Job Recruitment Website - Social security inquiry - Social security has stopped, can the medical insurance card still be used?
Social security has stopped, can the medical insurance card still be used?
Under normal circumstances, if you participate in employee medical insurance, but later stop paying because of resignation and other reasons, then your medical insurance account will be sealed in the next month when you stop paying, and you can't enjoy medical insurance benefits.
This is because medical insurance is different from old-age insurance. Medical insurance is pay as you go. With your current money, you can enjoy medical insurance treatment if you pay, but you can't enjoy it if you don't pay.
The remaining money in your medical insurance card will be cleared and invalidated. During the period when your account is blocked, the remaining money in the medical insurance card can still be used, which can be used to see a doctor in a designated medical insurance hospital and settled by card until the money in the medical insurance card is used up.
Some areas will freeze and need to go to the social security center to thaw before they can be used.
The money in other accounts, such as the pension insurance account, cannot be used, but can only be used after retirement (provided that the payment is full 15, and the supply can be cut off halfway).
If the employee insured by the employer fails to pay the medical insurance premium on time, the employer shall repay the unpaid fees, interest and late fees within 3 months from the date of default, and the medical expenses that should be paid by the overall fund during the holdover period can be fully repaid, and the payment period of the insured can be accumulated, and the corresponding amount is included in the personal account; If the unpaid fees, interest and late payment fees are paid after 3 months from the date of default, the insured person can accumulate the payment period and do not enjoy the social medical insurance benefits for employees. During this period, the social medical insurance benefits that the insured should enjoy shall be borne by the employer with the obligation to pay.
If the medical insurance payment is suspended for three months and then renewed, the previous payment will not become invalid. According to the cumulative calculation of the payment period of social medical insurance for employees, there is no situation that the payment will be invalid if it is interrupted for more than 3 months. When the insured reaches the statutory retirement age, employees who have paid the social medical insurance for employees for a specified number of years can enjoy the social medical insurance benefits for retirees.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 8
The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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