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Can social security be reimbursed only if it is hospitalized?

Legal subjectivity:

Social security is divided into individual social security and unit social security. Individual social security contributions can be reimbursed for half a year or more, depending on the situation in various provinces and cities. The insured can only enjoy the treatment of serious illness medical insurance if he has serious illness medical expenses after the first payment is over 6 months. If the payment has been continuous for 5 years before the interruption and the medical expenses for serious illness have not been reimbursed, the time before and after the re-payment will be calculated continuously; If the payment is less than 5 years or over 5 years, but the medical insurance for serious illness is enjoyed, when the payment is made again, the medical expenses for serious illness occurring after 6 months shall enjoy the medical insurance for serious illness according to the provisions of these measures. The company will insure you for the first time, and will start paying monthly fees next month. However, if you have participated in medical insurance before this company, and the payment is suspended for more than three months due to resignation, you will have to wait for six months to enjoy the reimbursement treatment. 90% of the basic medical expenses for hospitalization are paid by the overall fund, and the reimbursement rate for retirees is 95%.

Legal objectivity:

Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. Article 29 of the Social Insurance Law, the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Article 30 of the Social Insurance Law The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) expenses that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (3) borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.