2. On the premise that the person in question is a resident in an urban or rural area in the medical insurance program, the program is based on the household as a unit, and the person can not make up the payment within the period of participation and enjoy the corresponding benefits. In the years of participation in a one-time payment and enjoy the corresponding treatment, can not make up the payment.
1, in the party refers to the social security of the employee medical insurance, and the premise of the corresponding local policy to make up for the payment, make up for the payment should bring their own valid ID card, hukou book, social security card, and the specific policy requires to bring other proof of information (such as: labor contracts, etc.);
2, in the party refers to the urban (rural) residents of medical insurance, the premise, the item is to the household as a unit, and enjoy the corresponding benefits, can not be made up. On the premise that the item is a household-based, one-time payment and enjoyment of the corresponding benefits during the years of participation in the insurance, can not make up the payment. The process of making up for the payment of medical insurance:
(1) The arrears of medical insurance shall be paid in accordance with the amount approved by the social insurance premium collection agency;
(2) The unit shall pay or make up the full amount within the stipulated deadline;
(3) If the unit is really unable to make up for the payment, it can sign an agreement on the postponement of the payment of the premium with the social insurance premium collection agency by providing guarantee according to the law and other means.
(4) If the unit really can't afford to pay up, it can sign an agreement with the social insurance premium collection agency to extend the payment by providing guarantee according to law.
What items are included in the medical insurance reimbursement
The classification of the medical insurance reimbursement and the items included are as follows:
1, general medical insurance. It mainly includes outpatient costs, medical costs, examination costs and so on.
2. Hospitalization insurance. It mainly covers daily hospitalization fee, cost of utilizing hospital equipment, surgery cost, medicine cost and so on.
3. Surgical insurance. Provides for all expenses incurred due to necessary surgery required by the patient.
4. Comprehensive medical insurance. Its cost coverage includes all costs of medical treatment and hospitalization and surgery, etc.
5, special disease insurance. Certain special diseases often bring the patient a catastrophic cost payment, the average resident family can hardly afford. Examples include cancer and heart disease. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in a certain number of cancers.
I hope the above can help you, if you have other questions please consult a professional lawyer.
Legal basis: "The Chinese people *** and the State Social Insurance Law" Article 62
Employers who have not declared the amount of social insurance premiums that should be paid in accordance with the provisions, in accordance with the unit's contribution of 110 percent of the amount of the previous month to determine the amount that should be paid; contributions to the unit to make up for the declaration procedures, the social insurance premiums by the agency to settle the bill in accordance with the provisions of the collection.
Article 63
If an employer fails to pay social insurance premiums in full and on time, the social insurance premium collection agency shall order it to pay the premiums within a certain period of time or make up the full amount.
If the employer fails to pay the social insurance premiums in full or on time, the social insurance premium collection agency may inquire into the deposit accounts of the employer's banks and other financial institutions; it may also apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify in writing the banks or other financial institutions where the employer holds accounts of the social insurance premiums to allocate the social insurance premiums. If the balance in the account of an employer is less than the social insurance premiums that should be paid, the social insurance premium collection agency may require the employer to provide a guarantee and sign an agreement on deferring the payment of the premiums.
If the employer fails to pay the social insurance premiums in full and does not provide a guarantee, the social insurance premium collection agency may apply to the people's court for the seizure, attachment or auction of the property whose value is equivalent to the social insurance premiums that should be paid, and the proceeds from the auction will be used to offset the payment of social insurance premiums.