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202 1 year new medical insurance regulations
1, clarifying the principle of treatment convergence of cross-system insurance. The insured has been participating in medical insurance for two years or more in a row, and due to changes in personal identity such as employment, the insured will switch between employee medical insurance and resident medical insurance. If the payment of medical insurance is interrupted for no more than three months, the insured person can enjoy the medical insurance treatment normally after re-paying, which can avoid the blank period of medical insurance treatment when the insured person changes his identity. If the insured person's medical insurance payment is interrupted for more than 3 months, then each region can set a waiting period of no more than 6 months according to its own situation;
2. Clean up the double insurance. Repeated insurance, the insured can not enjoy multiple benefits, but also waste financial subsidies;
3. Improve the payment mechanism of personal insurance. The principle of dealing with medical insurance refund is clarified. If it is residents' medical insurance, the repeated payment can be refunded before the start of the treatment enjoyment period; Flexible employees can apply for a refund if they participate in employee social security midway. The rest is determined by the provincial medical insurance department in conjunction with the relevant departments according to the refundable and irrevocable situation.
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity. Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government. Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; 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.
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