Traditional Culture Encyclopedia - Traditional stories - Can seniors over 70 years old in Jinniu District, Chengdu City, buy social security, and how to buy? What conditions are required?

Can seniors over 70 years old in Jinniu District, Chengdu City, buy social security, and how to buy? What conditions are required?

After the retirement age, you can no longer buy social security.

For more information, please call the local labor and social security consulting phone 12333 ;there is human service during office hours.

In terms of medical care, you can learn about basic medical insurance for urban residents

Interim Measures for Basic Medical Insurance for Urban Residents in Chengdu City

Source: Chengdu Daily 2007-1-16 05:24:58

Sichuan News Network - Chengdu Daily News:

Chengdu Municipal People's Government Decree No. 134

Chengdu Municipal People's Government Decree No. 134

The Interim Measures for Basic Medical Insurance for Urban Residents of Chengdu City have been discussed and adopted at the 94th executive meeting of the municipal government on December 30, 2006, and are hereby promulgated and shall come into force on the date of promulgation.

Mayor: Ge Honglin

January 1, 2007

Article 1 (Purpose and Basis)

These Measures are formulated in accordance with relevant laws and regulations and the actual situation of Chengdu Municipality in order to further improve the urban and rural basic medical insurance system, to protect the basic medical care of urban residents, and to realize the gradual realization of the medical care of everyone.

Article 2 (insurance principles)

Basic medical insurance for urban residents is based on the following principles:

(1) The level of insurance is commensurate with the level of socio-economic development, and is coordinated at the district (city) and county levels.

(2) The insurance system is integrated with the basic medical insurance for urban workers.

(3) Implementing social coordination of inpatient medical care, insuring major diseases and hospitalization, and not building individual accounts.

(4) Rights and obligations are equal.

(5) Individual contributions, supplemented by government subsidies, and financing from various sources.

(6) The integrated fund is based on income and expenditure, with a balance of income and expenditure and a slight surplus.

Article 3 (competent authorities)

The municipal labor security administrative department is in charge of the city's basic medical insurance for urban residents. The labor security administrative departments of the districts (cities) and counties shall be in charge of the basic medical insurance for urban residents in their respective administrative areas. District (city) and county social insurance agencies (hereinafter referred to as social insurance agencies) in accordance with the provisions of these Measures, specific contractors of urban residents of basic medical insurance business in the co-ordinated area.

Article 4 (Scope of Participation)

The following persons with urban household registration within the administrative area of the city shall participate in the basic medical insurance for urban residents:

(1) Urban residents who have reached the age of 18 and above and who have not established a labor relationship with an employing unit within the working age;

(2) Urban residents who are 60 years old or above and who have not participated in the basic medical insurance for urban workers are women who have reached the age of 50. urban residents who have not participated in basic medical insurance for urban workers.

The old Red Army, retired cadres, disabled soldiers of the revolution of the second grade B or above, foreigners and people from Hong Kong, Macao and Taiwan within the administrative area of the city shall not be subject to these measures.

Article 5 (Contribution Standards)

(1) Jinjiang District, Qingyang District, Jinniu District, Wuhou District, Chenghua District and the High-tech Industrial Development Zone (hereinafter collectively referred to as the five urban districts), the average salary of Chengdu employees in the previous year as the basis for the contribution, the contribution rate of 5%.

(2) other districts (cities) and counties in the previous year the average salary of Chengdu City employees for the contribution base, divided into three grades, namely: 100% of the average salary of Chengdu City employees in the previous year; the previous year the average salary of Chengdu City employees in the previous year of 80%; the previous year the average salary of Chengdu City employees in the previous year of 60%, the proportion of contributions for 4%. The district (city) and county governments can determine the specific contribution level according to the economic income status of the urban residents in the co-ordination area.

The average salary of Chengdu employees in the previous year involved in the basic medical insurance for urban residents shall be based on the average salary of the city's employees as announced by the Municipal Bureau of Statistics.

