What is the impact of Wuxi medical insurance breaking off for one month?

Seeing a doctor is a big expense. Paying medical insurance can reduce the burden when we are sick and pay medical bills. It's best to buy a medical insurance to see a doctor, which can reduce our burden. Medical insurance should be paid regularly.

First, what is the impact of medical insurance interruption payment for one month?

From 1 day of the month following the interruption of payment, you will stop enjoying the medical insurance benefits paid by the medical insurance pooling fund, but the balance of your personal account can continue to be used. When the insured person resumes the insurance procedures, he can enjoy the prescribed medical insurance benefits from 1 day of the next month after paying the medical insurance premium. If the insured person is interrupted for no more than 3 months in the medical insurance year, the continuous insured time before and after the interruption after re-payment shall be calculated together; More than 3 months, recalculate.

Second, what is the impact of breaking off medical insurance?

If the insured fails to pay the medical insurance premium in full and on time according to the regulations, they will stop enjoying the medical insurance benefits from the month when they pay in full and on time. If the payment is continued after the interruption, it must be based on the average salary of local employees in the previous year to make up all the arrears during the interruption.

Third, what should I do if the medical insurance is broken?

Medical insurance can only be paid back.

The self-payment method is generally to go to the social security bureau where the medical insurance is located to handle the self-payment procedures, and the specific operation method needs to consult the local social security bureau. Medical insurance is interrupted, and the payment of basic medical insurance premium is interrupted continuously for 3 months or accumulated for 6 months, and the basic medical insurance benefits are stopped. After the payment is resumed, if the payment is interrupted for 3 months in a row, you can enjoy the payment of the overall fund again after 6 months of continuous payment. If the payment has been interrupted for 6 months, you can enjoy medical insurance benefits again after continuous payment of 1 year. Medical insurance is the abbreviation of medical insurance, which is social insurance provided by society or enterprises with necessary medical services or material help when employees are sick, injured or give birth.

Legal objectivity:

Article 27 of the Social Insurance Law of People's Republic of China (PRC) * * * If an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state, he will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of 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.