1. If the employee of the unit continuously interrupts payment for no more than three months, and the individual insured person interrupts payment for no more than six months after continuous payment for six months, and the medical insurance premium interrupted in the current year is paid before March (inclusive) of the following year, the medical expenses incurred during the interruption of payment shall be reimbursed according to the regulations.
2. If the insured individual pays the fee continuously for less than six months, and resumes payment within six months after the interruption of payment, and pays the fee in full and on time, it shall be regarded as continuous payment. Since the continuous payment for six months, the medical expenses incurred shall be reimbursed according to the regulations.
3, individual insured person continuous interruption of payment for more than six months, since the resumption of payment after six months of continuous payment, medical expenses incurred in accordance with the provisions of reimbursement, medical insurance premiums during the interruption of payment may not be paid.
Extended data
Personal insurance payment and treatment:
Unemployed individual industrial and commercial households, part-time employees and other flexible employees who participate in the basic old-age insurance for employees in accordance with the individual insurance regulations (hereinafter referred to as "individual insured persons") can participate in the basic medical insurance for employees in accordance with the serious illness co-ordination model (the proportion of individual contributions is 8%), and pay medical insurance premiums and large medical assistance fees in full and on time.
Because the continuous payment has been completed for six months, the medical expenses incurred by my medical treatment are reimbursed by the basic medical insurance fund, the large medical expenses relief fund and the accidental injury additional insurance fund respectively, and no personal account for medical insurance is established. These include:
1. If the employee who terminates or terminates the labor contract with the employer and the employee who has received unemployment insurance benefits participate in the basic medical insurance within two months after the termination or termination of the labor contract or the expiration of the unemployment insurance benefits, the medical expenses incurred by the employee will be reimbursed according to the regulations from the month when the insurance benefits are paid.
2. If the continuous payment in that year is less than six months and does not meet the conditions for reimbursement of medical expenses, individuals will no longer pay large medical assistance fees in that year.
Tianjin Port Free Trade Zone Administrative Committee Tianjin Port Free Trade Zone Human Resources and Social Security Bureau-Notice on Issues Related to Payment and Treatment of Employees' Basic Medical Insurance