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醫(yī)療保險費用補繳問題
時間： 2020-12-18
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<strong><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-size:14px;">一、</span><strong><span style="font-family:arial, helvetica, sans-serif;line-height:150%;font-size:14px;">政策依據(jù)</span></strong></span></strong>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;line-height:150%;">根據(jù)合肥市城鎮(zhèn)職工基本醫(yī)療保險辦法（合肥市人民政府令第</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">157號）文件中規(guī)定：</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">1、參保人員按照規(guī)定參加城鎮(zhèn)職工基本醫(yī)療保險，退休時累計繳費年限男滿25年、女滿20的，可以享受退休人員基本醫(yī)療保險待遇。</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、2002年12月1日前國家承認的工齡或者基本養(yǎng)老保險繳費年限，視同繳納城鎮(zhèn)職工基本醫(yī)療保險費的年限。</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">3、辦理退休時醫(yī)療繳費年限不夠，男未滿25年，女未滿20年需補繳醫(yī)療費用。</span>
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<strong><span><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="line-height:150%;"><span style="font-size:14px;">二、</span><strong><span style="font-size:14px;">政策解讀</span></strong></span></span></span></strong>
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<span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><strong><span style="font-size:14px;">1</span></strong><strong><span style="font-size:14px;">、醫(yī)療年限已滿，正常退醫(yī)療流程：</span></strong></span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">辦理退休審批手續(xù)→攜帶退休批件、《退休人員醫(yī)療保險審核表》（一式三份）→醫(yī)療保險處簽署審核意見，累計繳費年限男滿25年，女滿20年，可直接享受退休醫(yī)保待遇。</span>
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<strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、退休人員繳費年限不滿，按以下程序補繳：</span></strong>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">（1）個人到齡人員：</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">醫(yī)療保險處審核簽署意見后，代辦機構(gòu)將《退休人員醫(yī)療保險審核表》（兩份）一份交給個人，一份存入個人檔案→醫(yī)療保險處生成補繳數(shù)據(jù)到單位醫(yī)保賬戶→個人將費用轉(zhuǎn)至單位醫(yī)保賬戶（單位辦理退休不接受個人轉(zhuǎn)款）</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">（2）單位辦理到齡職工：</span>
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<span style="font-family:arial, helvetica, sans-serif;font-size:14px;">醫(yī)療保險處審核簽署意見后，單位將《退休人員醫(yī)療保險審核表》（兩份）一份交社會保險征繳中心（二樓），一份存入退休職工個人檔案→社會保險征繳中心生成應(yīng)補繳金額，辦理補繳手續(xù)（因用人單位原因造成繳費年限不足的，由用人單位負責補齊；非用人單位原因造成的，由本人負責補齊，由用人單位代收代繳）→個人將應(yīng)補繳金額交給單位。</span>
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