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What should I do if Hangzhou children's medical insurance payment is late in 2023?
I forgot to renew my child's medical insurance. Can I make it up after the time?

You can make it up. If the payment is overdue before 25th of each month, an overdue fine of 2‰ will be charged on a daily basis from the date of overdue. 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.

Although the coverage of medical insurance policy has been gradually improved in the process of reform, children have been included in the basic medical insurance in many areas, but the principle of "low security and wide coverage" of social medical insurance determines its characteristics of many protection restrictions and small coverage of drugs, especially all kinds of new diagnosis and treatment methods and new specific drugs, which are not only very expensive, but also belong to the category of self-financing

Extended data

During the insurance period, if the insured is hospitalized in the hospital at 0: 00 or 30 days after the effective date of the contract due to accidental injury (if the insurance is renewed, there is no such 30-day limit in the renewal contract), he shall be responsible for paying the insurance benefits for the hospitalization expenses within 90 days from the hospitalization date that meet the payment scope of the local basic medical insurance for urban residents:

Case 1: If the insured has participated in the basic medical insurance for local urban residents, the insurance company will calculate the insurance premium for hospitalization medical expenses by deducting compensation from the basic medical insurance for local urban residents (including but not limited to social medical insurance institutions, free medical care, rural cooperative medical insurance, work units and any commercial insurance institutions including the company). ) according to the proportion of the table below.

Case 2: If the insured does not participate in the basic medical insurance for local urban residents, the insurance company will calculate the hospitalization medical expenses insurance premium in two stages according to the following proportion after deducting the compensation from other channels (including but not limited to social medical insurance institutions, free medical care, rural cooperative medical insurance, work units and any commercial insurance institutions including the company).

What should I do if Hangzhou children's medical insurance forgets to pay?

Legal analysis: children's medical insurance missed this year's payment time and could not repay. Usually, in China, for infants before 18 years old, medical insurance of 1 year is implemented, that is, "medical insurance for urban residents". Therefore, if it was handed in in 2020 and I don't remember to hand it in in 2026,5438+0, then the whole hospitalization in 2026,5438+0 is not allowed.

Influence of withholding medical insurance:

1, the number of years of hospitalization due to illness cannot be compensated: that is, 202 1 If you forget to pay, you will never be compensated for hospitalization due to illness;

2. The waiting period for the following year is 3-6 months: according to different local medical insurance policies, those who forget to pay the fee will pay the medical insurance fee for this year in 2022, but the hospitalization reimbursement will not be until April 1 or July 1 2022. This varies from place to place. Please consult the local medical insurance bureau for details. Generally speaking, it doesn't matter if you are not hospitalized. You only need to pay the next year's fee, not the last year's fee. You pay insurance 1 year, but if you are hospitalized, it will have a great impact. It will take 3-6 months to submit medical reimbursement.

Legal basis: notice of children of employees of institutions in Hangzhou urban area participating in basic medical insurance.

Article 1/kloc-children under the age of 0/8 shall be adjusted to medical insurance as a whole. oneself

From 202 1, 1, 1, he was dissatisfied with the children who had participated in the overall planning.

18-year-old personnel changed from medical insurance agencies to Hangzhou children's medical insurance. Children's parents should pay their share of medical insurance expenses (250 yuan/person/year) before March 3, 20021year, and enjoy medical insurance benefits from March 20021year; If the payment is made after April 1 (inclusive) (250 yuan/person/year), the corresponding medical insurance benefits can only be enjoyed after 6 months of payment, and the payment standard shall be implemented according to the policies and regulations at the time of payment.

Article 4 Employees' children who meet the conditions of children's medical insurance in Hangzhou and pay insurance premiums according to regulations can enjoy the unit medical subsidy. After the insured children are settled in the designated medical institutions according to the regulations, they can enjoy the medical expenses of the unit Medicaid treatment, and the parents' unit will uniformly reimburse them in the following year according to the annual settlement information of the employee's children's medical insurance (through online service, the specific operation path will be notified separately). Children of employees of government agencies and institutions who do not meet the conditions of children's medical insurance in Hangzhou can enjoy the corresponding medical insurance benefits according to the types of insurance they choose, and do not enjoy the unit medical subsidy.

Can Hangzhou children's medical insurance be supplemented?

Hangzhou children's medical insurance renewal process:

(1) Renewed personnel

1. Children who have participated in children's medical insurance in the last year and still meet the conditions for participation, and who have been entrusted by the bank in the last year, should promptly deposit the full amount of funds into the entrusted withholding account to ensure the success of the deduction; For those who have not been entrusted by the bank, they can hold relevant materials (see point 4 of this notice) to handle the entrusted withholding of children's medical insurance at the business outlets of Industrial and Commercial Bank of China or Hangzhou Bank in the main city, or they can choose to handle the payment of children's medical insurance at the place where the qualification of insurance (see point 3 of this notice, hereinafter collectively referred to as the designated place) is reviewed.

2. The following personnel shall first go to the designated place for qualification examination, and then pay for children's medical insurance.

(1) 18 students still studying in primary and secondary schools in the main city.

(2) Primary and secondary school students who are newly enrolled in the main city and children whose parents have changed their insurance coverage.

(2) The first insured

Children under the household registration 1. 1.8 in the main city shall go to the designated place with the household registration book (original and photocopy) and one-inch recent photo.

2./kloc-Students who are still studying in primary and secondary schools in the main city for 0/8 years shall go to the designated place with their school registration certificate, household registration book (original and photocopy) and a recent photo.

3. Primary and secondary school students who are not registered in the main city are studying in the main city. If one of their parents has participated in the medical insurance for employees in the main city, they should go to the designated place with their school registration certificate, their household registration book (original and photocopy), proof of their relationship with one of their parents to participate in the medical insurance for employees in the main city, and one-inch recent photo.

4. Preschool children who are not registered in the main city, live in the main city, and their parents have participated in the medical insurance for employees in the main city and paid for it for 3 years, shall go to the designated place with their household registration book (original and photocopy), proof of their relationship with their parents who participated in the medical insurance for employees in the main city, and a one-inch recent photo.

5. After the insurance qualification is approved, children's medical insurance payment shall be handled at the designated place at the same time.

Information and precautions for handling bank entrusted withholding

(a) the holder should bring the relevant documents (original and photocopy) to the designated place in time for insurance (renewal) procedures, without going to the bank for withholding procedures.

(2) Children themselves need to provide their valid identity documents (/kloc-The valid identity documents of minors under the age of 0/6 are household registration books or identity cards; The valid identity documents for adults above 16 are resident identity cards, the same below) and withholding accounts, among which minors below 16 should be handled by others.

(3) If the withholding account is not the child himself, provide the original valid identity documents of the withholding account and the child and the withholding account.

(four) to handle the withholding business in China Industrial and Commercial Bank or Hangzhou Bank, you should hold the debit card of the corresponding bank.

(5) When handling the bank's entrusted withholding business, you need to provide your mobile phone number so that SMS can inform you whether the deduction is successful or not. If the mobile phone number changes, it should be re-registered at the bank's business outlets in time.

(6) After handling the entrusted withholding business, the bank shall timely deposit the full amount of funds into the entrusted withholding account to ensure the successful deduction.

(7) If you need to change your child's name or ID number, you should go to the bank to sign it back, and then go to the municipal or district social security agency to modify your personal information before you can go to the bank to handle the entrustment formalities again, otherwise you can't deduct money.

(8) The withholding business entrusted by the bank shall be handled by the withholding account holder himself.