Article 6 (Subsidies for Participation)

The government shall subsidize the participation of urban residents who are entitled to the urban minimum subsistence guarantee at not less than 300 yuan per person per year; for urban residents from low- and middle-income families, the government shall subsidize the participation of each person aged 60 years or older for men and 50 years for women at not less than 50 yuan per person per year. Specific subsidy standards are determined by the governments of the integrated regions (cities) and counties in the light of local conditions. The funds required, according to the principle of territorial management, borne by the district (city) and county governments.

Article 7 (Contribution Period)

Participants shall pay urban residents' basic medical insurance premiums continuously and uninterruptedly, with an interruption of more than two months for renewal of the insurance deemed to be re-enrollment.

(1) Those who are 70 years old or older at the time of their first enrollment and have paid contributions continuously for 10 years or more shall be entitled to urban residents' basic medical insurance benefits for life according to the comprehensive average contribution index.

(2) Persons who are 60 years old or older and less than 70 years old at the time of their initial enrollment, and who have paid contributions continuously for more than 15 years, shall be entitled to urban residents' basic medical insurance benefits for life according to the comprehensive average contribution index.

(3) Persons who are 50 years old or older and less than 60 years old at the time of their initial enrollment, and who have paid contributions continuously for 20 years or more, shall be entitled to urban residents' basic medical insurance benefits for life according to the comprehensive average contribution index.

(4) Persons who are less than 50 years old at the time of their first enrollment, and have paid contributions continuously for 25 years or more, shall be entitled to urban residents' basic medical insurance benefits for life according to the comprehensive average contribution index.

(e) For those who have transferred to urban workers' basic medical insurance after participating in urban residents' basic medical insurance, if the total number of years of commuted contributions to the original urban residents' basic medical insurance and the total number of years of continuous contributions to the urban workers' basic medical insurance is more than 15 years, and if they have paid the urban workers' basic medical insurance premiums for a continuous period of not less than 10 years before they reach the statutory retirement age after transferring the insurance relationship, they will enjoy the urban workers' basic medical insurance benefits for life when they reach the statutory retirement age.

Author: Crossing Development 2007-1-18 13:59 Reply to this statement

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2 Interim Measures for Basic Medical Insurance for Urban Residents in Chengdu City

Article 8 (Payment Methods)

Basic medical insurance for urban residents shall be collected monthly or annually, and the premiums paid shall not be returned.

Article 9 (Convergence of Insurance Relationships)

An urban resident's basic medical insurance participant who participates in the basic medical insurance for urban workers after establishing a labor relationship with his employer may have his original years of contributions commuted according to a certain ratio, with one year commuted for every two years in the five urban areas, and the specific methods of commutation for the other districts (cities) and counties to be determined by the governments of the coordinating districts (cities) and counties.

People who have participated in the basic medical insurance for urban workers are, in principle, not allowed to be transferred to the basic medical insurance for urban residents; those who need to be transferred to urban residents due to special circumstances can only be transferred to the original social security institution, while maternity insurance premiums are collected along with the basic old-age insurance premiums.

Article 10 (Insurance Benefits)

The one-time hospitalization medical expenses incurred by urban residents' basic medical insurance participants at designated medical institutions for urban workers' basic medical insurance in accordance with the provisions of the urban workers' basic medical insurance shall be paid by the integrated fund according to the following standards:

The portion of the hospitalization medical expenses above the starting standard and below the maximum payment limit of the integrated fund shall be paid by the individual after the individual pays for a portion of the expenses that the individual should have paid, and shall be paid by the integrated fund according to the following standards. The coordinated fund shall pay the following standards:

(1) The five urban areas shall be paid in accordance with the payment standards of the coordinated fund for urban workers' basic medical insurance.

