How to calculate the interruption of social security and medical insurance in Dongguan for two months?

If medical insurance is interrupted for several months, the accumulated years can be calculated.

The actual payment period of the insured person participating in the basic medical insurance for urban workers with the unit during his employment can be calculated cumulatively;

Stop enjoying medical insurance benefits from the month following the interruption of payment.

If the insured pays the arrears within 3 months, the payment period during the arrears period is included in the actual payment period of individual medical insurance and can enjoy the treatment.

If it is more than 3 months, the medical expenses will be entitled to medical insurance benefits after the first 13 month of the month of re-payment. Units pay medical insurance premiums and enjoy treatment from the next month of payment.

Medical insurance refers to the basic medical insurance premium paid in full and on time by employers and employees according to the principle of compulsory social insurance through national legislation. If it is not paid in full and on time, the basic medical insurance fund will not pay its medical expenses regardless of individual accounts.

Reimbursement proportion range:

1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance in the year (11October1February 31February) exceeded 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.

3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.

4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.

5. Hospitalization.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.