Can I reimburse medical insurance if my pregnancy social security is broken?

I the relationship between social security and medical insurance

Social security and medical insurance are two relatively independent systems. Although they all involve personal welfare, their management and operation are separate. Social security is mainly based on personal pension, unemployment, work injury and other aspects of protection, medical insurance is mainly based on personal medical expenses reimbursement.

Second, the impact of interruption of pregnancy on social security.

The interruption of social security for pregnant women will mainly affect their enjoyment of social security benefits, such as maternity allowance and maternity leave salary. However, social security interruption does not mean medical insurance interruption. As long as the individual medical insurance account is still in the payment state, you can continue to enjoy medical insurance benefits.

Iii. Conditions for reimbursement of medical insurance

Individuals need to meet certain conditions to enjoy medical insurance reimbursement. First of all, individuals need to participate in medical insurance and pay medical insurance fees on time; Secondly, you need to go to a designated medical institution for medical insurance and hold a valid medical insurance card; Finally, it is necessary to provide relevant medical expense invoices and reimbursement materials that meet the requirements of medical insurance.

Fourth, medical insurance benefits during pregnancy

Women during pregnancy enjoy some special treatment in medical insurance. For example, medical expenses such as prenatal examination and delivery can be reimbursed according to medical insurance regulations. In addition, some areas have also introduced specific medical insurance policies for pregnant women, such as increasing the proportion of reimbursement and expanding the scope of reimbursement.

To sum up:

The interruption of pregnant women's social security will not affect their right to enjoy medical insurance benefits. As long as the individual medical insurance account is still in the payment state, you can continue to enjoy the rights and interests of medical insurance reimbursement. During pregnancy, women can reimburse medical expenses according to medical insurance regulations and may enjoy some specific medical insurance policies.

Legal basis:

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

Article 23 provides that:

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

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;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.