If the medical insurance is discontinued one month and the medical insurance is renewed the next month, it can be regarded as continuous payment.
However, generally you cannot enjoy medical insurance benefits during the period of suspension of payment. If you only interrupt medical insurance payment within 3 months, then the continuous insurance period can be counted when you continue to pay. However, if it exceeds 3 months, the payment period will be cleared.
Zero, however, specifics may vary by region and policy.
You need to pay attention to the following matters when cutting off medical insurance: 1. Do not cut off social security payments for more than three months. Social Security allows you to have a three-month buffer period. If you cut off payments for more than three months, the account's continuous payment period will be recalculated, which is equivalent to the previous period.
The continuous payment period will all be in vain; 2. You will not enjoy medical reimbursement and other medical insurance reimbursements during the suspension of payment; 3. If the payment is suspended for too long, more than three months, you can find some social security payment agencies.
The method for resuming medical insurance after the payment is discontinued is as follows: 1. If you continue to pay after the interruption, the payment base must be based on the local average salary of employees in the previous year at the time of supplementary payment, and all arrears during the interruption period must be made up.
The time for back payment is included in the continuous payment time, but during the period of back payment, you cannot enjoy the benefits of unified fund payment; 2. If the insured person stops enjoying the medical insurance benefits and pays back the medical insurance premium within 60 days (including 60 days), the payment will start from the month following the payment.
Enjoy the benefits of payment from the overall pool fund; 3. If you suspend the enjoyment of medical insurance benefits for more than 60 days to 180 days (including 180 days) and pay for medical insurance, the calculation will start from the month of payment, and you will not be able to enjoy the benefits of payment from the pool fund after 3 months; 4
. If you have stopped enjoying medical insurance benefits for more than 180 days and pay back medical insurance premiums, you will not be able to enjoy the benefits of unified fund payment until 6 months from the month of payment.
If you fail to make up the payment after the interruption, it will be regarded as re-enrolling in medical insurance, and the payment period before the interruption will not be included in the continuous payment period.
To sum up, anyone who interrupts payment for one month but does not exceed the prescribed time can be regarded as continuous payment and enjoy reimbursement. If you find that you stopped paying last month and make up the payment in time, you can continue to enjoy medical insurance reimbursement.
Legal basis: Article 27 of the "Social Insurance Law of the People's Republic of China": Individuals participating in the basic medical insurance for employees who have accumulated contributions for the number of years specified by the state when they reach the statutory retirement age will no longer pay basic medical insurance premiums after retirement.
Enjoy basic medical insurance benefits in accordance with national regulations; those who have not reached the nationally prescribed years can pay premiums up to the nationally prescribed years.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.