How to reimburse the medical insurance card that temporarily stops seeing a doctor?

Legal analysis: after the medical insurance card is stopped, the money in the personal account of the medical insurance card can still be used, which can only be used to buy medicine and see a doctor in the outpatient department. If you are hospitalized, you can't enjoy medical insurance reimbursement, and you have to pay for it at your own expense. Medical insurance is suspended, and medical insurance benefits are suspended from the month following the date of suspension. To put it simply, I don't stop using it immediately, but I will stop enjoying medical insurance benefits from next month. There is a three-month buffer period from the date of suspension of medical insurance. Beyond this period, the payment period will be long. Medical insurance is suspended, and medical insurance benefits are suspended from the month following the date of suspension. To put it simply, it is not to stop using it immediately, but to stop enjoying medical insurance benefits from next month.

1. The medical insurance card has stopped, but the money in the personal account of the medical insurance card can still be used, which can only be used to buy medicine and see a doctor at the outpatient clinic. If you are hospitalized, you can't enjoy medical insurance reimbursement, and you have to pay for it at your own expense.

2. Medical insurance has a buffer period of 3 months from the date of suspension. Over this period, the payment period is recalculated, which is also regarded as the interruption of insurance. If you re-apply for insurance after the interruption, you need to pay for 6 months in a row before you can enjoy medical insurance benefits again. In addition, medical insurance can generally be interrupted three times, otherwise the payment period will be accumulated again.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

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

Article 58 An employing unit shall, within 30 days from the date of employment, apply to the social insurance agency for social insurance registration for its employees. If the social insurance has not been registered, the social insurance agency shall verify the social insurance premium it should pay.