What if the medical insurance unit stops insurance and the individual continues to pay?

When the medical insurance unit stops, the process of individual continuing to pay is as follows:

1. Personal payment: you need to apply to the social security bureau where your household registration is located. Procedures include: my ID card, two recent bareheaded one-inch photos, insurance premium, application form, etc. And can only apply for pension and medical insurance;

2, how much to pay is calculated according to the local social wage of the previous year, which is different every year. In addition, it is also stipulated that the lowest grade and the highest grade are not less than 60% of the average monthly salary of social workers, and the highest grade is 300% of the average monthly salary of employees. Generally, the lowest grades are mostly;

3. Minimum payment period of endowment insurance 15, and medical insurance needs to be paid for at least 25 years. You can apply for a pension when you reach retirement age.

Put forward the standard of medical insurance interruption:

1. Unpaid social insurance premium: If the insured fails to pay the social insurance premium according to the regulations or fails to pay the social insurance premium on time, it will be regarded as unpaid social insurance premium, which may lead to medical insurance failure;

2. Medical insurance fraud: If the insured person commits fraud when using the medical insurance card, such as falsely listing medical expenses, it will be considered as medical insurance fraud, which may lead to the suspension of medical insurance;

3. The medical insurance participation qualification does not meet the requirements: if the identity certificate, household registration and other relevant certification materials of the medical insurance insured do not meet the medical insurance participation conditions, it is deemed that the medical insurance participation qualification does not meet the requirements, which may lead to the suspension of medical insurance.

To sum up, you can participate in medical insurance and pay medical insurance fees on time, so that you can enjoy medical insurance when you go to see a doctor.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 28

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.