1. If the medical insurance is interrupted for 3 months in a row, it will be regarded as the interruption of enrollment and cannot be used.

2. Employees whose medical insurance coverage is interrupted for less than 3 months (excluding 3 months) will not be regarded as interruption of insurance coverage, and those who are interrupted for 3 months (including) will be regarded as interruption of insurance coverage, and they will be suspended from the next month after the interruption of payment, and they can enjoy medical insurance benefits after going through the normal payment procedures; After the interruption of insurance, you can apply for insurance procedures and pay for 6 months in a row before you can enjoy medical insurance benefits.

3, the basic medical insurance fund for employees and individual accounts shall be accounted for separately according to their respective payment scope, and shall not be misappropriated:

(1) Personal account, which is used to pay out-patient expenses, out-of-pocket hospitalization expenses and shopping expenses of designated pharmacies.

(2) the overall fund is used to pay for hospitalization and some outpatient serious illness expenses. The overall fund payment has a minimum payment standard and a maximum payment limit. Qifubiaozhun is controlled in principle at about 10% of the average annual salary of local employees, and the maximum payment limit is controlled in principle at about 4 times of the average annual salary of local employees. Medical expenses below Qifubiaozhun shall be paid by personal account or borne by individuals. Medical expenses above Qifubiaozhun and below the maximum payment limit are mainly paid by the overall fund.