What to do if a retired 93 year old man refuses to be reimbursed by medical insurance for fractures

The reimbursement ratio for medical treatment is also different according to different hospitals, medical conditions, etc.

When you retire, you have paid the full number of years of medical insurance or paid the full number of years of medical insurance, after retirement.

DAO no longer has to pay medical premiums, and if you have not paid in full and have not made up for it when you retire, you still have to pay medical premiums every month after retirement.

According to the regulations, individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years specified by the state, they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance treatment according to the provisions of the state; Those who have not reached the number of years stipulated by the state need to pay until the specified number of years, of which men need to pay for 30 years and women for 25 years.

According to the provisions of Article 27 of China's "Social Insurance Law", individuals who participate in the basic medical insurance for employees who have reached the statutory retirement age and whose cumulative contributions reach the number of years specified by the state shall no longer pay basic medical insurance premiums after retirement, and enjoy basic medical insurance benefits in accordance with national regulations; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

According to the provisions of Article 27 of China's "Social Insurance DU Law", individuals who participate in the basic medical insurance for employees who have reached the statutory retirement age and have paid for the number of years specified by the state shall no longer pay basic medical insurance premiums after retirement, and enjoy basic medical insurance benefits in accordance with national regulations; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

The payment period of basic medical insurance for urban employees is cumulatively calculated, that is to say, it is allowed to break during the payment period. The conditions for retirement under general medical insurance are:1

If the cumulative payment of medical insurance premiums is 25 years for men and 20 years for women, the length of service before the establishment of local medical insurance is regarded as the same number of years; 2.The actual payment of medical insurance premiums for 10 years is 120 months. 3.

Reaching retirement age, that is, getting retired.

Therefore, if the statutory contribution period has not been reached at the time of retirement, the contribution must continue to be reached for the specified number of years.

Do corporate retirees continue to pay medical premiums and critical illness insurance after retirement?

If you have already retired, why should you pay for medical insurance yourself?

This problem is actually not very simple, you can only handle retirement can prove that your pension insurance is handled normally, retirement can enjoy the basic pension treatment on a monthly basis, but it is not able to prove that you have simultaneously handled the retirement treatment of employee medical insurance, in fact, although the retirement treatment of this medical insurance can be synchronized with the pension insurance to handle retirement, but if you do not have the conditions for retirement medical insurance, then you can not enjoy retirement treatment.

After meeting the retirement age and years, medical care can be paid in a lump sum.

Consult social security questions, check account amounts, medical insurance reimbursement details, pension calculations, and welcome to Chayue Social Security.

I've been retired here for 9 years and let me pay more than 1,000 yuan a year for medical insurance, why.

You only need to pay 3 yuan per month for supplementary medical care, and the rest of the enjoyment remains the same!

In principle, after retirement, you should continue to pay for medical insurance. When it comes to health insurance, different regions have different policies. In general, in the Mainland, medical insurance is at ease.

Basic medical insurance, large medical mutual aid and supplementary medical insurance are composed. Basic medical insurance is relatively popular, and you can no longer pay it after retirement, but you need to meet certain conditions before you can enjoy the medical treatment of retirees. Large amounts of mutual medical assistance shall continue to be paid after retirement.

Supplementary medical care has the nature of unit benefits, which belongs to the supplementary medical insurance established by the employer for employees, and is generally no longer paid.

There is no need to pay for health insurance after retirement.

There may be no money deposited into a health insurance account;

Generally, employees who can enjoy the medical insurance treatment after retirement must pay basic medical insurance premiums for at least 25 years for men and 20 years for women when they retire (different cities, the number of years is different), in this case, they are basically using the balance of the original medical insurance premiums, and the insufficient part is subsidized by **, so the medical account of retirees will not be paid;

Method 1: You can make a one-time payment of medical premiums after retirement. If the minimum payment period has not been reached, the employer and the insured person shall take the average monthly salary of the employee in the city in the previous year at the time of the retirement procedure as the base, and make up the basic medical insurance premium for the difference in one time before they can enjoy the basic medical insurance treatment of the retiree.

1. Fill in the "Verification Form for Retiree Medical Insurance In-service to Retirement";

2. 1 original and 1 copy of the retirement approval (or notice);

3. 1 original and 1 copy of the approval of retirement allowance;

4. 1 original and 1 copy of the "Retirement Statement".

Legal basis: "Social Insurance Law of the People's Republic of China" Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the state, they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Social Insurance Law of the People's Republic of China Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, have paid the cumulative contributions to the number of years prescribed by the State, and no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Medical insurance refers to the basic medical insurance premiums that should be paid in full and on time by the employer and the individual employee in accordance with the principle of compulsory social insurance through national legislation. If you do not pay in full and on time, regardless of your personal account, the basic medical insurance coordinator will not pay your medical expenses.

Medical insurance is a type of insurance that compensates for the medical expenses incurred by illness. Social insurance is a social insurance in which an employee is provided with necessary medical services or material assistance by the society or enterprise when he or she is sick, injured or gives birth. For example, China's publicly-funded medical care and labor insurance medical care.

The medical expenses of Chinese employees are jointly borne by the state, units and individuals, so as to reduce the burden on enterprises and avoid waste. In the event of an insurance liability event, it is necessary to pay the insurance premium on a pro-rata basis.

