How long can I use it after paying medical insurance?

After the payment of medical insurance, the medical insurance will take effect from the month after the insured pays successfully.

Medical insurance reimbursement conditions:

1, the newly insured and re-insured employees who have stopped paying 1 year or more shall participate in the basic medical insurance according to law and pay for 6 months continuously, and enjoy the basic medical insurance benefits according to regulations;

2, continuous payment of less than 6 months, do not enjoy the basic medical insurance benefits;

3. If the payment is interrupted for less than one year, you will enjoy the treatment according to the regulations after re-insurance payment;

4, the interruption of payment personnel do not enjoy the basic medical insurance benefits during the interruption of payment.

Proportion of medical insurance reimbursement:

1, level 1 hospital, 90% for the part above the minimum threshold;

2. For secondary hospitals, the minimum threshold is reduced by 85% to 1 10,000 yuan, and the maximum payment limit is reduced by 90% to 1 10,000 yuan;

3. 80% will be paid for the minimum deductible of 5,000 yuan, 85% for the minimum deductible of 5,000 yuan to 1 10,000 yuan, and 90% for the maximum payment limit of 1 10,000 yuan.

4. Retirees will increase by 5% on the basis of the above payment ratio.

Reimbursement process:

1, the handling personnel submit reimbursement documents and other materials to the medical insurance window;

2, accept the medical insurance center to complete the audit, settlement and payment on the same day;

3, after examination and approval, the applicant to receive the "social medical insurance medical expenses reimbursement form", to be reimbursed.

legal ground

Article 29 of the Social Insurance Law stipulates that the part of the insured's medical expenses that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, 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.