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What is the impact of Shanghai social security suspension for more than 3 months?
1. The payment period of medical insurance and maternity insurance will be recalculated. When calculating the payment period of general medical insurance and maternity insurance, there can be no payment for three consecutive months. Therefore, once the payment of social security is suspended for more than three months, the payment period of your own medical insurance and maternity insurance starts from 0;
2, affecting medical insurance reimbursement. Generally, if the user fails to pay for more than three months, the hospitalization can be covered by medical insurance in the next month after renewal, but if the payment is suspended for more than three months, it will take at least six months for medical insurance reimbursement after renewal.
Legal basis: Article 64 of People's Republic of China (PRC) Social Insurance Law.
Social insurance funds include basic endowment insurance fund, basic medical insurance fund, industrial injury insurance fund, unemployment insurance fund and maternity insurance fund. In addition to the basic medical insurance fund and maternity insurance fund combined accounting, other social insurance funds are accounted for separately according to social insurance types. Social insurance funds implement a unified accounting system throughout the country.
The social insurance fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it.
The basic old-age insurance fund will gradually implement national overall planning, and other social insurance funds will gradually implement provincial overall planning. The specific time and steps shall be stipulated by the State Council.
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