The so-called minimum payment standard of the basic medical insurance pooling fund refers to the amount of medical expenses that the insured must pay out of pocket according to regulations before the pooling fund begins to pay the insured's medical expenses within the payment range of the pooling fund, which is what is commonly known as

The "threshold" for payment from the overall pooling fund.

\x0d\ The so-called maximum payment limit of the overall pool fund is commonly known as the "ceiling line", which refers to the upper limit of medical expenses that can be paid by the pool fund.

Basic medical insurance will not pay for medical expenses that exceed the maximum payment limit.

\x0d\\x0d\According to the State Council's "Decision on Establishing a Basic Medical Insurance System for Urban Employees" (Guofa [1998] No. 44), the minimum payment standard for the basic medical insurance pooling fund is in principle controlled at 10% of the average annual salary of local employees.

In principle, the maximum payment limit is controlled at about 4 times the average annual salary of local employees.

\x0d\\x0d\ Therefore, the average annual wages of employees in various provinces and cities across the country are different, and the minimum payment standards and maximum payment limits of the basic medical insurance pooling funds in each city are also different.