Job Recruitment Website - Social security inquiry - Can medical insurance be reimbursed if it is broken for two months?
Can medical insurance be reimbursed if it is broken for two months?
First, the impact of medical insurance break-off
Medical insurance is an important part of China's social security system, aiming at providing medical security for the insured. Once the medical insurance is cut off, it means that the insured has lost the protection of medical insurance during this period. Therefore, if you are hospitalized during the break-up of medical insurance, the medical expenses incurred may not be reimbursed by medical insurance.
Second, the treatment measures after the medical insurance is cut off
When it is found that the medical insurance has been cut off, the insured should pay the medical insurance premium as soon as possible to restore the medical insurance protection. The specific process and time requirements for paying medical insurance fees may vary from region to region. It is suggested that the insured person consult the local social security department or medical insurance agency for details.
Three. Eligibility for reimbursement after re-payment
Under normal circumstances, after re-payment, the eligibility for medical insurance reimbursement will gradually recover. However, the specific recovery time and reimbursement ratio may vary according to regions and policies. Therefore, after re-payment, the insured should pay attention to their medical insurance status and ensure that they can enjoy medical insurance reimbursement when necessary.
Fourth, the handling of special circumstances.
Under some special circumstances, if the insured is hospitalized due to illness or accident, and the medical insurance is in a state of disconnection during hospitalization, he may apply to the local social security department or medical insurance agency for special reimbursement. However, the reimbursement conditions and procedures in this case may be strict and complicated, and should be handled in accordance with local policies and regulations.
To sum up:
Whether hospitalization can be reimbursed two months after medical insurance broke off depends on the specific medical insurance policy. Under normal circumstances, medical expenses incurred during the medical insurance break may not be reimbursed. However, after re-payment, the eligibility for reimbursement may be gradually restored. Insured people should pay attention to their medical insurance status and ensure that they can enjoy medical insurance reimbursement when needed. At the same time, under special circumstances, you can consult the local social security department or medical insurance agency to apply for special reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 27 provides that:
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.
People's Republic of China (PRC) social insurance law
Article 30 provides that:
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
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