Can medical insurance be reimbursed after Feidong social security is paid?

After Feidong social security pays back, medical insurance can be reimbursed.

Medical insurance can be reimbursed after paying social security, but it takes some time for medical insurance reimbursement to be recovered, which is mainly related to the time when the user's social security is cut off. We should know that the time to cut off social security is the time to cut off medical insurance, and the reimbursement of basic medical insurance is closely related to medical insurance payment.

1. If the medical insurance is suspended within 60 days due to the suspension of social security, you can continue to enjoy the basic medical insurance reimbursement treatment from the next month;

2. If the interruption of medical insurance is less than 60 days 180 days due to the interruption of social security, after the social security is paid, it will be counted from the month of payment, and it will continue to enjoy the treatment paid by the medical insurance pooling fund after 3 months;

3. If the medical insurance is interrupted for more than 180 days due to the social security interruption, after the social security payment, it will be counted from the month of payment, and the medical insurance reimbursement can be resumed after 6 months.

The reimbursement standards for commercial insurance after medical insurance reimbursement are as follows:

1. After medical insurance reimbursement, commercial insurance can generally only reimburse the remaining part of the medical insurance scope, including the part below the deductible line, the part above the capping line and related expenses other than 50% to 70% of the medical insurance reimbursement ratio;

2. If it is a small medical insurance with a low deductible or even no deductible, it can be reimbursed according to its proportion after medical insurance reimbursement;

3. If it is a million-dollar medical insurance, the deductible of most million-dollar medical insurance is 1 000. After deducting the deductible, the general medical reimbursement will be reimbursed in proportion, and the proportion after medical insurance reimbursement is generally 1.000%.

4. Medical insurance and commercial medical insurance cannot be paid repeatedly, because medical insurance belongs to the nature of reimbursement and will be reported first;

5. If it is after medical insurance reimbursement, the payment of critical illness insurance is paid immediately after diagnosis, which has nothing to do with medical insurance reimbursement. As long as it meets the definition of disease, it can be paid.

To sum up, if an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state, he will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

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.