Can I reimburse social security if I stop hospitalization?

Can I be reimbursed for hospitalization social security for one month? Medical insurance cannot be interrupted for more than a few months. Will the break-off be cleared? Can social security be reimbursed for ten months in hospital? According to the specific circumstances, continuous payment can be reimbursed, and medical insurance can only be used if the continuous payment is interrupted for more than three months and half a year. If the payment is interrupted for one year, it can be reimbursed, and there is a six-month exemption period if the payment is interrupted for more than one year. Social security is suspended for 3 months, and the payment period of medical insurance is cleared. The amount of medical insurance paid by individuals will not be cleared. After the social security payment, the medical expenses incurred after 6 months can be reimbursed.

First, can social security be reimbursed for stopping for one month?

Not necessarily, it needs to be judged according to the specific situation:

1, continuous payment meets local medical insurance reimbursement standards, and hospitalization can be reimbursed. You can't just buy it. Need to contact and pay for more than 3 months.

2. If there is a medical insurance card, general clinics and designated pharmacies can buy medicines by swiping their cards (provided that there is money in the card, and the money in the card is the part shared by individuals and units);

3. For common diseases that require hospitalization, the expenses after the related expenses exceed the deductible point can be reimbursed;

4. If you purchase other medical insurance for serious illness, you can apply for reimbursement of medical insurance for serious illness according to the rest after general medical reimbursement;

5. The detailed and specific regulations are similar everywhere. Please consult the local social security agency for details.

Second, medical insurance cannot be interrupted for more than a few months. Will the break-off be cleared?

If the medical insurance is not cleared after the interruption, you can continue to pay. It should be reminded that the medical insurance policies of many cities stipulate that medical insurance will be suspended for more than three months, and it can only be used after six months of continuous payment. It is best not to interrupt medical insurance, and pay it in time after the interruption, so as not to affect the enjoyment of treatment.

Medical insurance interruption payment follow-up insurance:

1, the unit interrupts payment (including failure to pay in full and on time), the medical insurance is suspended and credited to the personal account of the employees of the unit, and the account is blocked. The medical expenses incurred during the suspension of participation will not be reimbursed, and the self-raised funds of the unit will be reimbursed according to the medical insurance policy;

2. If the payment is suspended for renewal within one year, the hospitalization expenses incurred from the effective date of renewal can be reimbursed, and the medical insurance fund that incurred hospitalization expenses before renewal will not pay; If the payment is suspended for more than one year, there is a six-month exemption period.

Consequences of medical insurance interruption and non-payment:

Newly insured employees (including those who have been re-insured for more than 1 year after interruption of payment) shall participate in the basic medical insurance according to law, and if the payment reaches 1 year (excluding the overdue period), they shall enjoy the basic medical insurance benefits in accordance with the regulations;

Over six months but less than one year, according to 50%;

If it is less than six months, it will not be paid.

If there is no intermittent payment, or if the intermittent payment does not exceed one year, the payment in the month of hospitalization will not affect the medical insurance reimbursement.

The endowment insurance in social insurance is cumulative, and it will not be cleared because it is stopped halfway. If there is payment after the interruption, the cumulative number of years of previous insurance and the amount of individual payment. Within one medical insurance payment year, the social insurance payment will be stopped for 3 months, and the medical insurance payment period will be cleared and recalculated. The balance of personal account will be activated and can be used again after paying medical insurance, so the amount of medical insurance paid by individuals will not be cleared.

Third, can social security be reimbursed for ten months in hospital?

Yes, the payment can be reimbursed next month. If a company pays social security, the insurance payment will take effect the next month. Individuals generally have to wait half a year to enjoy medical insurance benefits. If it is after the social security payment, the outpatient, emergency and inpatient medical expenses incurred six months after the payment month can be paid by the basic medical insurance fund according to the medical insurance reimbursement standard.

Can hospitalization expenses be reimbursed after stopping social security? According to the relevant regulations, after the social security payment is stopped, the individual's social security rights and interests will be affected. In this case, whether an individual can continue to enjoy the reimbursement of hospitalization expenses depends on the specific situation and policy provisions. Generally speaking, if you have been hospitalized before the social security payment is stopped and meet the relevant reimbursement conditions, you can continue to enjoy reimbursement. However, if you are hospitalized after the social security payment stops, you may not be able to enjoy social security reimbursement. It is suggested that you consult the relevant social security agencies or insurance companies in time to understand the specific policies and operational procedures so as to make correct decisions.

Can hospitalization expenses be reimbursed after stopping social security? According to the relevant regulations, after the social security payment is stopped, the individual's social security rights and interests will be affected. In this case, whether an individual can continue to enjoy the reimbursement of hospitalization expenses depends on the specific situation and policy provisions. Generally speaking, if you have been hospitalized before the social security payment is stopped and meet the relevant reimbursement conditions, you can continue to enjoy reimbursement. However, if you are hospitalized after the social security payment stops, you may not be able to enjoy social security reimbursement. It is suggested that you consult the relevant social security agencies or insurance companies in time to understand the specific policies and operational procedures so as to make correct decisions.

Legal basis:

Law of the People's Republic of China on the Protection of Disabled Persons;

Chapter VI Social Security Article 47 Disabled persons and their units shall participate in social insurance in accordance with relevant state regulations. Urban and rural grassroots mass autonomous organizations and families of disabled persons where disabled persons are located shall encourage and help disabled persons to participate in social insurance. Disabled people with real difficulties in life shall be given social insurance subsidies in accordance with relevant state regulations.