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Health insurance shows enrolled but not entitled
Medical insurance is generally referred to as basic medical insurance, a social insurance system established to compensate workers for the economic losses caused by the risk of disease. A medical insurance fund is set up through contributions from employers and individuals, and medical insurance organizations provide certain financial compensation to insured people after they incur medical expenses for sick visits.
The Social Insurance Law of the People's Republic of China
Article 23
Employees shall participate in basic medical insurance for employees, and employers and employees shall pay basic medical insurance premiums in accordance with state regulations***. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees at their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individuals shall pay the basic medical insurance premiums in accordance with the state regulations. Article 30
The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:
(1) those that should be paid from the workers' compensation insurance fund;
(2) those that should be borne by a third person;
(3) those that should be borne by public ****health;
(4) those who seek medical treatment outside China. If the medical expenses should be borne by a third person according to law, and the third person does not pay or the third person cannot be identified, the basic medical insurance fund will pay first. The basic medical insurance fund shall have the right to recover from the third party after the first payment.
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