Medical mutual fund is a form of mutual medical insurance, which is voluntarily participated by the majority of insured persons and is not for profit. At present, there is an insurance system of medical mutual aid for serious illness in China, which refers to a social medical mutual aid system established by urban workers on the basis of participating in basic medical insurance to solve the problem that the insured patients exceed the maximum payment limit of the basic medical insurance pooling fund.

It is a kind of mutual medical welfare guarantee introduced by local government, which can be used as a supplement to social security, commercial insurance or third-party insurance. The insured can apply for reimbursement of medical expenses as long as they meet the requirements of the scope of protection. The price of medical mutual aid is relatively cheap, generally around 100 yuan/year, and the guarantee period after insurance is one year. Users can choose the medical mutual fund that suits them, thus providing an extra guarantee.

Medical mutual assistance usually refers to medical mutual assistance for serious illness, and medical mutual insurance for serious illness is also called medical mutual insurance for urban workers, which is a supplement to the basic medical insurance for urban workers.

Employers can pay insurance premiums for employees with units, and individuals can pay insurance premiums if there is no unit. Employers and individuals need to go to the social security bureau where the medical insurance relationship is located, and urban and rural residents can have streets and villages to organize insurance procedures in a unified way during the overall planning period, or they can go to the social security bureau where the medical insurance relationship is located.

The objects of mutual medical insurance for serious illness are mainly rural minimum living allowances, urban minimum living allowances, rural five guarantees, key special care recipients and other poor people with special difficulties determined by the people's government at the county level.

legal ground

People's Republic of China (PRC) social insurance law

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.