Does social security payment have an impact on medical insurance?

Social security withholding affects medical insurance.

Women have to pay 20 years of medical insurance, men have to pay 25 years, and they can enjoy life after retirement. Medical insurance has a buffer period of 3 months from the date of suspension of payment. Over this period, recalculate the continuous payment period. For the interruption of medical insurance, the most direct impact is that there is no medical reimbursement function, and the medical expenses incurred during the interruption period are not reimbursed, only the medical expenses incurred during the continuation period can be reimbursed.

The method of restoring medical insurance after social security payment is as follows:

1. If the payment is continued after the interruption, it must be based on the average salary of local employees in the previous year at the time of payment, and all the arrears during the interruption period must be filled. Overdue time is included in the continuous payment time, but you can't enjoy the treatment of pooling funds during the overdue period;

2, the insured to suspend the enjoyment of medical insurance benefits within 60 days (including 60 days) to pay medical insurance premiums, from the next month to enjoy the benefits of pooling funds to pay;

3. If the medical insurance benefits are suspended for more than 60 days to 180 days (including 180 days) to pay back the medical insurance, the benefits paid by the overall fund can only be enjoyed three months after the payment month;

4. If the medical insurance benefits are suspended for more than 180 days and the medical insurance premium is paid back, it will be calculated from the month of payment and enjoy the treatment paid by the overall fund after 6 months. If the payment is not made after the interruption, it will be regarded as re-participating in medical insurance, and the payment time before the interruption will not be included in the continuous payment time.

To sum up, the use of medical insurance has the greatest impact on the severance of social security. If the insured fails to pay the medical insurance premium in full and on time as required, he will stop enjoying the medical insurance benefits from the month when he has never paid it in full and on time.

Legal basis:

Article 27 of People's Republic of China (PRC) Social Insurance Law

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 32

If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.