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關于參保單位和職工醫療保險中斷情形的 醫保政策調整

近日,市醫保局下發“政策調整,請及時繳費”的通知,內容如下:

一、首次參加職工醫保的參保職工,待遇享受等待期為1個月。參保職工中斷繳費1個月的,補繳后不設待遇享受等待期;未補繳的,重新繳費后,其待遇享受等待期為1個月。參保職工中斷繳費2個月及以上的,補繳或重新繳費后,其待遇享受等待期為1個月。

二、參保單位因故中斷繳費1個月的,其職工自中斷次月起暫停支付醫保待遇。中斷次月補齊中斷月份欠費并繳納當月基本醫保費,且未產生新欠費,中斷當月和中斷次月發生的醫療費用由醫保統籌基金按規定支付。

三、參保單位因故中斷繳費2個月及以上的,補齊中斷月份欠費并繳納當月基本醫保費,且未產生新欠費,其職工從繳費月的次月起恢復醫保待遇。補繳的中斷月份和繳費當月,只計算基本醫療保險繳費年限,欠費期間發生醫療費用不納入醫保統籌基金支付。

濰坊市人力集團秉承專業高效服務態度,為客戶提供人力資源服務外包,勞務派遣,社保醫保政策解讀等服務。




濰坊市人力資源服務集團有限公司
地址:濰坊市奎文區新華路116號   魯ICP備20001616號-2
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