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Payment time of medical insurance for urban and rural residents in Shantou city

Legal subjectivity:

Medical insurance is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation. I. Payment Time of Medical Insurance for Urban Residents The basic medical insurance for urban residents is paid in advance annually, and the payment period of the basic medical insurance for urban residents in the next year is from July to 65438+February. Adult residents who have gone through the insurance formalities and paid the basic medical insurance premium in full will enjoy the basic medical insurance benefits from next year 1 day. Students and children pay medical insurance premiums according to the academic year, and enjoy basic medical insurance benefits from the next month of payment. Second, the time for urban residents' medical insurance payment has passed, how to make up? According to the current policy, if urban residents miss the payment time, they will not be able to pay it back, and they can only wait until next year. Residents' medical insurance is implemented in advance, and residents' medical insurance needs to pay every year. If they don't pay, they won't enjoy the treatment. "The treatment and payment amount of residents' medical insurance are different for different groups, and there will be some adjustments every year. Therefore, one-time payment will be difficult to operate for several years. If you don't pay, you won't enjoy the escort of residents' medical insurance. The payment of residents' medical insurance will not only affect whether you can enjoy the treatment in the coming year, but also affect the proportion of hospitalization reimbursement. According to the regulations, the number of years for residents to pay the basic medical insurance premium is linked to the reimbursement ratio. For those who continue to pay insurance premiums, the proportion of the basic medical insurance fund will increase by 1% for each additional payment year from the second year, with the maximum increase not exceeding 10%. If the payment is interrupted and re-paid, the previous payment cycle will be invalid. Three. The scope of reimbursement of basic medical insurance for urban residents The following expenses incurred by the insured in designated medical institutions and retail pharmacies are included in the scope of reimbursement of the basic medical insurance fund for urban residents: (1) Hospitalization expenses; (two) medical expenses within 7 days before emergency observation and hospitalization; (three) the medical expenses for special diseases in urban residents' outpatient clinics; (4) Other expenses that meet the requirements. To sum up, we can know that the basic medical insurance premium for urban residents is paid in advance every year, and the payment period of the basic medical insurance premium for urban residents in the next year is from July to 65438+February every year.