Is it necessary to pay medical insurance for six months before reimbursement?

Medical insurance for less than six months will not be reimbursed.

1。 Newly insured employees (including those who have been re-insured for more than 1 year after interruption of payment) shall participate in the basic medical insurance according to law, and if the payment reaches 1 year (excluding the overdue period), they shall enjoy the basic medical insurance benefits in accordance with the regulations;

2。 Over six months and less than one year, according to 50% reimbursement;

3。 Less than six months, no reimbursement.

That is, after the new insurance payment 1 to 6 months, you can't enjoy the basic medical insurance benefits, commonly known as the waiting period. From the seventh month to 12 months, you can enjoy 50% basic medical insurance benefits, and you can enjoy normal basic medical insurance benefits from 13 months.

The history of continuous payment in different places has exceeded 1 year, and the transferred personnel can normally enjoy the basic medical insurance benefits for employees after handling the transfer and connection procedures.

What items does medical insurance reimbursement include?

The classification of medical insurance reimbursement and the items included are as follows:

1, general medical insurance. It mainly includes outpatient expenses, medical expenses and inspection expenses.

2. Hospitalization insurance. Mainly the daily hospitalization expenses, hospital equipment use expenses, operation expenses, medical expenses and so on.

3. Surgery insurance. Provide all expenses incurred due to the patient's need for necessary surgery.

4. Comprehensive medical insurance. Its cost range includes all expenses such as medical treatment, hospitalization and surgery.

5. Special disease insurance. Some special diseases often bring disastrous expenses to patients, which ordinary families can't bear. Such as cancer and heart disease. The major diseases that provide protection for the insured can be single diseases, such as malignant tumors, or even some cancers in malignant tumors.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the medical expenses incurred by the insured shall be paid by the basic medical insurance fund and directly settled by social insurance agencies, medical institutions and pharmaceutical trading 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.