1. Basic medical insurance co-ordination fund

The basic medical insurance co-ordination fund, also known as the basic medical insurance fund, refers to the special fund for basic medical insurance for employees raised by the medical insurance agency from the insured units and employees according to the relevant provisions of the state. The fund shall be paid by the insured units and individual employees according to a certain payment ratio.

the basic medical insurance fund should be supported by income and balanced. Mainly the basic medical insurance premium paid by the employer; Basic medical insurance premiums paid by individual employees; Interest on the basic medical insurance premium; Late payment fee for basic medical insurance; Other funds incorporated into the basic medical insurance fund according to law.

2. Personal account

Personal account refers to the social insurance agency's establishment for each person who participates in social endowment insurance according to the social security number issued by the State Bureau of Technical Supervision, and records the endowment insurance premium transferred by the unit according to regulations and all the endowment insurance premiums paid by the individual, which is used as the basis for calculating and distributing the individual account endowment insurance premium when the person who participates in social endowment insurance retires.

Extended information

Minimum payment limit of the basic medical insurance pooling fund

According to the Decision of the State Council on Establishing the Basic Medical Insurance System for Urban Workers

The pooling fund and individual account should delimit their respective payment ranges, account for them separately, and shall not occupy each other. It is necessary to determine the Qifubiaozhun and the maximum payment limit of the overall fund. The Qifubiaozhun is controlled in principle at about 1% of the average annual salary of local employees, and the maximum payment limit is controlled in principle at about 4 times of the average annual salary of local employees.

medical expenses below the minimum threshold shall be paid from personal accounts or by individuals themselves. Medical expenses above Qifubiaozhun and below the maximum payment limit are mainly paid from the overall fund, and individuals also have to bear a certain proportion. Medical expenses exceeding the maximum payment limit can be solved through commercial medical insurance and other means.

the specific qifubiaozhun, the maximum payment limit and the personal burden ratio of medical expenses above qifubiaozhun and below the maximum payment limit of the overall planning fund shall be determined by the overall planning area according to the principle of balancing income and expenditure.

Reference: Baidu Encyclopedia-Basic Medical Insurance Co-ordination Fund

Reference: Baidu Encyclopedia-Personal Account

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