(2) In other districts (cities) and counties, if the contributions are made at 100% of the contribution base, the standard payment will be made by the basic medical insurance fund for urban workers; if the contributions are made at 80% of the contribution base, 80% of the standard payment will be made by the basic medical insurance fund for urban workers; if the contributions are made at 60% of the contribution base, 60% of the standard payment will be made by the basic medical insurance fund for urban workers.

Article 11 (Starting standard)

The starting standard of the urban residents' basic medical insurance co-ordination fund shall be implemented with reference to the starting standard of the urban workers' basic medical insurance co-ordination fund of the co-ordinated area.

Article 12 (Maximum Payment Limit)

The maximum payment limit of the urban residents' basic medical insurance co-ordination fund shall be as follows: the medical expenses paid by the co-ordination fund for an individual in a natural year shall be four times the amount of the contribution base of the year prior to the date of admission to the hospital of the insured person.

Article 13 (Treatment Payment Period)

Participating in the basic medical insurance for urban residents and paying contributions continuously, the insurance treatment payment period is as follows:

(1) Participating in the insurance and paying contributions before December 31, 2007, the medical expenses incurred in the hospital in the month following the month of participation in the insurance shall be entitled to the medical insurance treatment stipulated in the present measures.

(2) After December 31, 2007 to participate in the premiums, from the date of participation in 12 months after the date of admission to the hospital incurred medical costs to enjoy the provisions of the health insurance treatment.

(3) If the renewal of insurance premiums is interrupted for more than 2 months, the medical expenses incurred for hospitalization after 12 months from the date of renewal shall be entitled to the medical insurance treatment provided for under the Measures.

(4) If a person who participates in the basic medical insurance for urban residents establishes a labor relationship with an employer and then participates in the basic medical insurance for urban workers, his medical insurance treatment shall be implemented according to the relevant provisions of the basic medical insurance for urban workers.

Article 14 (Circumstances of Non-Payment)

The urban residents' basic medical insurance co-ordination fund shall not pay for the following expenses:

(1) Those who visit a non-designated medical institution except for rescue.

(2) Medical expenses incurred during the period of interruption of contributions.

(3) Injuries caused by traffic accidents, medical malpractice or other responsible accidents.

(d) Injuries caused by the person's own drug use, fights and brawls, or violations of laws and regulations.

(e) Treatment for self-injury, self-injury, alcoholism, drug addiction, sexually transmitted diseases, etc.

(6) Treatment for cosmetic, orthopedic, physical defects, etc.

(vii) Referral to another hospital without the approval of the social security institution.

(viii) Other cases of non-payment of fees stipulated by national, provincial and municipal health insurance policies.

If an injury is caused by a traffic accident, and a certificate of hit-and-run issued by the public security traffic management department can be provided and verified by the social security institution, the medical fees for medical treatment at the designated medical institution can be included in the scope of payment by the basic medical insurance fund for urban residents, except for those who have enjoyed the relevant compensation.

Article 15 (Settlement Methods)

Medical expenses incurred by a participant during his hospitalization shall be settled between the social security institution and the designated medical institution if they fall within the scope of payment by the urban residents' basic medical insurance co-ordination fund; and between the participant and the designated medical institution if they fall within the scope of payment by the participant and the participant's out-of-pocket expenses.

An individual shall pay a certain amount of advance payment to the designated medical institution upon admission to the hospital, which shall be used to pay for the expenses to be borne by the individual. The specific amount of the advance payment shall be determined by the designated medical institution according to the condition of the patient, and the designated medical institution shall settle the bill with the individual when he/she is discharged from the hospital. The fixed-point medical institution shall issue a receipt to the payer when it collects the fees.

Article 16 (Management of the Fund)

The basic medical insurance fund for urban residents is included in the unified management of the basic medical insurance fund for urban workers, with a special financial account and a separate account, and no unit or individual may misappropriate it.

Author: Crossing Development 2007-1-18 13:59 Reply to this statement

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3 Interim Measures for Basic Medical Insurance for Urban Residents in Chengdu City

The working expenses of social security organizations for medical insurance business shall be settled by the budget of the same level of finance, and shall not be withdrawn from the medical insurance fund.

