What should I do if the medical insurance is stopped, and what should I do if the employee medical i

Just make up the payment.

The way to self-renew is generally to go to the social security bureau where the medical insurance is located to go through the self-payment procedures, and the specific operation method needs to consult the local social security bureau.

If the medical insurance is interrupted, the payment of basic medical insurance premiums is interrupted for 3 consecutive months or the payment is interrupted for 6 months, and the basic medical insurance benefits are stopped.

After the resumption of payment, if the payment is interrupted for 3 consecutive months, the payment can be re-enjoyed after 6 consecutive months of payment, and the medical insurance treatment can be re-enjoyed after 1 year of continuous payment.

It should be reminded that the medical insurance policy in many cities stipulates that the medical insurance is interrupted for more than three months, and it can be used again after paying for half a year. It is best not to interrupt the medical insurance, and after the interruption, it is necessary to handle the supplementary payment in time so as not to affect the enjoyment of the treatment.

If the payment is interrupted by the unit (including failure to pay in full and on time), the medical insurance will be suspended from crediting to the personal account of the employee of the unit and the account will be blocked, and the medical expenses incurred during the suspension period will not be reimbursed, and the unit will reimburse it with its own funds according to the provisions of the medical insurance policy; If the payment is interrupted and the insurance is renewed within one year, the hospitalization expenses incurred from the effective date of the renewal can be reimbursed, and the hospitalization expenses incurred before the renewal will not be paid by the medical insurance**; There is a 6-month waiver period for interruption of payment for more than one year. Newly insured employees (including those who interrupt payment for more than one year and re-enroll) participate in basic medical insurance in accordance with the law and pay for one consecutive year (excluding the number of years of supplementary payment), according to the provisions of the basic medical insurance treatment; if it is six months but less than one year, it shall be implemented at 50%; If it is less than six months, it will not be paid. If there is no intermittent payment, or if the intermittent payment does not exceed one year, the reimbursement of medical insurance will not be affected if the payment is made in the month of hospitalization.

After the payment of medical insurance is stopped, employees can apply for rural cooperative medical insurance in the system again.

If the employee medical insurance and the NCMS are paid, if the employee medical insurance is broken, the rural cooperative medical insurance can be paid, and the two payments are not related to each other. After the payment of the employees' medical insurance is interrupted, they can re-pay or continue to pay the rural cooperative medical insurance. The specific steps are as follows:

After the employee's medical insurance is suspended, you can click the application button to transfer and apply again to NCMS; Then select the place where the employee medical insurance will be transferred; and select the transfer place of NCMS, and click Apply and enter the certificate information, and finally click Confirm.

If the bureau pays the employee medical insurance in the unit, the rural medical insurance does not have to be paid. Basic medical insurance is a social insurance system established to compensate workers for economic losses caused by the risk of illness. The basic medical insurance for urban workers and the new type of rural cooperative medical care (NCMS) are both of the same nature of social medical insurance, and a person does not need to participate in two types of medical insurance of the same nature.

Even if you participate in NCMS again, you can only count the number of reimbursements when you are sick, and it is impossible to reimburse both medical insurances.

Extended information: The establishment of a new type of rural cooperative medical system should follow the following principles:

The new rural cooperative medical system is a mutual aid system for farmers' medical care that is organized, guided and supported, with voluntary participation of farmers, individual, collective and multi-party financing, and the overall planning of serious diseases.

1. Voluntary participation and multi-party fundraising. Farmers voluntarily participate in the novice type rural cooperative medical care as a family unit, abide by the relevant rules and regulations, and pay the cooperative medical funds on time and in full; Township (town) and village collectives should give financial support; ** and local finances at all levels only arrange a certain amount of special funds to support each year.

2. Determine expenditure by revenue and ensure moderation. The new rural cooperative medical system should adhere to the principle of determining revenue and expenditure and balancing revenue and expenditure, which not only ensures the continuous and effective operation of this system, but also enables farmers to enjoy the most basic medical services.

