1, the applicant applies to the residents' medical insurance window and provides information;

2, the applicant to fill in the "application form for the surrender of basic medical insurance for urban residents";

3, handling personnel to check the basic information of the insured, review the surrender qualification, eligible to give medical insurance surrender, issued by the "notice of surrender of basic medical insurance for urban residents";

4, the applicant with the "refund notice" to the financial settlement window for medical insurance refund procedures.

The application materials for medical insurance refund are as follows:

1. Original and photocopy of ID card;

2. The original and photocopy of the household registration book (my information page);

3. If an agent is entrusted, the resident identity card of the agent shall also be provided;

4. The guardian should bring the original and photocopy of the household registration book (personal information page) and the original and photocopy of the guardian's resident ID card when the minor handles the surrender formalities;

5. Relevant certificates or certificates of student status or household registration transfer;

6. Medical insurance vouchers for participating in other medical insurance;

7. The deceased shall provide death certificate or cremation certificate;

8, enlisted personnel to provide proof of enlistment;

9. Original special receipt.

Acceptance conditions for returning medical insurance

1. After going through the insurance payment procedures, if the insured person requests to withdraw from participating in the residents' medical insurance due to the cancellation of household registration, transfer-out, cancellation of student status, participation in other social insurance and other reasons before the treatment enjoyment period, and has not yet enjoyed the residents' medical insurance benefits this year, he should go through the formalities of surrender and refund before the treatment enjoyment period or within the first month of the treatment enjoyment period, and will not do so after the expiration. If the insured students join the army for half a year and the residents' medical insurance pooling fund has not paid their medical expenses, they can go through the formalities of surrender and refund.

2, all kinds of pre-insurance treatment waiting period due to household registration cancellation, transfer, to participate in other social insurance and other reasons, and asked to withdraw from participating in residents' medical insurance, should be in the year before the residents' medical insurance treatment to enjoy the period for surrender and surrender procedures, overdue.

(1) Refund the employee's medical insurance premium.

1. Four kinds of refunds for employees with one person participating in employee medical insurance benefits

One-time full refund: employees who meet the conditions of enjoying the preferential rates and financial subsidies of personal medical insurance in our city (hereinafter referred to as preferential medical insurance policies) may apply for refund of the expenses calculated according to the preferential medical insurance policies they should enjoy.

Annual payment refund: after the insured individual pays the normal annual payment, if he meets the conditions of enjoying the preferential medical insurance policy after examination, he may apply for refund of the expenses calculated according to the preferential medical insurance policy.

Refund of unemployment re-payment: if an individual insured person has been insured and paid by the unemployment insurance agency during the period of receiving unemployment insurance benefits, and at the same time participated in employee medical insurance in his personal capacity to form repeated payment, he can apply for refund of the individual insured payment during the repeated period in the following year (the funds transferred to his personal account during the repeated period should be deducted).

Refund of old laid-off workers: Before reaching the statutory retirement age, old laid-off workers in state-owned enterprises participate in medical insurance for employees in their personal capacity according to regulations and pay medical insurance premiums annually.

After a person reaches the legal retirement age, in accordance with the relevant provisions of our city, the employment service management institution enjoys the basic medical insurance benefits after paying the remaining medical expenses, resulting in repeated payments within the same period of time. The following year, you can apply for refund of the expenses paid by the insured individuals during the repeated payment period (the funds that have been included in the personal account during the repeated payment period should be deducted).

2. Refund of the personal refund for the death of the insured.

Partial refund:

If an individual insured person who pays a lump sum according to the second standard enjoys the medical insurance benefits corresponding to the payment (including the funds included in the personal account) according to the standard included in the personal account in the month of his death and dies, the remaining years of the one-time payment (calculated on a monthly basis) will be returned in one lump sum and included in the overall base.

Part of the gold and large medical insurance funds will not be refunded.

The insured individual pays the annual fee according to the second standard, and enjoys the medical insurance benefits corresponding to the payment according to the regulations (including the funds included in the personal account), and then dies, and the funds are included in the overall fund and large medical insurance fund in the remaining months of the year.

Full refund:

If an individual insured person dies before June 65438+1 October 3/the following year after paying the medical insurance premium in one lump sum, his legal successor or designated beneficiary may apply for a full refund of the corresponding insurance premium after June 65438+1October/the following year.

