The first step is to pay medical insurance first so as not to miss the payment time. Then follow the refund process,

I took my ID card to the payment counter of the local tax bureau to apply for tax refund. After verification by the tax authorities, the refund information will be transmitted to the human society or the medical insurance department. The human society department or the medical insurance department shall submit the payment plan to the financial department within ten days according to the confirmed refund application. After confirmation by the financial department, the refund amount will be transferred from the financial special account to the social security fund expenditure account of the people's society or the medical insurance department, and then the people's society or the medical insurance department will refund the money to the payer.