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How to renew the medical insurance when it is broken?
1. After employees join the new company, the new company will continue to pay social security instead of employees;
2. If there is no new company, you can pay social security as a flexible employee, and the parties need to apply to the social security bureau where the household registration is located to transfer the social security relationship. According to the relevant laws and regulations, employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. The way of self-renewal is generally to go to the social security bureau where the medical insurance is located to handle the self-payment procedures, and the specific operation method needs to consult the local social security bureau. Medical insurance is interrupted, and the payment of basic medical insurance premium is interrupted continuously for 3 months or accumulated for 6 months, and the basic medical insurance benefits are stopped. After the payment is resumed, those who have been interrupted for 3 months in a row can enjoy the payment from the overall fund again after 6 months of continuous payment, and those who have been paid for 6 months can enjoy the medical insurance again after 1 year of continuous payment.
Medical insurance settlement procedures:
1, settlement procedure for inpatient and outpatient treatment of special diseases
Designated medical institutions shall submit the expense list, hospitalization list and related materials of discharged patients last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination. The medical insurance agency pre-allocated the hospitalization and outpatient co-ordination expenses for special diseases last month;
Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and drug purchase, and the medical expenses incurred shall be directly accounted for and settled immediately;
2. Emergency settlement procedures
The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, medical records, examinations, laboratory tests, invoices, detailed list of medical expenses, etc. shall be submitted to the medical insurance agency for reimbursement according to regulations.
3, the placement of personnel placement procedures
(1) The personnel resettled in different places are designated by their units 1-2 as designated medical institutions and reported to the medical insurance agency for the record;
(2) The medical expenses incurred by the off-site staff in the outpatient service of the designated medical institution in their place of residence shall be paid in advance by themselves or their units. After the treatment, the subordinate unit shall hold the diagnosis, medical records and effective expenses of the insured;
Use bills, compound prescriptions, hospitalization expenses list, etc. Settle with the social medical insurance agency on the specified date.
To sum up, medical insurance is the abbreviation of medical insurance, which is social insurance provided by society or enterprises with necessary medical services or material help when employees get sick, injured or give birth.
Legal basis:
Article 10 of People's Republic of China (PRC) Social Insurance Law
Employees shall participate in the basic old-age insurance, and the employer and employees shall jointly pay the basic old-age insurance premium.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employer and other flexible employees can participate in the basic old-age insurance, and individuals pay the basic old-age insurance premium.
The measures for the endowment insurance of civil servants and staff managed by reference to the Civil Service Law shall be formulated by the State Council.
Article 12
The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of its employees stipulated by the state, and record it in the basic old-age insurance pooling fund.
Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.
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