What should I do if I forget to pay my medical insurance?
Employees with medical insurance and flexible employment who miss the payment time can pay it back in the next payment period, and cannot pay it back if the payment is suspended for more than 3 months;
residents who miss the payment time of medical insurance can only pay according to the next payment time, and the payment time can be extended in some areas;
after payment, you can enjoy medical insurance benefits in the next medical insurance year, and you will not be able to enjoy benefits if you fail to pay after the expiration date;
after the medical insurance is broken off, the payment base should be the average salary of employees in the previous year at the time of payment, and you can't enjoy the treatment of pooling funds during the payment period;
If you stop enjoying the medical insurance benefits and pay back within 6 days, you will enjoy the benefits paid by the overall fund from the next month of payment;
If the medical insurance benefits are suspended for more than 6 days to be paid within 18 days, the benefits paid by the overall fund can only be enjoyed after 3 months;
If you stop enjoying medical insurance benefits for more than 18 days and pay back, you can enjoy the benefits paid by the overall fund after 6 months;
failure to repay after the interruption is regarded as re-insurance, and the payment time before the interruption is not included in the continuous payment time.
relevant legal basis: article 86 of the social insurance law of the people's Republic of China.
1. The handling personnel of the overdue entry unit bring the information to the collection window to go through the formalities of overdue entry of medical insurance. 2 agencies to pay the employer to pay the social insurance agency to pay the overdue form. 3. Sign and seal the payment invoice of the employer, and the personnel of the social security agency shall sign and affix the business seal in the comments column of the social security department. 4. Identify the payment period. The employer shall re-identify the medical insurance as the payment period with the stamped documents and related materials at the Medical Insurance Department
If the individual medical insurance misses the payment period, it shall be handled in the following circumstances:
1. If it is employee medical insurance and flexible employment, it can only be paid after the next payment period is opened after missing the current payment time. If the payment is delayed for more than 3 months, it can only be recorded according to the next payment time;
2. In case of residents' medical insurance, if you miss the current payment time, you can only pay according to the next payment time. However, some areas will extend the payment time appropriately, and you need to confirm with the local social security hall whether you can extend the payment.
the insured person will enjoy the corresponding medical insurance benefits in the next medical insurance year after paying the fee. After the payment period is over, all urban and rural residents, except the newborns who meet the requirements, should participate in the insurance payment within the specified time, and they can't pay it back after the expiration. The residents' medical insurance is implemented in advance, so the residents' medical insurance needs to pay the fee every year, and they will not be able to enjoy the treatment without paying the fee.
Payment process after the medical insurance is broken off:
1. If the insured fails to pay the medical insurance premium in full and on time according to the regulations, he/she will stop enjoying the medical insurance benefits from the month when he/she never paid it in full and on time. If he/she continues to pay after the interruption, he/she must make up all the arrears during the interruption based on the average salary of local employees in the previous year.
2. The overdue time is included in the continuous payment time, but you can't enjoy the treatment of pooling funds during the overdue period;
3. If the insured stops enjoying the medical insurance benefits within 6 days, including 6 days, and pays back the medical insurance premium, he will enjoy the treatment paid by the overall fund from the next month of payment;
4. If the medical insurance benefits are suspended for more than 6 days to 18 days, including 18 days, and the medical insurance is paid back, it will be counted from the month of payment, and the benefits paid by the overall fund will be enjoyed after 3 months;
5. If the medical insurance benefits are suspended for more than 18 days and the medical insurance premiums are paid back, it will be counted from the month of payment, and the benefits paid by the overall fund will be enjoyed after 6 months;
6. Those who fail to make up the payment after the interruption shall be regarded as re-participating in medical insurance, and the payment time before the interruption shall not be included in the continuous payment time.
Legal basis:
Social Insurance Law of the People's Republic of China:
Chapter III Basic Medical Insurance
Article 24 The state establishes and improves a new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.