Conditions for Flexible Employment Participants to Enjoy Medical Reimbursement

Flexible employees can't get medical insurance from their employers like regular employees, but they can pay for it through their personal contributions. After applying for medical insurance, flexibly employed persons can utilize medical insurance in the same way as active employees.

1. The method of reimbursement for flexible employees using health insurance is the same as that for other categories. The difference is only the reimbursement limit;

2. If you are hospitalized due to illness, you can just go to the hospital social security office with your medical handbook or medical insurance card to go through the admission procedure; when you are discharged from the hospital, the part of social security responsible for will be deducted from the medical fee, and the part of the part that the individual is responsible for will be paid by himself/herself;

3. If you have to travel to a different place for medical treatment for a special illness, you should say hello to your local social security office before you are hospitalized and be reimbursed according to the regulations after you agree with the local social security office. reimbursement according to the regulations.

Flexible employment social security contribution process is as follows:

1, open a social security account: flexible employees need to go to the local social security bureau to open a social security account, while submitting the relevant documents and information, including ID cards, residence permits, household registration, labor contracts, etc.;

2, payment of social security fees: flexible employees need to pay social security fees based on their own wages and income, and in accordance with the prescribed ratio and standard, including the pension and standards, including pension insurance, medical insurance, unemployment insurance, work-related injury insurance and maternity insurance;

3. Confirmation of payment information: Flexible workers need to check the balance of their social security accounts and the details of their contributions on a regular basis, to ensure that their social security fees have been paid in place and that there are no omissions or errors;

4. According to their actual situation, they need to apply for social security related business, such as applying for medical reimbursement, pension, unemployment benefits and so on;

5. Note: Flexible workers need to comply with the national and local social security regulations, pay their social security fees on time, and at the same time, keep the payment vouchers and social security certificates in case of inquiries or disputes.

Summary of the above is a small number of flexible employment participants to enjoy the conditions of medical reimbursement to make the relevant answer, I hope it can help you.

Legal basis

Article 10 of the Social Insurance Law of the People's Republic of China

Employees shall participate in basic pension insurance, and the employer and the employee*** shall pay the basic pension insurance premiums together. Individual industrial and commercial households without employees, part-time workers who do not participate in basic pension insurance with their employing units, and other flexibly employed persons may participate in basic pension insurance and pay basic pension insurance premiums by themselves. The methods of pension insurance for civil servants and staff members administered under the civil service law shall be prescribed by the State Council.

Article 12

The employer shall pay basic pension insurance premiums in accordance with the proportion of the total wages of the employees of the employer as prescribed by the State, and credit them to the Basic Pension Insurance Coordination Fund. Employees shall pay basic pension insurance premiums in accordance with the proportion of their own wages prescribed by the State and credited to their individual accounts. Individual business households without employees, part-time workers who do not participate in the basic pension insurance in the employer and other flexible employment to participate in the basic pension insurance, should pay the basic pension insurance premiums in accordance with the state regulations, respectively, credited to the basic pension insurance fund and individual accounts.