3. Pilot and gradually promote. To establish a new type of rural cooperative medical system, it is necessary to proceed from reality, sum up experience through pilot projects, and constantly improve and develop steadily. Along with the social and economic development of the rural areas and the increase of peasant incomes, it is necessary to gradually improve the degree of socialization and the ability of the new rural cooperative medical system to resist risks.

The handling methods for the disconnection of employees' medical insurance are as follows: 1. If the employer's medical insurance is interrupted for some reason, it can handle the supplementary payment; 2. If it is an individual, you can renew the social insurance premium as a flexible employee; 3. Including basic endowment insurance premiums, basic medical insurance premiums, and large medical insurance premiums, the decision on whether to make up the social security premiums during the interruption period is up to the individual; 4. If the employee medical insurance is paid in the form of an individual in the current month, it will not be regarded as an interruption and can continue to enjoy the medical insurance treatment; 5. If there is an interruption in the middle, you will not be able to continue to enjoy medical insurance reimbursement, and you will enjoy specific treatment after the payment time meets the local requirements.

Social Insurance Law of the People's Republic of China

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 or make up the premiums within a time limit. If the employer fails to pay or make up the social insurance premiums within the time limit, the social insurance premium collection agency may inquire about its deposit account with banks and other financial institutions; They 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 their depositary banks or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premiums to be paid, the social insurance premium collection agency may require the employer to provide a guarantee and sign a deferred payment agreement.

If the employer fails to pay the social insurance premiums in full and fails to provide a guarantee, the social insurance premium collection agency may request the people's court to seize, seal up or auction the property whose value is equivalent to the social insurance premiums to be paid, and use the auction proceeds to offset the social insurance premiums.

If the medical insurance for urban and rural residents is suspended, you can go to the social security bureau to open it, and you can pay the fee. Alternatively, you can use online recovery.

1.Open Alipay and tap All.

2.Click on the Civic Center Office Hall.

3.Click on Social Security Resident Medical Insurance Payment.

Operating environment: Apple 12, ios14, Alipay version.

Extended information: If the interruption exceeds 3 months, the medical insurance will only take effect after 6 months of renewal. Medical insurance is a special insurance system among the five insurances, and the payment requirements of medical insurance are continuous.

In other words, during the payment period, if the health insurance is interrupted, the payment needs to be repaid. The previous medical insurance payment will be automatically cleared. If the insurance is not paid in time due to the change of unit, the insurance can be renewed within three months.

If the payment of medical insurance premiums is interrupted after enrollment, the medical insurance benefits shall cease to be enjoyed from the following month.

Workaround:1Insured persons should first go to the Archives Center of the Human Resources and Social Security Bureau to check whether the original unit has transferred the files to the Archives Center.

If not, go to the competent department of the original unit to find the file. If the missing person is identified, go to the relevant department to check the recruitment procedures of the unit at that time. The staff of the social security department will help to find the increase or decrease procedures of the pension insurance and the payment records of the past years, and re-file and renew the insurance procedures.

2.For some insured employees who want to make up the pension insurance that has not been declared before the bankruptcy or dissolution of the unit, the social security department will solve the problem of supplementary pension insurance in the form of individual cases, and include it in the general information database after making up the pension insurance. These measures effectively solve the worries of the insured, improve the original business data and payment files of the insured, and handle the renewal procedures for them after the re-filing, so as to ensure that the original pension insurance rights and interests of the insured are not lost.

There are four main ways to renew commercial medical insurance products on the market, namely guaranteed renewal, commitment renewal, renewal annual review, and continuous renewal.

Guaranteed Renewal: Generally, no matter what the illness occurs, the policy can be renewed within the agreed period, during which the insurance company has no right to adjust the insurance rate or refuse to renew the policy.

Continuous Renewal: As with automatic renewal, if the insurance company is not notified in writing before the expiration of the insurance period, the insurance company will automatically renew the insurance period of one unit for the policyholder, but the insurance company reserves the right to adjust the insurance rate.

