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 medical insurance agencies from insured units and employees in accordance with the relevant provisions of the state. The fund is paid by the insured units and individual employees in accordance with a certain proportion of payment.

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, as the basis for calculating and issuing the endowment insurance premium of personal account when the person who participates in social endowment insurance retires.

Extended data

Qifubiaozhun of basic medical insurance pooling fund

According to the decision of the State Council on establishing the basic medical insurance system for urban workers

The overall fund and individual account shall delimit their respective payment ranges, and shall be accounted for separately, and shall not occupy each other. Determine the qifubiaozhun and the maximum payment limit of the overall fund. In principle, the qifubiaozhun is controlled at about 10% of the average annual salary of local employees, and the maximum payment limit is controlled at about 4 times of the average annual salary of local employees.

Medical expenses below Qifubiaozhun shall be paid by personal account or borne by individuals. 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 by means of commercial medical insurance.

The specific qifubiaozhun, maximum payment limit and personal burden ratio of medical expenses above the 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 balance of payments.

References:

Baidu encyclopedia-basic medical insurance co-ordination fund

References:

Baidu Encyclopedia-Personal Account

References:

Baidu Encyclopedia-the State Council's Decision on Establishing the Basic Medical Insurance System for Urban Workers