How to pay medical insurance for flexible employees in Suzhou

The payment methods of medical insurance for flexible employees in Suzhou are as follows:

1. Entrust the bank to deduct money. The payer can go to the operating room of the handling bank, sign the entrusted deduction agreement, and entrust the bank to deduct the endowment insurance premium and medical insurance premium of flexible employees from my bank account on a monthly basis. If the payer needs to change or cancel the deduction agreement, it shall go to the counter of the handling bank;

2. Handle bank counter payment. The payer can bring his/her valid ID card and pay at the counter of the business outlet of the handling bank;

3, such as foreign household registration personnel to participate in the basic old-age insurance, the actual payment period and deemed payment period accumulated to 15 years, and the basic old-age insurance relationship is still in the urban area, according to the flexible employment form for insurance payment.

Medical insurance reimbursement process:

1. Under normal circumstances, when you need to be hospitalized due to illness, you can go to your designated hospital with your medical insurance card and medical records, and settle with your medical insurance card. That is, some of them are paid by themselves, and some medical insurance centers and hospitals reimburse and settle accounts;

2 from designated hospitals to secondary or tertiary hospitals, medical insurance cards can be used for settlement;

3. The patient is critically ill and hospitalized in a non-designated hospital. He should go to the municipal medical insurance center for emergency rescue disease identification within 5 days. After being identified as an emergency rescue disease, he can use the medical insurance card for settlement in the rescue hospital;

4, transferred to other places for treatment, with the consent of the hospital and medical insurance center, the referral procedures. The expenses incurred in the field shall be settled by the individual at his own expense, and after the diagnosis and treatment, the community labor security workstation shall prepare the materials for reimbursement;

5, medical insurance reimbursement is calculated in proportion, generally ranging from 70%. The proportion and amount of reimbursement are related to factors such as self-examination, medication and medical grade;

6. At the time of reimbursement, the insured person needs to prepare relevant materials for hospitalization, such as outpatient medical records, discharge records, discharge diagnosis (disease diagnosis), hospitalization invoices (which can be reported to the outpatient department), general list of hospitalization expenses, and medical insurance statements. If the hospital has done CT, B-ultrasound, electrocardiogram and other inspections, it is also necessary to prepare relevant inspection reports;

7, discharge settlement, submit relevant information, in the medical insurance reimbursement window can be reimbursed. After approval, the reimbursement amount will generally arrive within 15 working days.

To sum up, flexible employees in cities and towns hold relevant documents and materials to the local community social security agencies (flexible employees with foreign household registration who meet the insurance conditions go to the municipal social security center) to go through the insurance registration procedures for flexible employees. Flexible employment personnel fill in the "Suzhou Flexible Employment Personnel Insurance Payment Application Form" and choose the payment type and pension insurance payment grade. After the social security (work) agency has audited, it will issue the Form of Participation and Payment of Flexible Employment Personnel in Cities and Towns in Suzhou.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.