Article 17 (Supervision of Fund Revenues and Expenditures)

The administrative departments of labor and security and the financial departments are responsible for supervising and administering the basic medical insurance fund for urban residents; and the auditing departments are responsible for regularly auditing and supervising the basic medical insurance fund for urban residents. Social security institutions are responsible for collecting and managing the basic medical insurance fund for urban residents, paying medical insurance benefits in a timely manner in accordance with the regulations, and establishing and improving the system of preliminaries and final accounts, the financial accounting system and the internal audit system.

Article 18 (Handling of Fund Overspending)

When there is an overspending of the basic medical insurance fund for urban residents, the labor security administrative department shall promptly report the overspending to the government at the same level, which shall take measures to solve the problem.

Article 19 (Personnel Security)

The staff required by the basic medical insurance administration organizations for urban residents shall be resolved by the district (city) and county governments themselves in accordance with their work needs.

Article 20 (Management of Medical Services)

Basic medical insurance for urban residents is managed by designated medical institutions. Specific measures shall be implemented in accordance with the Measures for the Administration of Designated Medical Institutions for Urban Workers' Basic Medical Insurance formulated by the administrative departments of labor security and health.

Article 21 (Responsibility for Violations by Designated Medical Institutions)

Designated medical institutions and their staffs violate the medical insurance policies and regulations, make false statements, misuse medicines, and charge illegal fees, etc., the social security institutions have the right to deal with them in accordance with the agreement; and the administrative departments of labor and security may, depending on the circumstances, give them criticisms and education, or suspend the basic medical insurance business, or abolish the qualification of designated medical institutions.

Article 22 (Liability for Insurance Fraud)

If an insured person adopts concealment, fraud or other means to cheat the medical insurance fund, the social security institution shall have the right to refuse payment. If payment has already been made, it shall be ordered to return it in accordance with the law; if it refuses to return it, the administrative department of labor security may impose a fine of not less than 500 yuan and not more than 1,000 yuan in accordance with the provisions of the State Council's Provisional Regulations on the Collection and Payment of Social Insurance Premiums; if it constitutes a crime, it shall be subject to the investigation of criminal responsibility by the judicial organs in accordance with the law.

Article 23 (Responsibility of Managers for Violations)

If the staff of the administrative departments of labor security and social security institutions abuse their powers, commit malpractice for personal gain or neglect their duties, resulting in the loss of the basic medical insurance fund for urban residents, the social security institutions shall recover the loss of the medical insurance fund and be given administrative sanctions; if a crime is constituted, the staff shall be held criminally liable in accordance with the law.

Article 24 (Implementation Rules)

District (city) and county governments shall, in accordance with the provisions of these Measures, formulate implementation rules in the light of local realities and report them to the municipal government for the record. Its basic principles, coverage, contribution standards, treatment levels, fund management and other systems shall be basically consistent with these Measures.

Article 25 (Supplementary Medical Insurance)

People participating in the basic medical insurance for urban residents may voluntarily participate in the Chengdu Urban Hospitalization Supplementary Medical Insurance.

Article 26 (Meaning of Terms)

The terms "above" or "below" referred to in these Measures include the present number.

Article 27 (Interpretation)

The Chengdu Municipal Bureau of Labor and Social Security shall be responsible for the interpretation of the specific application of these measures.

Article 28 (Enforcement Date)

These Measures shall come into force on the date of promulgation. In case of any inconsistency between the relevant regulations formulated by the Municipality in the past and these Measures, these Measures shall prevail.

Interpretation of the Trial Measures on Basic Medical Insurance for Chengdu Urban Residents

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Sichuan Online (2007-) 10-02 07:14:08) Source: Sichuan Online - Huaxi Metropolis Daily

"What is the difference between the basic medical insurance for urban residents after the pilot program and that for urban workers, which was implemented in January this year, for residents?"

