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 premiums paid by the insured individuals are all included in the personal account; The basic medical insurance premium paid by the insured unit, except for the part credited to the personal account, is all used as a unified fund, which is managed and used uniformly by the medical insurance agency. Personal accounts are mainly used to pay for outpatient and drug purchase expenses, and the overall fund is mainly used to pay for medical expenses of insured persons for hospitalization, outpatient specific projects and some chronic diseases and family beds.
Extended data:
The management of the basic medical insurance fund is related to the normal operation of the whole basic medical insurance system and the vital interests of employees. To strengthen fund supervision, we should start with the system and do a good job in five links:
First, we should attach importance to the financial management of the basic medical insurance fund. The basic medical insurance fund should be included in the financial accounts, and the management of two lines of revenue and expenditure should be implemented, which should be used for special purposes and should not be misappropriated;
Second, we should do a good job in the internal management of social insurance agencies, establish and improve the budget and final accounts system, financial accounting system and audit system;
Third, we should pay attention to the safety and integrity of the basic medical insurance fund. The business expenses of social insurance agencies cannot be extracted from the fund and should be solved by the local financial budget;
Fourth, we should attach importance to the administrative supervision and audit of basic medical insurance. Labor and social security departments and financial departments at all levels should strengthen the supervision of funds, and audit departments should regularly audit the income and expenditure and management of social insurance agencies.
Fifth, we should pay attention to the social supervision of the basic medical insurance fund. In the overall planning area, a medical insurance fund supervision organization composed of relevant government departments, employers, medical institutions, trade unions and relevant experts should be established to strengthen social supervision.
Baidu encyclopedia-medical insurance fund