Legal analysis: 1. You can only participate in pension, unemployment and medical insurance, but you can't participate in work injury and maternity insurance. 2, the insured for the first time to pay 6 months after the occurrence of serious illness medical expenses, can enjoy the treatment of serious illness medical insurance. The insured who participates in medical insurance for serious illness must pay the fee continuously without interruption. If it is not paid within three months, it shall be regarded as intermittent payment. Before the interruption, the payment has been paid continuously for 5 years without reimbursement of medical expenses for serious illness. Before and after the re-payment, if the payment is calculated continuously for less than 5 years, or if it is over 5 years but enjoys the treatment of serious illness medical insurance, the serious illness medical expenses incurred after 6 months shall enjoy the treatment of serious illness medical insurance according to the provisions of these measures. Moreover, if the one-time hospitalization expenses only exceed 1300 yuan, the outpatient and emergency expenses will not be reimbursed. The insurance base will change every April, and the cost will also change. It is suggested that the balance in the bank's "medical insurance debit card" should not be lower than that in 400 yuan before April every year, and you can go to the bank to print the statement at the end of April to understand the payment standard for the new year. 4. Personal archivists are in arrears in the first and second months of three consecutive months. According to the policy, the basic medical care in the second and third months was temporarily suspended. For example, before 10 of the last month of the third month of continuous payment, the suspended medical insurance benefits will be resumed after all the expenses are paid. 5. After three months of continuous arrears and medical insurance interruption, if the archiving individual wants to continue to participate in the insurance, he needs to hold the medical insurance manual and the debit card statement issued by the bank, and go to the center to re-sign the Agreement on Personal Entrusting Archivists to Pay Basic Medical Insurance Fees and Large Medical Mutual Fund. 6. The basic medical insurance handled by the personal archivist is only responsible for the medical expenses incurred by the insured within the validity period of the medical insurance. The minimum payment for the first hospitalization in the same natural year is 1.300 yuan, and the minimum payment for the second hospitalization (including the second hospitalization) in the year is 650 yuan. The top line of the basic medical insurance co-ordination fund is 70,000 yuan in a natural year, and the maximum payment limit of the large medical mutual fund is 654.38+10,000 yuan in a natural year. The minimum reimbursement rate of the basic medical insurance pooling fund for the above part is 85%. Within one year, the accumulated medical expenses exceed the cap of the basic medical insurance fund (70,000 yuan), and 70% of the large medical expenses are paid by the mutual fund, and the personal burden is 30%. Outpatient service is not covered by reimbursement. 7. To enjoy medical insurance benefits after retirement, the cumulative years of actual payment and deemed payment before retirement must reach 25 years for men and 20 years for women.
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. Safeguard citizens' right to receive material assistance from the state and society according to law in cases of old age, illness, work injury, unemployment and maternity.
Sixteenth individuals who participate in the basic old-age insurance, when they reach the statutory retirement age, have accumulated contributions for fifteen years, and receive the basic pension on a monthly basis. Individuals who have participated in the basic old-age insurance for less than fifteen years can pay the fee for fifteen years and receive the basic pension on a monthly basis.