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Can social security be reimbursed after hospitalization?
Legal analysis: if the social security of urban workers is cut off, according to the current policy, after the medical insurance is cut off, the insured will stop the reimbursement of medical expenses from the next month. In other words, the insured will not be able to use medical insurance reimbursement normally from the next month. Then, if you see a doctor during the payment suspension period and then pay back the medical insurance, can this fee be reimbursed? The answer is no, the medical expenses incurred during the suspension of payment, even if the medical insurance is returned, can not be reimbursed for the expenses that have already occurred before. Moreover, after the employee's medical insurance is paid off, it is generally not necessary to pay it back, and it is ok to continue to pay it directly. However, the medical insurance payment after the payment deadline is different according to the payment time. There may be deviations in local policies, but those who renew their insurance within 3 months after the payment deadline can be regarded as continuous insurance, and medical insurance reimbursement can be resumed the next month. If the payment of medical insurance is suspended for more than 3 months, it will usually be regarded as re-insurance, and the number of years of continuous insurance will be recalculated. After that, the insured person will generally have a waiting period of 3-6 months (the specific time is subject to local policies), during which he will definitely not enjoy medical insurance reimbursement. Some people worry that the medical insurance account will be cleared after the payment is cut off. In fact, no matter how long the employee's medical insurance is paid off, the accumulated payment period will not be cleared. According to the relevant regulations, employees who have paid medical insurance for a certain number of years (the regulations vary from place to place, generally 25 years for men and 20 years for women) can enjoy lifelong medical insurance benefits. In addition, the money in the personal medical insurance account will not be cleared. During the payment period, the account is still there, but you can only use the balance inside, and you can't enjoy medical insurance benefits.
Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the medical expenses incurred by the insured shall be paid by the basic medical insurance fund and directly settled by social insurance agencies, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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