Medical insurance fund payment refers to the insured who has paid medical insurance according to the relevant policies of the state, and will pay related expenses from the social pooling fund and individual account fund after the specified medical accident. Generally speaking, it includes hospitalization expenses, emergency medical expenses and some other expenses. For example, Li Si spent 654.38+10,000 yuan on hospitalization due to illness, and the comprehensive reimbursement rate of medical insurance was 60%, so 60,000 yuan was paid by the medical insurance fund.
How many years do I have to pay medical insurance to enjoy life?
1. The policy stipulates that the payment period for men shall not be less than 25 years and that for women shall not be less than 20 years.
2. Medical insurance requirements: the insured is 60 years old for men and 55 years old for women, with the payment period of not less than 25 years for men and not less than 20 years for women. The actual payment period of the basic medical insurance premium must be not less than 15 years, and the insured can enjoy medical insurance benefits after retirement. If the minimum age requirement is not met before retirement, the medical expenses of the actual payment period can be supplemented at one time.
I hope the above questions can help you. If you have other legal questions, please consult a professional lawyer.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from 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.