Urban and rural residents paid the wrong medical insurance how to do

The urban and rural residents of the medical insurance paid wrong can apply for the residents of the medical insurance refund. Specific circumstances are as follows:

The first category Policy refund:

Policy refund includes the enjoyment of financial subsidies refund and enjoyment of the difficult to subsidize the refund. Commonly, mainly special populations mark the reception of the situation before the normal personnel have paid the standard.

Participants to pay the cost of residents' health insurance, the audit is eligible to enjoy financial subsidies, according to their entitlement to financial subsidies refund of their contributions; approved by the relevant departments to enjoy the subsidies to participate in the qualification, according to their entitlement to the amount of subsidies refund of their contributions. That is to say, enjoy how much subsidy or financial assistance, how much money will be refunded.

Required materials: If you are applying in person, you only need to provide information on the benefits of health insurance; if you are applying on behalf of others, you need a power of attorney, the participant's ID card or social security card, and information on the benefits of health insurance.

The second type of refund in case of death:

If a participant dies before January 1 of the following year after completing the payment for the following year, his/her legal heirs or designated beneficiaries can apply for a refund of the health insurance premiums paid by him/her.

Required documents: proof of the participant's death, proof of the relationship between the legal heir or designated beneficiary and the participant.

The third type of error in the process:

The process of error is the main category of refund situations, including four situations:

1, employees and residents of the city re-payment: the employee health insurance treatment is normal to participate in the residents of the medical insurance, because it does not belong to the scope of the residents of the medical insurance coverage, can be made by the participants of the residents of the medical insurance refund application, verification of the eligibility of the residents of the medical insurance refund. The medical insurance refund.

2. Repeated payment by college students and ordinary residents in the city: If a college student participates in the resident's health insurance in the new academic year and then repeats the participation in the resident's health insurance in the following year as an ordinary resident, it belongs to the repetition of payment by the insured person, and the insured person can apply for the refund of the repetition of payment of college student's health insurance premiums or ordinary resident's health insurance premiums, among which, if college student's health insurance treatment has already taken place, then the refund of the ordinary resident's health insurance premiums will be given to him/her.

3. Change of medical insurance level: If the participants of the previous year's centralized financing period apply for a change of the current year's residents' medical insurance level or a refund of fees, since they have not yet entered the period of entitlement to the residents' medical insurance (January-December of the current year), they can apply for a voluntary change of the contribution level or a refund of fees during the previous year's centralized financing period.

4. Mispayment of the year's health insurance premiums after September 30 of the current year: according to the provisions of the voluntary contributions of insured persons, no later than September 30 of the current year, the completion of the current year's health insurance costs (i.e., that is, except for those who participate in the enjoyment of the personnel). After September 30th of that year, the residents of the current year's health insurance premiums paid by mistake, you can apply for a refund.

Required materials: If you are doing it yourself, you need to prove that you have paid the duplicated contributions, but you don't need any other information to submit the application directly; if you are doing it on behalf of someone else, you need to provide a power of attorney, ID card or social security card of the insured person.

To sum up: urban and rural residents medical insurance paid wrong request to change, require workers to provide evidence of social security paid wrong, social security departments will be in the acceptance of the date of the corresponding audit, if it is indeed paid wrong, can be changed.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 4

Employers and individuals within the territory of the People's Republic of China pay social insurance premiums in accordance with the law, and have the right to inquire about the payment records, individual rights and interests, and to request that the social insurance agencies provide social insurance consulting and other related services. Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of contributions for them by their own units.