The medical insurance paid by individuals can be refunded, as follows:
1. After paying the medical insurance premium in one lump sum, the individual insured personnel are eligible to enjoy the preferential rates and financial subsidies for medical insurance payment after examination. If the insured personnel have paid the fees according to the specified payment base and proportion, they can apply for refund of the preferential benefits and subsidies they should enjoy;
2. If the payment is not made according to the specified payment base and proportion, the district/county medical insurance agency shall verify the refund amount according to the payment standard before the municipal overall planning, and apply for refund. After being audited by the Human Resources and Social Security Bureau and the Finance Bureau, it shall be reported to the Municipal Social Security Bureau for review. After the approval of the Municipal Human Resources and Social Security Bureau and the Municipal Finance Bureau, the fee can be refunded;
3. If an individual insured person meets the preferential medical insurance policy after annual normal payment, but turns into an insured employee or dies, it can be refunded according to the amount calculated by his preferential medical insurance policy;
4. During the period of receiving unemployment insurance benefits, the individual insured has been insured and paid by the unemployment insurance agency, and at the same time, he has participated in employee medical insurance in his personal capacity, resulting in repeated payment. I can apply for a refund of the fees paid by the individual insured during the repeated period in the following year.
medical insurance will not be refunded in the following situations:
1. The insured pays medical insurance premiums in more than two insured units at the same time, and the medical insurance premiums paid by their units will not be refunded, and their personal accounts will be merged;
2. If the insured participated in employee medical insurance and resident medical insurance in the same period, the repeated payment will not be refunded;
3. Before the announcement of the social welfare wage in the previous year, the employee's medical insurance payment and personal account will not be liquidated and refunded after the announcement of the social welfare wage.
4. After individual insured persons or urban and rural residents' medical insurance insured persons voluntarily choose to pay according to the first and second files, they may not ask for the refund of the paid medical insurance premiums in the name of surrender or file transfer;
5. If the individual insured person pays the annual fee according to the first-class standard and dies during the effective period of insurance, the part included in the overall fund and the large medical insurance fee will not be refunded;
6. Before the municipal co-ordination, the repeated payment of the insured between different co-ordination areas in the city will not be refunded, and their personal accounts will be merged according to regulations.
Legal basis: Article 4 of the Social Insurance Law of the People's Republic of China
Employers and individuals in the People's Republic of China and China pay social insurance premiums according to law, have the right to inquire about payment records and personal rights and interests records, and require social insurance agencies to provide social insurance consultation and other related services.
individuals enjoy social insurance benefits according to law and have the right to supervise the payment made by their own units.