The individual insured who paid the annual fee died before June 65438+1October 3 1 of that year, and the medical insurance premium paid in that year can be fully refunded by his legal heir or designated beneficiary.

3. Repeated payment of individual insurance and unit insurance and refund of overpaid part after retirement.

Refund of repeated insurance after job transfer: after paying the medical insurance premium on an annual basis, the individual insured person will be transferred to the employer to pay the insurance premium. If he does not enjoy the relevant treatment during the period, he can apply for refund of the fees paid by the individual insured person during the repeated period in the following year (the funds transferred to his personal account during the repeated period should be deducted).

Refund of repeated insurance retirement: Individual insured persons continue to pay after going through retirement procedures. If they meet the payment period of medical insurance after examination, they can apply for refund of medical insurance premiums paid after retirement beyond the payment period stipulated by medical insurance. After reaching the payment period of medical insurance, the personal account shall be liquidated according to the retirement standard and the number of overpaid months, and the overpaid part shall be deducted when the refund is made.

4. The following wrong payments that occurred in the process of handling employee medical insurance can also be refunded.

1) Payment period is wrong. After the insured workers go through the retirement formalities and pay back the insufficient years, they can apply for a refund if they re-identify the payment period of medical insurance and pay more medical insurance premiums.

2) Incorrect payment. In the process of collection, the wrong ticket, the adjustment of the employee medical insurance collection plan, the wrong payment (overpayment) by the insured unit or individual, etc. can all apply for refund.

3) Insurance has not been stopped. If the employee's medical insurance fails to pay the medical insurance premium due to agency errors, system failures and other reasons, and does not enjoy the relevant treatment during the period, he may apply for a refund.

4) The formalities are lagging behind. If the medical insurance premium is overpaid due to the delay in handling the retirement and death procedures of employees, you can apply for a refund. The insured workers are lagging behind in the retirement procedures of the insured units, and the difference in medical insurance benefits between on-the-job workers and retired workers is paid by the insured units with reference to the relevant provisions of medical insurance.

5) Information error. If you enter wrong information such as name, ID number and bank card number, you can apply for a refund.

(2) Refund treatment of residents' medical insurance premiums

1. Refund of financial subsidies: After the insured person pays the residents' medical insurance fee, it will be refunded according to the amount of financial subsidies he should enjoy after examination.

2. Refund of difficult subsidies: If the insured person has paid the residents' medical insurance fee according to the regulations and obtained the approval of the relevant departments to enjoy the subsidy insurance qualification, he shall enjoy it according to the entitlements.

3. Death refund: after the insured pays the fee in the following year, before the following year 1.

In case of death, the legal heir or designated beneficiary may apply for refund of the paid medical insurance premium.

4. Employees' medical insurance benefits Workers and residents who participate in residents' medical insurance after the city is normal, because they do not belong to the scope of residents' medical insurance, the insured can apply for refund of residents' medical insurance fees and verify that they meet the conditions for handling residents' medical insurance.

5. Repeated payment by college students and ordinary residents in this city: those who participate in residents' medical insurance in the new academic year as college students and then participate in residents' medical insurance in the next year as ordinary residents belong to the insured, and the insured can apply for refund of the medical insurance premiums repeatedly paid by college students or ordinary residents. If the medical insurance benefits for college students have occurred, the medical insurance fees for ordinary residents will be refunded.

6. Change of medical insurance grade: If the insured applies for changing the medical insurance grade or refunding the fee in the current year during the centralized fund-raising period in the previous year, they can actively apply for changing the payment grade or refunding the fee during the centralized fund-raising period in the previous year because they have not yet entered the enjoyment period of medical insurance benefits for residents (65438+ 10 -65438+ February of that year).

7. Mispaying the medical insurance premium of the current year after September 30th of the current year: If the insured pays the fee voluntarily according to the regulations, the medical insurance premium of the current year shall be paid no later than September 30th of the current year (except for immediate enjoyment). Those who mistakenly pay the residents' medical insurance premiums in that year after September 30th of that year may apply for a refund.

Legal basis:

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

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity. Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations. Article 25 The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.