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Payment amount of medical insurance fund

The expenditure amount of the basic medical insurance fund refers to the medical insurance benefits paid from the social pooling fund to the employees and retirees who participate in the basic medical insurance, the medical expenses paid from the individual account fund to the employees and retirees who participate in the basic medical insurance, and other expenses. Including: hospitalization medical expenses, outpatient and emergency medical expenses, personal account fund expenses and other expenses. Extended information

Medical insurance belongs to the business scope of labor security. All the basic medical insurance premiums paid by the insured individuals are included in individual accounts; The basic medical insurance premiums paid by the insured units, except those credited to individual accounts, are all used as overall funds, which are managed by the medical insurance agencies in a unified way and used in a unified way.

Personal account is mainly used to pay for outpatient service and medicine purchase, while pooling fund is mainly used to pay for medical expenses of insured persons for hospitalization, specific outpatient service items and some chronic diseases and family beds. The serious illness medical assistance fund is used to pay the hospitalization medical expenses above the maximum payment limit of the basic medical insurance pooling fund of the insured.

Reference: Baidu Encyclopedia-Medical Insurance Fund.