What is the impact of medical insurance payment break and then renew the payment

The impact of medical insurance payment break and then renewed:

1, affecting the reimbursement of medical expenses: medical insurance payment interruption, then from the second month, stop enjoying the treatment paid by the integrated fund of medical insurance, medical insurance can not be reimbursed, but the social security card inside the balance of the individual can still be used.

2, affecting the number of years of contributions: suspend the enjoyment of health insurance treatment 60 days to 180 days to make up for the payment of health insurance, starting from the month of payment, 3 months before enjoying the treatment of the integrated fund, suspend the enjoyment of health insurance treatment more than 180 days to make up for the payment of health insurance premiums, starting from the month of payment, 6 months before enjoying the treatment of the integrated fund. If you do not make up the contributions after the interruption, you are regarded as re-joining the medical insurance, and the contribution time before the interruption will not be counted as the continuous contribution time.

3, affecting the outpatient treatment of major diseases: enjoy the outpatient treatment of major diseases of the partners, in the treatment of the basic medical costs and local supplementary medical costs, are reimbursed, but the reimbursement rate with my continuous participation in the time related. If you have been insured for a long time, the reimbursement rate will be large, and if you re-pay after zeroing out your contribution years, the reimbursement rate will drop from 90% to 60%.

The scope of medical insurance available is as follows:

1, medical expenses during the rescue;

2, medical expenses during hospitalization;

3, surgical materials and auxiliary appliances;

4, bed charges: according to local medical insurance standards;

5, rehabilitation and physical therapy costs: according to local medical insurance standards, in principle, shall not be more than three kinds;

6. Medication change and rehabilitation function guidance training: according to the local medical insurance standards combined with the needs of the condition approved;

7. Ambulance fee: according to the standards approved by the local health department and the price department.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 2

The state establishes a social insurance system of basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the citizens' rights to obtain material assistance from the state and society according to the law in the case of old age, illness, industrial injury, unemployment and childbirth. rights.