How to pay the medical insurance for one month?

The process of paying medical insurance for one month is as follows:

1. Bring all relevant documents, such as ID card, social security card, labor contract, etc. , go to the local social security bureau and submit a supplementary application.

2. The staff will review the application, and after it is approved, they will go through supplementary procedures according to the guidelines.

3. After completing the formalities, you can check the balance or details according to the guidelines.

Criteria for submitting medical insurance interruption:

1. Failure to pay social security fees: If the insured fails to pay social security fees according to regulations or fails to pay social security fees on time, it will be regarded as failure to pay social security fees, which may lead to the disconnection of medical insurance;

2. Medical insurance fraud: if medical insurance participants commit fraud when using medical insurance cards, such as forging medical expenses, they will be considered as medical insurance fraud, which may lead to the disconnection of medical insurance;

3. Medical insurance participation qualification does not meet the requirements: if the identity certificate, household registration and other relevant certification materials of the medical insurance insured do not meet the requirements of medical insurance participation, it will be regarded as the medical insurance participation qualification does not meet the requirements, which may lead to the termination of medical insurance payment.

Medical insurance settlement procedures:

1, settlement procedure for inpatient and outpatient treatment of special diseases

Designated medical institutions should report the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after audit. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and purchase medicines, and the medical expenses incurred shall be directly recorded and settled immediately;

2. Emergency settlement procedures

The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions and medical institutions in different places in this Municipality shall be paid by individuals or units in advance. After the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the provisions with the hospital emergency medical records, inspection, laboratory reports, invoices and detailed medical charges list.

To sum up, if the medical insurance for urban residents is paid by individuals, if the interruption does not exceed three months, you can pay directly at the medical insurance center in the insured area.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who participate in the basic medical insurance for employees have reached the statutory retirement age and the accumulated payment has reached the number of years stipulated by the state. After retirement, they will no longer pay the basic medical insurance premium and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may repay the fixed number of years prescribed by the state.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.