New regulations on individual payment of medical insurance 2022

The new provisions on individual payment of medical insurance are as follows:

1, the medical insurance collection agency establishes arrears data according to the arrears of medical insurance, fills in the notice of social insurance premium payment, and informs the insured units to pay the arrears;

2, enterprises due to financing difficulties, can not pay medical insurance premiums in full units, medical insurance collection agencies and enterprises signed a supplementary agreement on medical insurance. In case of merger, division or bankruptcy of enterprises in arrears, supplementary agreements shall be signed in the following ways:

(1) If the arrears unit is merged, a payment agreement shall be signed with the merging party;

(2) If the delinquent units are separated, they shall sign payment agreements with each branch;

(3) If the defaulting unit enters bankruptcy proceedings, it shall sign a settlement agreement with the liquidation group;

(4) If the unit sells or rents by auction, it shall sign a payment agreement with the competent department.

3, the insured unit according to the social insurance fee payment notice or payment agreement to pay, the medical insurance institution collection department shall accept, and notify the financial management department of the medical insurance institution to collect;

4. If the bankrupt unit can't pay off the arrears in full, the collection department of the medical insurance institution accepts the application made by the bankruptcy liquidation group of the unit and sends it to the auditing and supervision department for processing;

5. The collection department of medical insurance institutions shall adjust the arrears information of the insured units according to the source information of employee medical insurance payment arrears of the financial management department and the verification information of the audit and supervision department.

Legal basis: Article 27 of People's Republic of China (PRC) Social Insurance Law.

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.

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

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.