I. Information to be Provided for Unit Participation
(1) A copy of the unit's business license, approval of the establishment of the original and a copy of the document or other documents approving the unit's practice; (2) the original and a copy of the Unified Code Certificate for Organizations issued by the State Department of Quality and Technical Supervision (this is not required for individual businesses); (3) the original and a copy of the ID card of the unit's legal person or person in charge; (4) a report on the unit's basic situation; (5) a recent inch-free color photo of each employee. (4) a report on the basic situation of the unit; (5) 1 recent one-inch crownless color photo of each insured employee.
The forms to be filled in are "Social Insurance Registration Form" (2 copies), "Roster of Changes in the Increase, Decrease and Change of Employees' Participation in Social Insurance in Nanning City", and "Inputting Plate Map of Color Photo".
Business process (1) the information to be provided and the filled forms to be sent to the Municipal Social Insurance Premiums Unified Collection Hall for examination and approval; (2) approval is granted to register; (3) apply for the IC card for medical insurance (see the process of "XVI, the new IC card for medical insurance"). Second, self-employed workers (flexible employment) to participate in the insurance
Materials to be provided (1) the original identity card and photocopies; (2) the basic pension insurance manual of Nanning City, (3) the basic pension insurance in Nanning City, the recent statement of contributions or receipts; (4) a recent one-inch color photo of the person without a crown.
No forms to be filled out.
Business process (1) to provide information to be sent to the municipal social insurance premiums unified collection hall for review; (2) approved by the approval of registration; (3) apply for medical insurance IC card (see the process of "sixteen, medical insurance IC card new"). Third, the community residents to participate in the insurance
Materials to be provided (1) residents of the original household register and photocopies; (2) age-compliant conditions have been run by the original identity card and photocopies; (2) my recent one-inch bareheaded color photographs of 1; (3) enjoy special subsidies, but also have to provide the following certified original and photocopies of the following materials: ① severe disability: "Chinese People's Republic of China and the State Disabled Person's Card " (limited to one or two); ② low income recipients: low income guarantee, the current low income approval form or the current low income payment records; ③ women aged 50 years old less than 55 years old, in the city's social insurance agency has received a pension: retirement certificate or retirement submission statement.
Forms to be filled out: "Guigang City Residents' Basic Medical Insurance Application Form".
Business Process
New enrollment: (1) submit the required information and the completed form to the neighborhood committee of the community in which you reside for review; (2) receive a payment slip and pay the fee at the designated bank branches; (3) receive a special receipt and a medical insurance IC card at the neighborhood committee of the community in which you reside.
Renewal of insurance: From September 1 to December 25 every year, with the cash payment slip issued by the community committee of the insured community (printed with the name of the community, name, personal number or ID card number, contact phone number and other information), go to each branch of the designated bank to pay the premium for the next year. Fourth, primary and secondary school stage (including vocational high school, junior college, technical school, kindergarten) in the school students to participate in the insurance
Materials to be provided (1) a copy of the resident's household registration book, or meet the age conditions have been run by a copy of the identity card; (2) the insured students recent one-inch bareheaded color photo 1 (choose to run the card provided by the students); (3) enjoy the benefits of the special subsidy treatment, but also have to provide a copy of the following certified materials: ① severely disabled: "People's Republic of China *** and the State Disabled Person's Certificate" (limited to one or two); ② low-income recipients: low-income guarantees, the current low-income approval form or the current low-income payment records (must have the name of the insured student).
The forms to be filled in (1) "Guigang City, urban residents of basic medical insurance for schoolchildren file" spreadsheet; (2) "Participating Units Information Sheet" (to be filled in by the new school); (3) "Guigang City, urban residents of basic medical insurance for schoolchildren enrollment roster" (to be stamped with the official seal of the school).
Business process (1) the information to be provided and has been filled in the form sent to the Municipal Medical Insurance Center, the residents of the insurance management section for review; (2) the school unified on behalf of the collection of health insurance premiums to the bank to pay the deposit, will be the receipt of the cash payment slip (or transfer receipts) to the center of the residents of the insurance management section, the center of the payment management section to pay the details of the records provided by the Internet banking, to receive the receipt of the social security fund; (3) for students who choose to (3) Apply for a medical insurance IC card for the students who choose to apply for the card (for details, please refer to the process of "XVI, Newly applying for a medical insurance IC card"). Fifth, students enrolled in the insurance
Materials to be provided (1) a copy of the identity card of the insured students; (2) enjoy special subsidies, but also to provide copies of the following certified materials: ① severely disabled: "People's Republic of China *** and the State Disabled Person's Certificate" (limited to one or two); ② low-income recipients: low-income guarantees, the current period of low-income insurance approval form or the current period of low-income benefits issued by the record (there must be a student's name). name).
