Can I be reimbursed if I only pay medical insurance but not social security?

Of course. Only by buying medical insurance and not buying social security can you be reimbursed. In fact, social security also includes medical insurance. Social security in a narrow sense refers to the endowment insurance for urban workers. It is certainly feasible to pay only employee medical insurance and not employee endowment insurance, and it will not affect the medical insurance reimbursement. However, it is impossible to retire in the future, so it is impossible to enjoy the retirement benefits of medical insurance.

1, in social insurance, endowment insurance and medical insurance are two different types of insurance, and their respective payment standards and treatment enjoyment are independent, which will not affect medical reimbursement treatment because of failure to pay endowment insurance, nor will it affect endowment treatment because of failure to pay medical insurance, and their respective goals and tasks are completely different.

2, make a comparison, for example, pension insurance is a sister in the same family, and medical insurance is a brother in the same family. Although they are all social insurance families, their respective functional orientations are different, and there is no necessary connection in medical reimbursement, but there is a strong correlation in future retirement benefits.

It is permissible and feasible to pay employee medical insurance separately without paying employee pension insurance, and it will not affect the medical reimbursement treatment; However, because you only pay medical insurance, you can't retire without paying old-age insurance. Failure to enjoy medical insurance will also affect your retirement benefits, so it is very uneconomical to pay medical insurance for life to enjoy medical insurance benefits.

Insurance benefits

1, the urban residents' basic medical insurance fund is mainly used to pay the medical expenses of insured residents for hospitalization and outpatient serious illness and outpatient rescue, and the scope and standard of payment are implemented according to the list of drugs, diagnosis and treatment items and medical service facilities of urban residents' basic medical insurance.

2, Qifubiaozhun (also known as the threshold fee) is the same as the basic medical insurance for urban workers, that is, three-level 980 yuan, two-level 720 yuan and one-level 540 yuan.

3. Medical treatment management: the system of fixed-point first consultation and two-way referral shall be implemented for the residents insured by the basic medical insurance for urban residents. The first-visit medical institutions are designated as community health service centers, specialized hospitals, hospital-store cooperation, secondary and below medical institutions, and some tertiary comprehensive and specialized medical institutions are designated as fixed points. When insured residents seek medical treatment, they should first seek medical treatment in the first-visit medical institution. If it is really necessary to be referred for treatment due to illness, the first-time medical institution shall issue a referral certificate before being transferred to the designated referral hospital for hospitalization. (That is to say, once you get sick, you must go to the designated community service center hospital or the designated small hospital to see a doctor. If these small hospitals don't look good, you can transfer to a big hospital with the certificate of the small hospital. When your condition is a little better, you should immediately transfer back to live. )

4. Payment proportion: The proportion of fund payment is determined according to different levels of medical institutions, and the proportion of fund payment of first-class (including community health service centers), second-class and third-class medical institutions is 75%, 60% and 50% respectively. After two years of continuous insurance payment for urban residents, it can be increased to 80%, 65% and 55% respectively. (The lower the hospital level, the higher the reimbursement rate)

legal ground

People's Republic of China (PRC) social insurance law

Article 2. The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Labor law of the people's Republic of China

Seventy-second social insurance funds to determine the source of funds according to the types of insurance, and gradually implement overall planning. Employers and workers must participate in social insurance and pay social insurance premiums according to law.