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Payment Policy of Medical Insurance for Retired Workers in Lanzhou City
Legal objectivity:

I. Medical Insurance Policy for Retired Employees Article 27 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement, and will enjoy the basic medical insurance benefits in accordance with state regulations when they reach the statutory retirement age; If it is not reached, it can be paid to the prescribed time limit. " The core spirit of this regulation is: "After retirement, employees will no longer pay basic medical insurance premiums and enjoy basic medical insurance benefits in accordance with state regulations; The flexible prerequisite of this clause is: "the accumulated payment has reached the fixed number of years stipulated by the state". It is precisely because the country has no unified regulations that all localities have their own needs and do their own things, which infringes on the legitimate rights and interests of laid-off workers and retired workers in social vulnerable groups. II. Measures to Solve the Medical Insurance Problem of Retired Workers It is not easy to solve the medical insurance problem of laid-off workers and retired workers according to law, so the following measures are suggested: 1. It is suggested that the National People's Congress instruct the Supreme People's Court to issue and implement the relevant judicial interpretation of the Social Insurance Law of People's Republic of China (PRC) as soon as possible, clearly stipulate the payment period of medical insurance for laid-off workers and retired workers (including 20 years as deemed payment period), and safeguard the legitimate rights and interests of medical insurance for laid-off workers and retired workers in the form of legal system. 2. It is suggested that the State Council instruct Ministry of Human Resources and Social Security to formulate and implement the implementation opinions of the Social Insurance Law of People's Republic of China (PRC) as soon as possible, clearly stipulating that "employees who have paid for 20 years (including the deemed payment period) after retirement will no longer pay the basic medical insurance premium and enjoy the basic medical insurance benefits according to state regulations." The overall management committee of the retirement pension fund has a medical management office. Before the establishment of the institution, the social insurance company temporarily fails to perform its duties; All townships, towns and fields should set up a trinity medical insurance management team of party committees and governments, medical units and medical insurance institutions. Responsible for the management, service, supervision, approval and coordination of medical expenses, and ensure the rational use of medical insurance expenses. Retired workers who enjoy social medical insurance as a whole shall seek medical treatment in the outpatient department of the hospital stipulated by the medical insurance institution. After being diagnosed as being hospitalized by a doctor, you must hold the disease certificate, inspection report, medical record and hospitalization notice issued by the doctor and go to the local medical insurance institution for inspection before you can be hospitalized.