Shenzhen medical insurance card is suspended.

If medical insurance continues to interrupt payment for 3 months (inclusive), it will be regarded as interruption of insurance participation and cannot be used.

First, if the employee's medical insurance insured person interrupts payment within 3 months (excluding 3 months), it will not be regarded as interruption of insurance. If the payment is interrupted for 3 months (inclusive), it will be regarded as the interruption of insurance, and the medical insurance benefits will be suspended from the next month after the interruption of payment. After going through the normal payment procedures, you will enjoy medical insurance benefits from the next month. After the interruption of insurance, you can apply for insurance procedures and pay for 6 months in a row before you can enjoy medical insurance benefits.

Two, the basic medical insurance fund for employees and individual accounts shall be accounted for separately according to their respective scope of payment, and shall not be crowded with each other.

(1) Personal account, which is used to pay out-patient expenses, out-of-pocket expenses of hospitalization and shopping expenses of designated pharmacies.

(2) the overall fund is used to pay for hospitalization and some outpatient serious illness expenses. The overall fund payment has a minimum payment standard and a maximum payment limit. Qifubiaozhun is controlled in principle at about 10% of the average annual salary of local employees, and the maximum payment limit is controlled in principle at about 4 times of the average annual salary of local employees. Medical expenses below Qifubiaozhun shall be paid by personal account or borne by individuals. Medical expenses above Qifubiaozhun and below the maximum payment limit are mainly paid by the overall fund.

Provide outpatient service. There is a one-year outpatient fee in the 800 yuan, but it must be used in the social rehabilitation center under the company. 2. You can use critical illness medical treatment within the payment period. If employees are unfortunately seriously ill, they can take out 70%-90% of medical expenses from the government social security fund; If the continuous payment of social security is less than 1 year, the maximum payment is 50,000 yuan; 1 year but less than 2 years, 65,438+ten thousand yuan; 2-3 years, 6.5438+0.5 million yuan; 3-6 years, 200,000 yuan, continuous insurance for more than 6 years, no maximum compensation limit. There is also work injury insurance in social security. This compensation amount is higher. In case of accidental disability, not only medical expenses are paid, but also hospitalization expenses, escort expenses and one-time subsidies, which are generally several times the monthly salary. It lightens a lot of burdens for enterprises, so it is very beneficial for enterprises to buy social security for employees. The social security card has the following functions: it records the basic information such as the cardholder's name, gender, citizenship number, and the cardholder's personal status (employment, unemployment, retirement, etc.). ) marked in the card, you can record the cardholder's social insurance payment, pension insurance personal account information, medical insurance personal account information, professional qualifications and skills, working experience, work-related injuries and so on. Social security card is the electronic certificate for workers to work in the field of labor security. Cardholders can use their cards to seek medical treatment and settle medical insurance personal accounts; You can handle endowment insurance affairs with your card; You can apply to the relevant departments for job registration and unemployment registration, unemployment insurance and employment training; You can apply for labor ability appraisal with your card and enjoy work-related injury insurance benefits. In addition, the social security card is the key for workers to open the door to the contact system. With this key, cardholders can query information online and handle related labor and social security affairs online in the future.