Job Recruitment Website - Social security inquiry - How long can Wuxi social security pay to use medical insurance?
How long can Wuxi social security pay to use medical insurance?
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees of the employer and other flexible employees may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premium in accordance with state regulations.
The use of medical insurance:
First, it is the first time to participate in the basic medical insurance for employees. Insured persons can enjoy outpatient co-ordination treatment in the month of payment, and enjoy hospitalization co-ordination treatment in the seventh month after continuous payment for 6 months. If the insured is interrupted, the insured person will stop enjoying the medical insurance benefits from the second month after the interruption of payment, and can enjoy the medical insurance benefits again after the renewal.
Second, those who participate in medical insurance for urban and rural residents for the first time generally enjoy medical insurance benefits for urban and rural residents from 90 days after payment (newborns who are insured within 90 days of birth can enjoy medical insurance benefits from the date of birth); After that, the insured pays the annual fee during the centralized payment period of renewal, and then enjoys the residents' medical insurance benefits from 65438+ 10/to 65438+February 3 1 in the following year. If you miss the centralized payment period, you must pay it back within the specified time, otherwise you will not be able to enjoy medical insurance benefits.
Three, individuals to participate in medical insurance for urban workers for the first time as flexible employees, part of the outpatient expenses can be reimbursed from the next month, but the hospitalization expenses can generally be reimbursed after 3~6 months, the specific time depends on the local medical insurance policy.
Flexible employees who have participated in the basic medical insurance for employees for the first time since July 1 20265438 will enjoy the basic medical insurance benefits for employees from the second natural month after the insurance payment; Employees who have interrupted their participation in medical insurance will enjoy basic medical insurance benefits for employees in the third natural month after the normal payment is resumed. Under normal circumstances, the interruption time does not exceed 3 months, and the medical insurance reimbursement treatment will be resumed after the relevant expenses are paid, and the medical expenses incurred during the interruption period will not be reimbursed; If the interruption time exceeds 3 months, there will be a waiting period of 3 to 6 months, and the medical expenses incurred during the waiting period will not be reimbursed, even if the relevant expenses are supplemented later.
Legal basis:
People's Republic of China (PRC) social insurance law
Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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