"Can children of migrant workers studying in Chengdu be insured?" Yesterday, Chengdu City, the launch of the urban residents of basic medical insurance pilot, Chengdu citizens have called the newspaper for advice. Yesterday, on the pilot launch of the "Chengdu City, urban residents of basic medical insurance pilot measures" (hereinafter referred to as "new measures") and in January this year, "Chengdu City, urban residents of basic medical insurance interim measures" (hereinafter referred to as "old measures") on the participants to bring The reporter interviewed the relevant person in charge of the Chengdu Municipal Bureau of Labor Security.

Contribute less personal contribution of at least 188 yuan

According to the introduction, the old measures in January this year, non-student children urban residents to participate in the standard of contribution is calculated on the basis of the previous year's average salary of Chengdu workers: urban areas (Jinjiang, Qingyang, Jinniu, Wuhou, Chenghua and Hi-tech) in the previous year, Chengdu City, the average salary of workers for the base of the contribution, the proportion of contributions for 5%; the other districts (cities) and counties to contribute the base of the contribution, the proportion of the contribution is 5%; and the proportion of the contribution is 5%. (The contribution base for other districts and counties is divided into three levels: 100% of the average salary of Chengdu employees in the previous year; 80% of the average salary of Chengdu employees in the previous year; and 60% of the average salary of Chengdu employees in the previous year, with a contribution rate of 4%. Contributions will be made on a monthly or annual basis, and the new scheme, which was launched in October, will be calculated at a uniform rate of 2.5% of the per capita disposable income of urban residents in Chengdu for the previous year. It is also based on an annual levy.

Comparison of the old and new methods of payment

The old and new methods of payment are calculated on the basis of one year's payment by a person eligible for insurance in the urban area:

Old method: 19,293 yuan (average salary of Chengdu workers in 2006) × 5% = 964.65 yuan

New method: 12,789 yuan (per capita disposable income of urban households in 2006) × 2.5%

The new method: 12,789 yuan (average disposable income of urban households in 2006) × 2.5 percent. (per capita disposable income of urban residents in Chengdu) × 2.5% = 319.73 yuan, and the contribution standard for non-student child residents was set at 320 yuan in 2007 with the agreement of the inter-departmental joint meeting of the Provincial Labor Security Department.

Comparison of subsidies in the old and new methods

Both methods provide subsidies to insured urban residents:

The old method: urban residents enjoying the urban minimum subsistence guarantee participate in the insurance, the government subsidy per person per year will not be less than 300 yuan; urban residents of low- and middle-income families participate in the insurance, the government subsidy per person per year will not be less than 50 yuan for males aged 60 years old or above, and for females aged 50 years old or above.

The new approach: all participants are subsidized 45 yuan per person, there are also subsidies for special circumstances.

"Individuals pay for the difference after deducting the subsidies given by the government at all levels, compared with the original contribution, the individual contribution is reduced by 188 to 690 yuan." Chengdu Municipal Bureau of Labor and Social Security Medical Insurance Department said that after deducting the government's subsidies, the new method of contributions than the old method of contributions to reduce a lot. After calculating that the contribution is about 2.5 percent of the disposable income of residents' families, the average reimbursement cost of residents also amounted to about 53 percent.

The children of migrant workers studying in Chengdu can also participate in the insurance

"Can the children of migrant workers studying in Chengdu participate in the basic medical insurance for urban residents?" Yesterday, many migrant workers called in to inquire. According to reports, one of the features of the new approach is that children and young people under the age of 18 are included in the scope of the insurance, and canceled the primary and secondary school students enrolled in schools, child care institutions in the park young children to participate in the household registration restrictions. This means that children of urban residents and migrant workers are eligible to participate as long as they are enrolled in a primary or secondary school or kindergarten in Chengdu. In addition, after participating in the basic medical insurance for urban residents, the reimbursement rate is 15% higher than the reimbursement rate of the children's mutual aid.