Medical insurance is insured but not paid.

There may be the following reasons why medical insurance is insured but not paid:

1, medical insurance is suspended. Medical insurance is not in the state of payment. Simply put, the unit did not pay medical insurance, and the individual did not pay flexible employment social security.

2. Employees leave their jobs. The original unit will do social security reduction and stop insurance. Inquiring about medical insurance payment information at this time means that medical insurance is suspended.

3, the new unit to pay. After employees enter the new unit, the new unit will continue to pay social security by adding social security personnel, and then inquire about the medical insurance payment information, which is not the suspension of medical insurance, but the normal participation status.

Payment process after medical insurance is broken:

1. If the insured fails to pay the medical insurance premium in full and on time as required, they will stop enjoying the medical insurance benefits from the month when they have never paid it 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.

2 overdue time is included in the continuous payment time, but you can't enjoy the payment treatment of the overall fund during the overdue period.

3, the insured to suspend the enjoyment of medical insurance benefits within 60 days (including 60 days) to pay medical insurance premiums, from the next month to enjoy the benefits of pooling funds to pay:

4. Suspension of medical insurance benefits for more than 60 days to 180 days (including 180 days) to pay back medical insurance. From the payment month, you can enjoy the benefits paid by the overall fund three months later:

5. If the medical insurance benefits are suspended for more than 180 days and the medical insurance premium is paid back, it will be calculated from the month of payment and enjoy the treatment paid by the overall fund after 6 months.

6. If the payment is not made after the interruption, it shall be deemed as re-participation in medical insurance, and the payment time before the interruption shall not be included in the continuous payment time.

To sum up, the overall account is managed by the medical insurance center, and the expenses incurred by the insured who meet the local medical insurance reimbursement are paid by the overall account.

Legal basis:

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

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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.