Why can social security pay medical insurance but can't?

Reasons why medical insurance can't pay:

First, employees who fail to pay in time and whose social security (medical insurance) card suspends the medical insurance function must pay their social medical insurance premiums in the current month, and then they can enjoy medical insurance benefits in accordance with the regulations in the next month. If the payment of social insurance premiums is stopped in the current month, the medical insurance bookkeeping function will be stopped or suspended from the following month 1.

Second, the hospital's system failure Sometimes, when the hospital encounters a system failure, it can only be settled at its own expense. Solution: In this case, just wait for the hospital system to return to normal and bring all relevant information back to the hospital front desk for supplementary bookkeeping.

Three. System information error In rare cases, there will be errors in the information transmission of the insured in the medical insurance system, such as determining the payment of their own cards, and there are no other objective reasons (such as system failure at the hospital end, etc.). ), then you can bring your ID card and social security (medical insurance) card to the service front desk of each secondary medical insurance agency, and the staff will adjust the system error information for you as soon as possible.

Fourth, ensure that there is enough balance in the social security card. Most of the reasons for the unsuccessful deduction are insufficient balance in the social security card. All insured persons should ensure that there is enough balance in their social security cards.

5. Other reasons, such as the chip of the social security card is damaged, demagnetized, the card surface is damaged and layered, and the original minor is over 16 years old and fails to change the card in time. It will also cause the social security card not to be used normally, so I need to bring my valid ID card to my bank outlet to apply for a new blank social security card and make a new card.

The methods and steps of medical insurance payment are as follows:

1. Open Alipay and click the search box above;

2. Enter medical insurance in the search box;

3. Choose residents' medical insurance;

4. Finally, fill in the data according to the requirements of the page, and click Next to jump to the payment interface to complete the payment.

Social insurance refers to a social and economic system that provides income or compensation for people who lose their ability to work, are temporarily unemployed or suffer losses due to health reasons. The main items of social insurance include endowment insurance, medical insurance, unemployment insurance, industrial injury insurance and maternity insurance.

The social insurance plan is organized by the government, forcing a certain group to use part of its income as social insurance tax (fee) to form a social insurance fund. Under certain conditions, the insured can get fixed income or loss compensation from the fund. It is a redistribution system, and its goal is to ensure the reproduction of material and labor and social stability.

In China, social insurance is an important part of the social security system, occupying a core position in the whole social security system. In addition, social insurance is a contributory social security. The funds are mainly paid by employers and workers themselves, and the government finances give subsidies and bear the ultimate responsibility. However, workers can only enjoy the corresponding social insurance benefits if they fulfill their statutory payment obligations and meet the statutory conditions.

Social insurance is the most important part of the social security system. Therefore, when discussing the history of social insurance, social insurance cannot be separated from social security.

Social insurance refers to the system that the state establishes a social insurance fund through legislation to give necessary material help to workers who participate in labor relations when they lose their ability to work or are unemployed. Social insurance is not for profit.

Social insurance is mainly through raising social insurance funds, coordinating and adjusting social insurance funds within a certain range, and giving necessary help to workers when they encounter labor risks. Social insurance provides basic living security for workers. Workers can enjoy social insurance benefits as long as they meet the conditions for enjoying social insurance, that is, they have established labor relations with employers or paid various social insurance premiums according to regulations. Social insurance is the core content of social security system.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.