Total account reimbursement amount
What is the reimbursement amount of the overall account? The reimbursement amount of pooling account refers to the maximum amount of medical expenses paid by pooling fund in the medical insurance system. When the medical expenses of the insured exceed the payment capacity of the individual account, the excess expenses can be reimbursed by the pooling fund according to a certain proportion, but the reimbursement amount shall not exceed the reimbursement amount of the pooling account. The setting of reimbursement amount of financing account is related to factors such as region and medical insurance policy, and there may be differences in reimbursement amount of pooling account in different regions and different medical insurance types. Generally speaking, many factors need to be considered in the adjustment of the reimbursement amount of the overall account, such as the income and expenditure of the medical insurance fund and the growth trend of medical expenses. To sum up, the reimbursement amount of the overall account is an important part of the medical insurance system, and its setting and adjustment need to consider a variety of factors. Insured personnel need to know the local medical insurance policies and their own medical insurance types, so that they can operate according to the regulations when they need to reimburse medical expenses. At the same time, the government and all walks of life also need to pay attention to the operation of the medical insurance system, constantly improve and optimize the medical insurance policy, and improve the people's medical security level. Legal basis: Article 32 of the Social Insurance Law of People's Republic of China (PRC) stipulates that social insurance agencies shall pay social insurance benefits in full and on time, and shall not default or underpay. Article 12 of the Regulations on Medical Insurance in People's Republic of China (PRC) stipulates that the medical insurance fund shall be used to pay the medical expenses of the insured in accordance with the regulations and shall not be used for other purposes. At the same time, the regulations also stipulate the management, use and supervision of pooling funds and individual accounts.