2. The medical insurance fund refers to the special funds for basic medical insurance for employees raised by medical insurance agencies from units and individuals to ensure basic medical care for employees. The basic medical insurance fund includes two parts: social pooling fund and individual account, which are paid by employers and individual employees according to a certain proportion.
Q2: How much is the overall fund payment for medical insurance?
Overall payment is the part of funds reimbursed according to regulations. Medical insurance funds are divided into individual account funds and overall funds. Personal account funds are used for you to swipe your card for medical treatment, medicine and so on. And co-ordinate their reimbursement of medical expenses, treatment expenses, hospitalization expenses, etc.
Q3: What is the overall fund payment for medical insurance?
Co-ordination fund means that all units' medical insurance contributions are put into a public fund part and are not credited to personal accounts. Overall fund payment refers to the use of funds in the overall account to pay the relevant medical expenses of the insured. The use of overall fund payment shall conform to local medical insurance policies, including hospitals and medical institutions, reimbursement scope, deductible line and proportion. Do not meet the relevant policies and regulations, the overall fund will not be paid, and the expenses can only be borne by individuals.
Q4: What is the meaning of overall payment in medical insurance?
First, this question can be consulted by relevant enterprises or medical institutions.
To put it bluntly, the second overall planning is that the local budget combines the total local employment and the total social insurance paid by the unit to calculate a reasonable price arrangement for issuing insurance.
The third overall planning is tantamount to a relatively self-righteous rhetoric of caring for the public within the existing system.
Fourthly, according to the explanation of relevant local social insurance institutions, the contact telephone number is 12333.
Fifth, I wish you a smooth job, a developed career, a healthy life, a happy family and a happy Year of the Sheep.
Q5: What does the medical insurance pooling fund mean?
The basic medical insurance combines social pooling with individual accounts, and the basic medical insurance fund consists of pooling funds and individual accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts. The basic medical insurance premium paid by the employer is divided into two parts, one part is used to establish the overall fund, and the other part is included in the personal account. The employer pays about 30% into the account, and the specific proportion is determined by the overall planning area according to the payment scope of individual accounts and the age of employees.
As a whole, funds and individual accounts should delimit their respective payment ranges and be accounted for separately, and they should not crowd out each other. It is necessary to determine the minimum payment standard and maximum payment limit of the overall fund. Qifubiaozhun is controlled in principle at about 10% 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 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 limit can be solved by means of commercial insurance. The specific Qifubiaozhun and the maximum payment limit of the overall planning fund, as well as the personal burden ratio of medical expenses above Qifubiaozhun and below the maximum payment limit, shall be determined by the overall planning area according to the principle of balance of payments.