1. The payment time of basic medical insurance for urban residents is generally from September to February of the following year. The specific time is subject to local regulations. You can call 12333 for consultation.
2. The payment of basic medical insurance for employees shall be remitted by the company every month, and the specific payment time shall be decided by the company;
3. The payment of medical insurance for flexible employees can be made at the time of handling, and you can go to the local social security bureau for details;
4. The payment time of the new rural cooperative medical system is generally from September to 65438+February every year, depending on local regulations. Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Second, the payment process
(1) Acceptance application
The collection department of the medical insurance institution accepts the Declaration Form for the Change of Medical Insurance Payment Base reported by the insured unit, and requires the following information:
1, salary payment schedule;
2. List of Persons Participating in Medical Insurance
3. Other information provided by medical insurance institutions.
(2) Payment verification
1, the collection department of the medical insurance institution shall review the payment declaration and approval form and related materials provided by the insured unit. After passing the examination, the insured shall go through the formalities of approval or increase or decrease.
2. The collection and payment department of medical insurance institutions shall, according to the declaration and verification of payment, record the time of enrollment, current payment of wages and other information for newly-added insured personnel in time. The collection and payment department of the medical insurance institution shall declare and approve the current payment base according to the insured unit.
3. The collection and payment department of the medical insurance institution shall calculate the payable amount according to the approved current payment base and payment rate of the insured unit, print the Notice of Medical Insurance Payment, and feed it back to the reporting unit for collection and payment on this basis.
(3) Charge
1. Medical insurance institutions can collect fees through the "income deposit" bank, or by cheque, cash, wire transfer or cashier's check, and issue special receipts. The financial management department of the medical insurance institution reconciles with the bank every month and feeds back the receipt to the collection department.
2. The collection and payment department of medical insurance institutions shall, according to the payment of medical insurance premiums fed back by the financial management department, issue a "Social Insurance Premium Reminder Notice" to the insured units that fail to pay medical insurance premiums in full and on time after the declaration. If it is not implemented within the time limit, it shall provide relevant information and materials to the administrative department of labor security, which shall make corrections within a time limit.
3. Before 25th of each month, if the insured unit fails to pay the fee, a 2% late fee will be charged on a daily basis from the date of default. It can be paid in one lump sum for one month, one quarter, six months or one year. If it is paid quarterly or annually, it should be paid at the beginning of the quarter or the beginning of the year. Temporarily unable to pay, you can apply for holdover, holdover time shall not exceed 2 months.
(4) Payment of arrears
The collection and payment department of the medical insurance institution shall, according to the arrears of medical insurance, establish arrears data information, fill out the Notice on Payment of Social Insurance Premium, and notify the insured unit to pay arrears.
legal ground
Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law
Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
People's Republic of China (PRC) social insurance law
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twentieth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth, the medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency and the medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.