Does the arrears of medical insurance units affect the hospitalization of employees?

The arrears of medical insurance units affect the hospitalization of employees.

If the medical insurance card is in arrears, it needs to be paid for one month before it can be used normally, but the money in the personal account of the medical insurance card can still be used normally. Failing to enjoy medical insurance benefits due to arrears and other reasons, the enterprise shall bear the responsibility.

Medical insurance reimbursement process:

1, diagnosis and treatment in designated medical insurance hospitals: every city will have designated medical insurance hospitals, and only in designated medical insurance hospitals can medical insurance be used for reimbursement. Therefore, if you want to use medical insurance, you must go to the designated hospital for medical insurance and go through the relevant registration procedures;

2. Prepare discharge materials: prepare discharge materials in advance when leaving the hospital, such as disease diagnosis, discharge records, medical records, etc. Usually talk to the doctor during treatment. If you need these materials, the doctor will prepare them for you. You'd better make a copy of these materials after you get them. One is submitted to the medical insurance reimbursement office, and the other is reserved for use;

3. Discharge settlement: Take the hospitalization list and invoice and go to the hospital for settlement. After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement review;

4. Waiting for expense reimbursement to arrive: After the materials are handed over, a receipt will be received, and the reimbursement amount will arrive in 15 days. You just have to wait patiently.

To sum up, the company shall be liable for the medical expenses incurred by the employees during the period when the unit fails to pay the medical insurance premium to the employees, and the employees have the right to ask the employer to compensate the employees for the loss of medical insurance benefits. Failure to pay social security is a very bad behavior, which infringes on the legitimate rights and interests of every employee. Not only do you have to pay a late fee, but you may also be fined. During this period, the medical expenses incurred by employees shall be borne by the enterprise.

Legal basis:

Article 63 of People's Republic of China (PRC) Social Insurance Law

If the employer fails to pay social insurance premiums in full and on time, the social insurance premium collection agency shall order it to pay or make up within a time limit.

If the employer fails to pay or repay the social insurance premium within the time limit, the social insurance premium collection agency may inquire about its deposit account in banks and other financial institutions; And can apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their bank or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premium that should be paid, the social insurance premium collection agency may require the employer to provide guarantee and sign a deferred payment agreement.

If the employer fails to pay the social insurance premium in full and fails to provide guarantee, the social insurance premium collection agency may apply to the people's court for sealing up, distraining and auctioning the property whose value is equivalent to the social insurance premium that should be paid, so as to offset the social insurance premium with the proceeds from the auction.