It takes some time to break, continue and return to normal social security. According to the time of breaking diplomatic relations, it can be divided into two situations:
First, under normal circumstances, you can enjoy normal medical insurance benefits within three months after breaking diplomatic relations and from the second month after going through normal payment procedures.
Two, continuous interruption of payment for 3 months (inclusive), will be regarded as interruption of insurance, interruption of insurance to enjoy medical insurance benefits, the need to supplement the continuous payment for 6 months after the renewal procedures.
The scope of use of medical insurance mainly includes the following aspects:
List of drugs. Insured people use drugs that meet the drug list in designated hospitals, and the medical insurance fund pays related expenses according to regulations.
Diagnosis and treatment project. Including registration fee, examination and treatment fee, operation fee, etc. These expenses can be paid through the medical insurance fund if they meet the requirements of medical insurance.
Medical service facilities. Such as hospitalization expenses and nursing expenses. When receiving treatment in designated medical institutions, the medical insurance fund will also pay according to regulations.
Extra payment under special circumstances. For example, for chronic renal failure, the use of anti-rejection drugs after organ transplantation, and some treatments for malignant tumors, the Medical Insurance Foundation provides a high reimbursement rate.
To sum up, it is Bian Xiao's relevant answer to whether the balance in the card is available after stopping paying medical insurance. I hope I can help you.
legal ground
People's Republic of China (PRC) social insurance law
Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; 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.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.