Taking Guangzhou as an example, according to relevant persons from Guangzhou Social Security Bureau, employers or insured persons should pay medical insurance premiums in full and on time. If the employer or the insured fails to pay the basic medical insurance premium in full for two consecutive months, the social insurance agency shall suspend the medical insurance benefits of the relevant insured.
If the insured person stops insurance, he will stop paying medical insurance premiums from the second month after the insurance is stopped, and the medical insurance benefits will be terminated. The medical insurance premium paid before stopping the insurance will not be refunded. If the insurance is renewed within 3 months after the insurance is stopped, it shall be regarded as continuous insurance;
Only after paying relevant medical insurance premiums and late fees according to regulations can you resume enjoying medical insurance benefits. If the medical insurance premium has not been paid in full for three consecutive months or more, the medical insurance benefits will be calculated according to the new insured except all medical insurance premiums and late payment fees.
If the insurance is stopped for more than 3 months and then renewed, it will be regarded as renewed insurance, and the medical insurance benefits will be enjoyed according to the new insurance, and the continuous insurance payment time will be recalculated. The payment period before the insured employees stop insurance can be included in the cumulative payment period.
Extended data:
By the end of 2065438+September 2009, the medical insurance management information systems of provinces and cities in China were independent and disconnected from each other. As a result, the insured persons who seek medical treatment in different places in and outside the province can only settle accounts with medical institutions in different places in cash first, so that the insured persons are tired of running between the medical treatment place and the insured place.
The Ministry of Health promulgated the Measures for the Administration of Residents' Health Cards (for Trial Implementation) to promote the realization of "one card" for residents to visit medical and health institutions at all levels. Based on regional health information platform, electronic health records of residents and electronic medical records of medical institutions, resident health cards can be used for resident identification, personal basic health information storage, cross-regional and inter-institutional medical data exchange and expense settlement.
People's Network-The consequences of medical insurance payment interruption are very serious
Baidu encyclopedia-social medical insurance card