To fill in the form (1) "Guigang City, urban residents in the basic health insurance for college students in the file" spreadsheet; (2) "Participating Units Information Sheet" (the new school to fill in); (3) "Guigang City, urban residents in the basic health insurance for college students in the enrollment of the roster" (stamped with the official seal of the school).
Business process (1) the information to be provided and has been filled in the form sent to the Municipal Medical Insurance Center, the residents of the insurance management section for review; (2) the school unified collection of health insurance premiums to the bank, the cash payment receipt (or transfer receipt) to the center of the residents of the insurance management section, the center of the payment management section to pay the details of the record by the Internet bank after checking to receive the social security fund receipts. Sixth, urban workers basic medical insurance hospitalization cost reimbursement
Materials to be provided (1) medical insurance IC card; (2) hospitalization fee receipts (invoices); (3) list of hospitalization costs; (4) certificate of illness; (5) outpatient medical records; (6) entrusted to another person to do it on behalf of the applicant must also provide a letter of attorney and on behalf of the person's identity card originals and photocopies; (7) foreign medical treatment, but also to provide Provide "Guigang City, residing in a different place or staff stationed abroad to choose a designated medical institution in a different place registration form", or proof of medical treatment in a different place (issued by the unit of the insured person); (8) transfer to a foreign province to seek medical treatment, you need to provide the First Affiliated Hospital of Guangxi Medical University issued by the transfer of the coordinated area of the outside of the approval form for diagnosis and treatment.
The form to be filled out "Guigang Urban Workers' Basic Medical Insurance Medical Expenses (Coordinated or Individual Account) Center Reimbursement Approval Form" (3 copies).
Business Process (1) send the required information and the filled form to the Medical Treatment Management Section of the Municipal Medical Insurance Center for review; (2) after passing the review, go to the Settlement Management Section of the Center for settlement of expenses; (4) after the settlement is completed, go to the Payment Management Section of the Center for payment procedures.
([Note] In general, the expenses are directly settled (reimbursed) by the medical insurance IC card in the hospital; the insured person will go to the municipal medical insurance center for reimbursement only when the medical insurance IC card is lost, lost, or the new or replacement card has not yet been collected, or when the medical treatment in a different place is unable to realize the direct settlement of the medical insurance IC card in the hospital). Seventh, urban workers basic medical insurance outpatient severe chronic disease cost reimbursement
Materials to be provided (1) medical insurance IC card; (2) outpatient severe chronic disease treatment card; (3) outpatient fee receipts (invoices); (4) outpatient cost lists or prescriptions; (5) outpatient medical records; (6) entrusted to another person to do it on behalf of the applicant, but also to provide the applicant's letter of attorney and the original ID card of the person who is acting on behalf of the applicant and photocopies of. The applicant must also provide a letter of attorney and a copy of the applicant's original ID card.
The form to be filled out "Guigang Employee Basic Medical Insurance for Medical Treatment Requiring Coordinated Fund Expenditure Declaration Form" (3 copies).
Business process (1) the information to be provided and filled in the form to be sent to the Municipal Health Insurance Center, Medical Treatment Management Section for review; (2) after passing the audit, to the center of the Settlement Management Section for the settlement of expenses; (3) after the settlement is completed, to the center of the Payment Management Section for the receipt of the money formalities; (4) foreign medical treatment (medical), but also have to provide the "Nanning City, living in a different place or stationed staff to choose the designated medical institutions of other places Registration Form for Medical Institutions in Nanning.
([Note] In general, the cost of the hospital in the hospital with health insurance IC card direct settlement (reimbursement); participants in the health insurance IC card is lost, lost, or new, replacement card has not yet received, off-site medical treatment, etc. can not be realized in the hospital direct settlement of the health insurance IC card, and then go to the municipal health insurance center for reimbursement procedures. Eight, unit workers medical mutual aid treatment declaration
The information to be provided see "six, urban workers basic medical insurance hospitalization cost reimbursement".
For the forms to be filled out, please refer to "VI. Reimbursement of Hospitalization Expenses under the Basic Medical Insurance for Urban Employees".
The procedure for handling the "Reimbursement of Hospitalization Expenses for Basic Urban Employee Medical Insurance" includes the settlement and payment of the unit's employees' medical mutual aid benefits.
([Note] In general, the cost of the hospital in the hospital with medical insurance IC card direct settlement (reimbursement); participants in the medical insurance IC card is lost, lost, or new, replacement card has not yet been received, off-site medical treatment can not be realized in the hospital medical insurance IC card direct settlement, only to the municipal health care center for reimbursement procedures. IX. Reimbursement of Medical Benefits for Civil Servants
Documents to be Provided (1) Medical Insurance IC Card; (2) Medical Fee Receipts (Invoices); (3) Settlement Form for Payment of Ordinary Inpatient Expenses of Insured Patients or Settlement Form for Outpatient Special Diseases (to be affixed with the seal of the person's unit).
