Job Recruitment Website - Social security inquiry - Can medical insurance be paid back? How to pay?
Can medical insurance be paid back? How to pay?
Generally speaking, medical insurance cannot be paid if it is interrupted for more than 3 months. However, there are two situations that can be repaid. First, if the payment is broken due to the unit's reasons, the unit can make up for the employees. Employers are allowed to pay back medical insurance for no more than two years, and the years after payment can be calculated together. Among them, the supplementary expenses shall be borne by the employer. Second, people who are about to retire or are in the process of retirement can pay back when the medical insurance payment period is insufficient. After the medical insurance is cut off, it cannot be reimbursed by the medical insurance pooling fund. If the medical insurance is paid off within 3 months, it can be resumed next month after payment. If the medical insurance has been paid for more than 3 months, the payment period will be accumulated again, and the normal use can only be resumed after the waiting period stipulated by various localities. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks.
Legal basis:
Article 27 of the Social Insurance Law of People's Republic of China (PRC), if an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state, he will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of 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.
Derivative problem:
How to reimburse medical insurance 1, and the agent shall submit the reimbursement documents and other materials to the social security agency for acceptance; 2. After receiving the application materials, the accepting department shall review, settle accounts and pay; 3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form". 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.
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