Renewal commitment: The insurance company promises not to adjust the renewal rate or refuse to renew the policy due to changes in the health status of the insured, which can save the time and effort required for the renewal review for the policyholder.

Renewal Year in Review: This can be a way to renew your contract that you don't expect. If you want to renew your insurance after the expiration of the insurance period, you need to submit a renewal application to the insurance company in advance.

You can only renew your policy after it has been approved by the insurance company. If there was a claim in the previous policy year, you may be denied.

Many people do not take into account their own situation when buying insurance, such people often can not bear the economic pressure and give up insurance halfway, insurance experts say that this will bring their own losses, therefore, the policyholder must choose the right insurance product for themselves. So what should I do if the social security has stopped paying the medical insurance, first of all, the insured person has not paid the medical insurance in full and in a timely manner according to the regulations.

If the payment is terminated from the month in which the payment is not made in full and on time, and the payment continues after the interruption, the average salary of the local employees in the previous year at the time of the payment must be used as the payment base according to the regulations, and all the arrears during the interruption period shall be made up. The time of supplementary payment is included in the continuous payment time, but the treatment of overall payment cannot be enjoyed during the supplementary payment period. If the insured person suspends the medical insurance treatment within 60 days (including 60 days) of paying the medical insurance premium, he or she shall enjoy the treatment of overall payment from the next month after payment; If the medical insurance treatment is suspended for more than 60 days to 180 days (including 180 days) to make up the medical insurance, it will be calculated from the month of payment, and the treatment of overall payment can be enjoyed after 3 months; If you suspend the medical insurance benefits for more than 180 days and pay the medical insurance premiums, you can only enjoy the treatment of co-ordination after 6 months from the month of payment.

If the payment is not made after the interruption, it will be regarded as re-enrolling in the medical insurance, and the payment time before the interruption will not be included in the continuous payment time. Insurance experts said that if the medical insurance is cut off, you can choose to make up for the unpaid fees in the previous years or reapply for medical insurance. In addition, the reporter also learned that if it is to be handled again, as long as you bring your household registration book and ID card.

Copies and ** and other documents are fine. Pension insurance.

The breakout of the insurance can be paid in retrospect, and you can now be in the place of household registration in the name of an individual.

If you continue to pay, you can also make up for it when you retire or when you pay the insurance next time. Account cancellation or surrender is not possible. At present, the state policy is that if you reach the 15-year contribution period, you can receive a pension after retirement.

If Fengzao has not reached the age limit, the amount of the personal pension account can be withdrawn in cash at one time when he retires. You can choose for yourself. If you have an urban hukou, as long as you are not of retirement age.

After the insurance is discontinued, it will also be in your account in the social security system (based on the ID number). If it is an agricultural hukou, some cities can do "liquidation", that is, they will get back the part paid by the individual. However, the part handed over by the unit will be handed over to the state treasury.

There are also some cities that cannot be liquidated.

Summary. OK.

It is also possible to renew the medical insurance if it is stopped. If an individual has not found a job due to the suspension of medical insurance due to resignation, he or she can renew his or her medical insurance as a flexible employee. If the medical insurance payment is not more than 3 months, you can continue to pay medical insurance in the new employer after finding a new job.

However, the medical insurance payment period should not exceed 3 months, once this standard is exceeded, after the medical insurance is paid again, the continuous payment period must be recalculated.

Can I continue to pay the medical insurance after it is suspended?

It can be renewed if the medical insurance is stopped. If an individual has not found a job for the time being due to the suspension of medical insurance due to resignation, he or she can renew his medical insurance as a flexible employee. If the medical insurance payment is not more than 3 months, after finding a new job, you can continue to pay for the medical insurance in the new employer.

However, the medical insurance suspension time should not exceed 3 months, once this standard is exceeded, after paying the medical insurance again, it is necessary to recalculate the continuous payment period.

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