Job Recruitment Website - Social security inquiry - Can employee medical insurance be paid in the current month?
Can employee medical insurance be paid in the current month?
Social security can also be used just one month after payment. If it is medical treatment, you can enjoy social medical insurance and bear the expenses. If there is a social security card, it can be settled in real time without separate reimbursement. If you don't have a social security card, you can keep the medical receipt and get it to the unit. Some units will reimburse the social security agency.
Payment rules of employee medical insurance:
1, payment object: employees in enterprises, institutions and other economic organizations;
2. Payment method: usually shared by the employer and the employee, and shared according to a certain proportion;
3. Payment ratio: According to the policies of different regions, the payment ratio of employers and employees may be different;
4. Payment time: Generally, payment is made monthly, and quarterly or annual payment is implemented in some areas;
5. Payment base: usually based on the average monthly salary of employees;
6. Effective after payment: Most regions stipulate that employees' medical insurance will take effect from the next month after payment, that is, they will not enjoy medical insurance benefits when they pay in the current month.
To sum up, employees can't enjoy the medical insurance in the current month, but they can use it just one month after paying the social security, and they can enjoy the social medical insurance and bear the expenses. If there is a social security card, it can be settled in real time without reimbursement; If you don't have a social security card, you can keep the receipt for seeing a doctor and get it to the unit, which will reimburse you to the social security agency.
Legal basis:
Interim Measures for the Transfer and Continuation of Basic Medical Insurance Relationship
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Specific policy arrangements for treatment convergence in the process of transfer and connection In order to further strengthen the management of transfer and connection of basic medical insurance relations and promote the continuous enjoyment of basic medical insurance benefits, the Interim Measures put forward four specific requirements:
First, if the employee's medical insurance insured person interrupts the payment for 3 months (inclusive) before the transfer, he can pay the employee's medical insurance fee according to the regulations of the transfer place, and he can enjoy the treatment of the transfer place in the month of payment, and the treatment can be enjoyed retroactively during the interruption period.
Second, those who have been insured continuously for more than 2 years (inclusive), because of personal identity changes such as employment, switch the insurance relationship between employee medical insurance and resident medical insurance, and if the payment is interrupted for less than 3 months (inclusive), they can pay the basic medical insurance premium according to the regulations of the place of transfer, and they can enjoy the treatment of transfer in the month of payment, and the treatment can be enjoyed retroactively during the interruption.
Third, each overall planning area can set a waiting period of no more than 6 months for those who have interrupted payment for more than 3 months according to their own conditions.
Fourth, according to the Social Insurance Law of People's Republic of China (PRC) and other relevant laws and regulations, it emphasizes the cumulative calculation of employees' medical insurance payment period, and the specific payment period is implemented in accordance with local regulations, requiring all localities not to bundle the treatment of employees' medical insurance retirees with receiving basic pensions on a monthly basis.
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