly township health centers, village clinics with conditions included), There is no deductible for outpatient medical expenses within the scope of the policy, and the payment ratio is 70%. Within a settlement year, the maximum actual reimbursement for outpatient medical expenses is 350 yuan.
(2) "Two diseases" clinic "Two diseases" refers to hypertension and diabetes. When patients with "two diseases" visit the agreed primary medical and health institutions, there is no deductible for the cost of blood pressure-lowering and blood-sugar-lowering drugs that meet the scope of medication. They are paid at a rate of 70%. The maximum actual annual reimbursement for patients with hypertension is 360 yuan, and for patients with diabetes. The maximum actual annual reimbursement is 600 yuan.
(3) Outpatient Chronic Special Diseases: After voluntary application and review by the medical insurance department in the insured place, eligible insured persons can enjoy treatment for 41 special diseases according to policies.
(4) For patients who are eligible for the "dual-channel" management of drugs under medical insurance, if the insured patient incurs drug expenses that meet the regulations within a medical insurance settlement year, the drugs will be managed according to the "dual-channel" The medical insurance payment standard reimburses 60%, and the reimbursement amount is included in the annual maximum payment limit.
4. Hospitalization benefits
Basic medical care: For the medical expenses in the medical insurance catalog incurred by urban and rural residents insured by the medical insurance, after deducting the hospitalization deductible, the city's tertiary hospitals will reimburse 70 %, secondary hospitals reimburse 80%, and township health centers and street health service centers reimburse 90%. The reimbursement ratio of provincial or inter-provincial designated medical institutions shall be implemented in accordance with provincial documents. The city's urban and rural residents' basic medical insurance annual cumulative reimbursement limit is 150,000 yuan.
Critical illness insurance: The high medical expenses incurred by insured persons in urban and rural areas for hospitalization. After the basic medical insurance for urban and rural residents pays them in accordance with regulations, the individual’s annual cumulative medical expenses within the scope of the policy exceed the threshold of critical illness insurance. The portion of the payment standard above RMB 13,000 will be reimbursed by the critical illness insurance on a pro rata basis. Compensation is accumulated in four stages, and the annual compensation limit is 400,000 yuan.
Poor people, subsistence allowance recipients, and people who have returned to poverty or become impoverished enjoy preferential treatment from critical illness insurance, that is, the deductible line is reduced by 50%, the segmented reimbursement ratio is increased by 5 percentage points, and the cap line is cancelled.
5. Medical assistance is provided to needy people who have participated in basic medical insurance (extremely poor dependents, orphans, de facto unsupported children, minimum living security recipients, severely disabled people, family members on the edge of minimum living security, included The medical expenses incurred by the monitoring targets for prevention of return to poverty and the serious illness patients whose families have suffered serious difficulties due to high medical expenses) in compliance with the policy can enjoy in-patient medical treatment according to the regulations after being reimbursed by the basic medical insurance and serious illness insurance. Assistance and outpatient medical assistance.
PS Warm reminder: If the above policies change, the new policy standards will apply.
Anxiang County Medical Insurance Service Hotline (1) Employee Medical Insurance Consultation Hotline: 4338538 (2) Resident Medical Insurance Consultation Hotline: 4388555 (3) Accident Insurance Consultation Hotline: Employee Medical Insurance: 4319859 Resident Medical Insurance: 4333009, 4313130 (4) Critical illness insurance consultation hotline: 4309239 (5) Medical assistance consultation hotline: 4338537 (6) Employee medical insurance participation, changes and personal account inquiry consultation hotline: 4338539 (7) Fraud and insurance reporting hotline: 4313073