None of the forms to be filled out.
Business process (1) the information to be provided to the Municipal Health Insurance Center Settlement Management Section for review, and for the settlement of expenses (urban units of civil servants in the city for reimbursement of medical subsidies); (2) settlement is completed, to the center of the Payment Management Section for the receipt of funds.
([Note] This item is only for civil servants or insured employees enjoying civil servant treatment. Municipal Finance Bureau otherwise stipulated in some units of the civil service medical benefits, the Center Settlement Section review and seal back to their units for reimbursement.) X. Declaration of Maternity Insurance Benefits for Enterprises
Documents to be Provided (1) Original and copy of the medical certificate of birth of the baby issued by the medical institution; (2) Original and copy of the Family Planning Service Handbook or the Certificate of Birth of the Second Child; (3) Original and copy of the certificate of illness (childbirth) issued by the medical institution; (4) If the spouse of the male employee is entitled to the benefits, the male employee should also provide the original marriage certificate and a copy of the certificate, the female identity card, and the original and copy of the marriage certificate. photocopy, and the original and photocopy of the woman's ID card. (5) the implementation of family planning surgery, should provide proof of family planning department or medical institutions and medical records; (6) one of the following circumstances, should also submit the appropriate documents: ① cesarean section to declare difficult labor treatment, must be submitted to the health care institution issued by the disease with a statement of indications of difficult labor; ② female workers are not menopausal ring, must be submitted to the family planning department; ③ abortion without a birth index, need to provide the epithelial certificate or certificate of the family planning department; (7) the male worker's spouse can enjoy the treatment, should also provide the original marriage certificate or certificate of the birth department. IUD or birth control department certificate; ④ the need to maternity insurance benefits to be allocated to the account of the unit is not consistent with the official seal stamped on the declaration form, must be issued by the unit to prove (2 copies; if two units, both units must be stamped on the certificate);
To fill out the form "Guigang Maternity Insurance Benefits to be paid to the declaration form" (4 copies).
Business process (1) the information to be provided and the filled form will be sent to the Municipal Medical Insurance Center Settlement Management Section for review and settlement of expenses; (2) the Center's Payment Management Section will, according to the appropriation form provided by the Settlement Management Section, regularly pay the maternity insurance benefits to the public account of the unit to which the declared employee belongs or to a designated account. XI. Reimbursement of Maternity Expenses for Female Employees Formerly Entitled to Publicly-funded Medical Treatment
Documents to be Provided: (1) IC Card of Medical Insurance; (2) Receipts (invoices) for medical charges; (3) Outpatient Medical Records and Pregnancy Test Cards; (4) Detailed List of Maternity Expenses (including outpatient treatment); and (5) the original and photocopies of the Family Planning Service Manual or the Certificate of Birth of the Second Child.
Forms to be filled out: "Declaration Form for Payment of Maternity Expenses for Female Employees Formerly Entitled to Public Medical Treatment in Guigang City" (3 copies).
Business Process (1) send the required information and filled forms to the Medical Treatment Management Section of the Municipal Medical Insurance Center for review; (2) after the review, go to the Settlement Management Section of the Center to settle the expenses (the reimbursement of maternity expenses of female workers who used to be entitled to publicly-funded medical treatment in the urban areas will be handled in the urban areas); (3) after the settlement is completed, go to the Payment Management Section of the Center to handle the procedures for receiving the money.
([Note] Some of the maternity expenses of the employees of the units which are otherwise stipulated by the Municipal Finance Bureau will be reimbursed to their units after being examined and stamped by the Settlement Section of the Center). XII, the original enjoyment of public medical treatment workers public injury medical expense reimbursement
Materials to be provided (1) medical insurance IC card; (2) medical fee receipts (invoices); (3) cost breakdown list (including outpatient); (4) outpatient medical records (such as hospitalization, certificates of illness and discharge summary); (5) "Nanning City, the original enjoyment of public medical treatment workers public (industrial) injury medical fee payment Approval Form".
The form that must be filled out is "Guigang City Formerly Enjoying Publicly-Funded Medical Treatment Employees' Public Injury Expense Payment Declaration Form" (3 copies).
Business process (1) to the Municipal Human Resources and Social Security Bureau of Health Insurance Section for public (industrial) injury recognition; (2) will be required to provide information and has been filled out the form sent to the Municipal Health Insurance Center, Medical Treatment Management Section audit; (3) audit, to the center of the Settlement Management Section for the settlement of expenses (urban areas formerly enjoy public medical treatment of public injury costs of employees audited by the Center, back to reimbursement in the urban areas); (4) settlement is completed, the former enjoy public medical treatment, back in the urban areas) ); (4) settlement is completed, to the center of the payment management section for the receipt of funds.
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