Can medical insurance be reimbursed when it is broken?

Medical insurance is cut off and cannot be reimbursed.

Medical treatment occurs within one month after the supply is cut off, and even if it is paid back, it cannot be reimbursed. If you don't see a doctor within this month, after paying the medical insurance normally, the subsequent medical conditions can still be reimbursed, so don't worry. Due to the different medical insurance policies in different places, it is still necessary to consult the local medical insurance bureau.

The medical insurance payment process is as follows:

1, the collection department of the medical insurance institution shall review the payment declaration and approval form and related materials provided by the insured unit. After passing the examination, go through the formalities of approving or increasing or decreasing the insured;

2. The collection department of the medical insurance institution shall, according to the declaration and verification of payment, record the time of enrollment and the current payment of wages and other information for the newly-added insured personnel in a timely manner. The collection and payment department of the medical insurance institution shall declare and approve the current payment base according to the insured unit;

3. The collection and payment department of the medical insurance institution shall calculate the payable amount according to the approved current payment base and payment rate of the insured unit, print the Notice of Medical Insurance Payment, and feed it back to the reporting unit for collection and payment on this basis.

Medical insurance recovery payment process is as follows:

1. Go to the local social security bureau or medical insurance center to consult the specific process and material requirements for resuming payment;

2. Provide personal identification materials, including ID cards and household registration books;

3, when necessary, provide medical records and other related materials issued by the hospital;

4. Pay medical insurance arrears and late fees;

5. After the payment is successful, it usually takes several days to several weeks to wait for the medical insurance system to update the information;

6. After completing the payment process of medical insurance recovery, you can enjoy medical insurance benefits normally.

To sum up, medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall 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.