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Actual payment period of medical insurance for employees in Xuzhou city
1. The payment period of medical insurance refers to the cumulative period of medical insurance premiums paid by medical insurance participants, including the actual payment period and the deemed payment period of medical insurance. In order to improve the medical insurance system, standardize the medical insurance payment process, ensure the safety of medical insurance funds and avoid fraudulent insurance, all provinces and cities in China have made clear provisions on medical insurance payment;
2. 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 the accumulated payment reaches the fixed number of years stipulated by the state when they reach the statutory retirement age; 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. People who participate in residents' medical insurance pay once a year, and those who stop paying will stop enjoying medical insurance benefits.
Employee medical insurance payment base:
The payment base and proportion are still implemented according to the existing regulations. The employer shall pay 8% of the total wages of employees in the previous year as the base; Individual employees take 2% of their annual salary as the payment base, which is withheld and remitted by the employer from their wages. The basic medical insurance premium for flexible employees shall be paid by the individual, with my social insurance payment base as the basic medical insurance payment base and at the rate of 10%.
To sum up, if the social security has only been paid for 15 years, and the medical insurance has not been paid enough, you can only receive a pension after retirement and cannot reimburse the doctor.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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