Job Recruitment Website - Social security inquiry - Will medical insurance be paid immediately and will take effect immediately?
Will medical insurance be paid immediately and will take effect immediately?
1, social security: it takes effect the next month after the insurance, and can be reimbursed for medical treatment, but it cannot be reimbursed after 3 months of suspension;
2. The new rural cooperative medical system: generally, it is purchased in September-165438+ 10/every year and takes effect in June of the following year;
3. Commercial medical insurance: generally, there is a hesitation period, which takes effect after the hesitation period, depending on the specific insurance product terms, such as 10 day, 30 days, 60 days, etc. According to the relevant laws and regulations, if the medical expenses incurred by the insured in the agreed medical institutions meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, they shall be paid from the basic medical insurance fund in accordance with state regulations.
No. The next month after the payment of medical insurance will take effect. Details are as follows:
1. Generally, in the month following the employee's medical insurance, the local government department will confirm whether the insured person has paid the basic medical insurance premium. If it starts from 1, the medical insurance will take effect;
2. If the payment is interrupted, it will take effect on 1 the month after the renewal. Medical insurance can reimburse the hospitalization expenses incurred after the renewal takes effect, but it will not reimburse the hospitalization expenses incurred before the renewal.
The reimbursement process of medical insurance card is as follows:
1. Prepare the discharge summary, invoice and medication list issued by the hospital;
2. My ID card, medical insurance card and medical certificate issued by the company (official seal of the company is required). If the company is not insured, the medical certificate issued by the company is not required;
3. Take the above information to the local medical insurance office.
It will take effect the next month after the medical insurance is handled. The new medical insurance can't take effect immediately, but the new insured can take effect next month, which means that medical expenses can be reimbursed. Scope of use of medical insurance card: insured employees can use the card when purchasing drugs in designated hospitals and pharmacies, but they cannot withdraw cash or transfer money. How long will the employee's medical insurance take effect? This is divided into two situations: the first situation: if it is the first time to participate in insurance, the payment record can be generated and the social security card can be processed before reimbursement. Generally, in the month following the employee's medical insurance, the local government department will confirm whether the insured person has paid the basic medical insurance premium. If so, the medical insurance will take effect from 1. Social security cards are generally handled by the unit for employees. If the unit does not help with the social security card, the medical expenses cannot be reimbursed when seeking medical treatment, and the expenses incurred should also be borne by the unit. The second case: renew the insurance under the condition of stopping payment. If the payment is stopped within 3 months, then renew the insurance this month and continue to enjoy the medical insurance benefits next month. If you suspend payment for more than 3 months, you need to pay for 6 months continuously before you can enjoy medical insurance benefits again. Because employees can't enjoy medical insurance reimbursement after medical insurance is paid off, I suggest you don't break off the relationship. Otherwise, during the period of breaking off diplomatic relations, there is no medical insurance guarantee. In case of breach of contract, the insurance should be renewed as soon as possible.
Legal basis:
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 7
The administrative department of social insurance in the State Council is responsible for the national social insurance management, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.
The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.
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