What is the enrollment date of medical insurance?

The enrollment date refers to the date when employees apply for social security enrollment for the first time, which is generally the date when employees first register their personal information. Employee medical insurance personal account is a special medical account established by medical insurance agencies for the insured according to the principle of basic medical insurance fund distribution for urban employees in China, referred to as "personal account". The basic medical insurance premium paid by the insured units and their employees in the overall planning area is divided into two parts: most of them are used to establish the overall planning fund, and a small part is included in the personal account of the insured.

Medical insurance reimbursement conditions:

1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital;

2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations;

3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.

To sum up, before 10 every month, the designated medical institutions will report the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency, which will be used as the basis for monthly pre-allocation and year-end final accounts after review. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.

Legal basis:

Article 1 16 of the Insurance Law of People's Republic of China (PRC).

An insurance company and its staff shall not commit any of the following acts in insurance business activities:

(1) Deceiving the applicant, the insured or the beneficiary;

(2) Concealing important information related to the insurance contract from the applicant;

(3) Obstructing the applicant from fulfilling the obligation of truthful disclosure as stipulated in this Law, or inducing him not to fulfill the obligation of truthful disclosure as stipulated in this Law;

(four) to give or promise to give the insured, the insured and the beneficiary insurance premiums or other benefits other than those stipulated in the insurance contract;

(5) Refusing to perform the obligation of compensation or payment of insurance benefits as stipulated in the insurance contract according to law;

(6) Deliberately fabricating an insurance accident or a fictitious insurance contract that has never happened, or deliberately exaggerating the loss of an insurance accident that has happened, making false claims, defrauding insurance money or seeking other illegitimate interests;

(seven) misappropriation, interception and occupation of insurance premiums;

(8) Entrusting an institution without legal qualifications to engage in insurance sales activities;

(9) Seeking illegitimate interests for other institutions or individuals by conducting insurance business;

(ten) the use of insurance agents, insurance brokers, insurance assessment agencies to engage in fictitious insurance intermediary business, fabricated surrender and other illegal activities;

(eleven) fabricating and spreading false facts to damage the business reputation of competitors, or disrupting the order of the insurance market by other unfair competition methods;

(12) disclosing the business secrets of the applicant and the insured that are known in business activities;

(thirteen) other acts in violation of laws, administrative regulations and the provisions of the the State Council insurance regulatory agency.