Legal analysis: If the medical insurance reimbursement takes about 3 working days to arrive, the medical insurance reimbursement will be made. Social medical insurance reimbursement is after discharge or transfer.
Settlement procedures for hospitalization and outpatient treatment of special diseases:
Before 1th of each month, designated medical institutions will report the expense statement, hospitalization statement and relevant materials of patients discharged from hospital last month to the medical insurance agency, which will use them as the basis for monthly pre-allocation and year-end final accounts after review;
the medical insurance agency shall allocate the overall expenses for hospitalization and outpatient treatment of special diseases last month every month;
Insured persons who are identified as suffering from special diseases should go to a designated medical institution designated by the labor and social security department for medical treatment and purchase medicines, and the medical expenses incurred shall be directly accounted for and settled immediately.
Emergency settlement procedure: The medical expenses incurred by the insured for emergency rescue in non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by the individual or unit first. After the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the regulations with the emergency medical records, inspection, laboratory report, invoice and detailed list of medical charges.
legal basis: article 15 of the regulations of the people's Republic of China on basic medical insurance for urban workers
after the employees retire, they will no longer pay the basic medical insurance premium, nor will their employers pay the basic medical insurance premium for them.
Article 16 If the employing unit goes bankrupt, closes down or terminates for other reasons according to law, or the number of employees is reduced by more than 2/3, and the retirees actually pay the basic medical insurance premium for less than 1 years before retirement, they shall pay the compensation from the basic medical insurance fund. Fund compensation is calculated by multiplying the number of years each retiree is now 75 years old by the average basic medical expenses of retirees in the same period, and it is paid in one lump sum from the assets realized after liquidation. If it is really unable to pay, the treatment measures shall be separately stipulated by the provincial people's government. Unless otherwise stipulated by the state, such provisions shall prevail.
article 17 if an employer terminates due to bankruptcy, cancellation, dissolution or other reasons, it shall pay off the unpaid basic medical insurance premium, interest, overdue fine and penalty in accordance with the provisions of relevant state laws and regulations.