When will social security be paid and when will it take effect?

If it is the first time to participate in the basic medical insurance, you need to pay for 6 months continuously to enjoy hospitalization reimbursement, that is, it will take effect after 6 months. However, if it is an ordinary clinic, the payment can take effect from the next month and enjoy medical insurance benefits.

Initial insurance

If it is the first time to participate in insurance, the payment record can be generated and the social security card can be processed before reimbursement. Social security cards are generally handled by the unit for employees. If the company doesn't handle the social security card for you, you can't reimburse the medical expenses when you go to the doctor, and the expenses incurred should also be borne by the company.

Cut-off and subsequent payments

If your medical insurance is renewed when the payment is cut off, if it is cut off within 3 months, then you can continue to enjoy medical insurance benefits this month and next month; If you suspend payment for more than 3 months, you need to pay for 6 months continuously before you can enjoy medical insurance benefits again.

Under normal circumstances, the basic medical insurance for employees paid by the company is paid in the current month and takes effect in the next month. Individuals who participate in the basic medical insurance for flexible employees can reimburse part of outpatient expenses, but it takes 6 months for hospitalization expenses to enjoy medical insurance reimbursement.

However, if you participate in medical insurance such as residents' medical insurance and rural medical insurance, you will pay for one year. If you have participated in this kind of medical insurance, the medical expenses in the hospital can be directly reimbursed.

Medical insurance reimbursement is carried out in proportion, and the proportion of hospitalization reimbursement in different levels of hospitals is different.

Employers and their employees pay in full in the current month, and the insured enjoy medical insurance benefits for employees in the next month. Participate in employee medical insurance for the first time as a flexible employee, and enjoy employee medical insurance benefits according to regulations after continuous payment for 3 months. Insured employees who terminate their labor relations with the employer or receive unemployment insurance benefits at the expiration of the period can participate in employee medical insurance as flexible employees and enjoy employee medical insurance benefits from the next month of payment.

Medical insurance premiums for employees shall be paid by both employers and employees. Insured employees take their average monthly salary income in the previous year as the payment base of their monthly medical insurance premiums, and the payment ratio is 2%; The employer takes the sum of the monthly payment bases of all insured employees as the monthly payment base of employee medical insurance premiums, and the payment ratio is 8%.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should 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.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.