How to pay a month's medical insurance?

The process of paying medical insurance for one month is as follows:

1. Bring relevant documents, such as ID card, social security card and labor contract. , go to the local social security bureau to submit a supplementary application.

2. The staff will review the application, and after the approval, they will go through the supplementary procedures in accordance with the guidelines.

3. After completing the formalities, you can check the balance or details according to the guidelines.

Put forward the standard of medical insurance interruption:

1. Unpaid social insurance premium: If the insured fails to pay the social insurance premium according to the regulations or fails to pay the social insurance premium on time, it will be regarded as unpaid social insurance premium, which may lead to medical insurance failure;

2. Medical insurance fraud: If the insured person commits fraud when using the medical insurance card, such as falsely listing medical expenses, it will be considered as medical insurance fraud, which may lead to the suspension of medical insurance;

3. The medical insurance participation qualification does not meet the requirements: if the identity certificate, household registration and other relevant certification materials of the medical insurance insured do not meet the medical insurance participation conditions, it is deemed that the medical insurance participation qualification does not meet the requirements, which may lead to the suspension of medical insurance.

Medical insurance settlement procedures:

1, settlement procedure for inpatient and outpatient treatment of special diseases

Designated medical institutions shall submit the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and drug purchase, and the medical expenses incurred shall be directly accounted for and settled immediately;

2. Emergency settlement procedures

The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in this city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall handle the reimbursement procedures according to the provisions with the emergency hospitalization medical records, inspection, laboratory test sheets, invoices and detailed list of medical expenses.

To sum up, if the medical insurance for urban residents is paid by individuals and the interruption is not more than three months, it can be paid directly in the medical insurance center of the insured place.

Legal basis:

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

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

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.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.