The process of paying social medical insurance premiums at the time of retirement:

If the basic medical insurance premium is paid at the time of retirement, if the male is less than 25 years old and the female does not reach the minimum age of the 20th anniversary, the employee must pay the basic medical insurance premium for the above years in a lump sum according to the payment base at the time of retirement, so as to enjoy the basic medical insurance treatment of retirees.

According to the "Detailed Rules for the Implementation of Basic Medical Insurance for Urban Employees", the cumulative payment period (including the deemed payment period) of the insured persons must reach more than 25 years (inclusive) when they reach the statutory retirement age, and the payment period (including the deemed payment period) is less than 25 years, and the basic medical insurance treatment for retirees can only be enjoyed after 25 years of supplementation.

If you are insured as a flexible employee, you can enjoy the basic medical insurance for retirees when you reach the national statutory retirement age after participating in the insurance, and the payment period (including the deemed payment period) must reach more than 25 years (inclusive) and the actual payment period is more than 10 years.

If the number of years of payment (including the deemed payment period) is insufficient when the insured person goes through the procedures for transferring from in-service to retirement of medical insurance, he or she shall be based on the average monthly salary of on-the-job employees in urban units in Fuzhou City in the previous year when applying for the formalities of in-service to retirement of medical insurance relations, and shall make up for it according to the payment ratio of 10% before he can enjoy the basic medical insurance treatment for employees. The medical insurance premiums paid are merged into the pool**, and only the payment period is calculated, and are not credited to the personal account.

It's definitely not okay to answer this. Since employee medical insurance is a retirement treatment that can be handled normally, that is to say, we must complete the conditions required for employee medical insurance before the statutory retirement age, and then apply for the retirement treatment of employee medical insurance.

But if you didn't apply for employee medical insurance retirement before you retired. So even after retirement, it is not allowed to continue to participate in employee medical insurance, so we can only choose another medical insurance, that is, urban and rural residents' medical insurance to participate in the insurance.

So far, the state has not issued the latest regulations on the retirement age, it is still 60 years old for men, 50 years old for female workers, and 55 years old for female cadres and freelancers.

If you have retired, you can make up the medical insurance for a long time: if the insured person's pension insurance has been retired, the employee medical insurance can no longer be paid on a monthly basis, and the insured person can choose to make a one-time payment for the specified number of years of the employee medical insurance, so as to handle the medical insurance retirement and enjoy the retirement treatment of the employee medical insurance for life.

One-time supplementary payment, the calculation method of the amount:

If you choose to make a one-time payment of the medical insurance payment period, the supplementary payment must be based on 60% of the local average salary at the time of the supplementary payment (slightly different places in different places), and the sum of the payment ratio of the employer and the individual employee shall be made up to the specified payment period at one time.

It is worth noting that the one-time supplementary payment can only make up the payment period, and all the supplementary payment money will go into the social co-ordination of medical care**, not into the personal medical account, and has nothing to do with the individual.

The earlier the retroactive payment, the smaller the retroactive amount will be.

The amount of one-time supplementary payment to the medical insurance payment period is linked to the average salary implemented in the current year, and the average salary of each year is ** according to the average salary of previous years. Therefore, if the financial ability allows, the sooner the supplementary payment amount, the less, and the sooner you can enjoy the medical retirement treatment of employees.

There are other benefits that can be enjoyed in medical retirement.

Other benefits according to the local medical insurance policy, slightly different from place to place, in Xiamen, after the medical retirement of employees, the annual medical insurance center will also be according to the previous year's pension amount of 8% of the amount allocated to the medical account of the insured personnel, for the insured personnel to use for medical treatment and drug purchase, the reimbursement ratio is very high compared with the medical insurance for urban and rural residents.

It can be paid in a lump sum.

According to Article 27 of the Social Insurance Law, if a worker reaches the statutory retirement age and the basic pension insurance contribution is less than the minimum payment period stipulated by the local government, he must make up to the minimum payment period before he can enjoy the basic pension insurance benefits without paying the premium.

When a worker retires, the basic endowment insurance makes up the minimum payment period, which can be paid in a lump sum or extended on a monthly basis. The specific measures for one-time supplementary payment shall be implemented in accordance with local regulations.

Further information: Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with national regulations.

Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

The State shall establish and improve a new type of rural cooperative medical system.

The management measures for the new type of rural cooperative medical care shall be stipulated by ***.

The State shall establish and improve a basic medical insurance system for urban residents.

The basic medical insurance for urban residents implements a combination of individual payment and subsidy.

Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.

The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the state, and the basic medical insurance premiums will not be paid after retirement, and they will enjoy the basic medical insurance treatment in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

The following medical expenses are not covered by basic medical insurance**.

It is possible to make a one-time supplementary payment for medical insurance after retirement.

According to Article 27 of the Social Insurance Law:

Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the state, and the basic medical insurance premiums will not be paid after retirement, and they will enjoy the basic medical insurance treatment in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Therefore, secondly, if the pre-retirement medical insurance payment does not reach the specified payment period, the enterprise contributors can make a one-time supplementary payment.

Second, those who are flexibly employed, if the number of years of medical insurance payment before retirement is insufficient, can only continue to pay after retirement. For flexible employees, if the medical insurance payment period does not reach the specified payment period (including the deemed payment period) before retirement, it is not allowed to make a one-time supplementary payment before retirement. Instead, go through the retirement procedures first, and after retirement, you can continue to pay medical insurance, and after reaching the specified payment period, you will no longer pay medical insurance and enjoy medical insurance treatment for life.