Job Recruitment Website - Social security inquiry - Is it clear that medical insurance should be paid for three months?
Is it clear that medical insurance should be paid for three months?
Medical insurance has a three-month buffer period from the date of payment suspension. Over this period, the continuous payment period began to be recalculated. Although the medical insurance broke off for three months, the payment period will not be cleared.
The reasons why medical insurance is normally insured but there is no payment record are as follows:
1, system delay: when social security is paid, it is valid this month, but it must be paid within a few working days after payment. Sometimes the system delay will cause the enterprise to pay it, but it can't be found on the internet. This is also normal, just check it every few days;
2. Incorrect query tools: There are various query methods for social security payment records, such as WeChat query and Alipay search, but these are special tools for third-party platforms, not special tools for social security websites, and sometimes there are exceptions. Therefore, when searching, it is necessary to determine whether the special tools searched are wrong. Generally speaking, the social security association has a query tool for local websites;
3. The enterprise deducted the fee but didn't pay it: If searching the social security payment record is the way of the website, it is no problem how to query it, but the payment record can't be found. It may be that the enterprise has deducted wages, but failed to help employees pay social security. Ask the company's staff in charge of social security management to find out what the reason is;
4. Paid but not registered: In another case, the enterprise has paid the social security, and the bank running bills are printed out, but the employees still can't find the payment records. This may be because he didn't apply for filing in the social security center, which is equivalent to not helping the employee open his own social security account. At this time, even if the enterprise pays, it can't be found.
The coverage of medical insurance is as follows:
1, drug reimbursement for basic medical insurance
Our country now divides drugs into three categories: A, B and C, among which A drugs are within the scope of medical insurance, so medical insurance can only reimburse A drugs, and B and C drugs cannot be reimbursed;
2. Reimbursement of basic medical service facilities
This reimbursement scope mainly refers to bed fees, first-aid bed fees, consulting fees, etc. Expenses incurred by the insured in the process of diagnosis, treatment and nursing in designated medical insurance institutions;
3, the basic medical insurance treatment project reimbursement
It must be a safe and effective diagnosis and treatment, and the charging standard shall be determined by the price department. Need to be treated in a designated medical institution.
To sum up, medical insurance is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
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.
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