The expenditure of the basic medical insurance fund refers to the medical insurance benefits paid by the social pooling fund to the employees and retirees who participate in the basic medical insurance, the medical expenses paid by the individual account fund to the employees and retirees who participate in the basic medical insurance, and other expenses paid in accordance with the expenditure scope and expenditure standards stipulated by national policies. Including: hospitalization expenses, outpatient and emergency medical expenses, personal account fund expenses and other expenses.

Medical insurance is one of the five social security in China. Medical insurance fund refers to the monetary fund that enterprises, institutions, organizations or individuals who participate in medical insurance raise and pay the prescribed amount of medical insurance premiums in the form of laws or contracts to provide basic medical insurance for the insured. The collection and management of medical insurance fund is compulsory.

The tasks of fund financial management are: conscientiously implementing relevant national laws, regulations and policies, and rationally raising and using funds; Establish and improve the financial management system, organize the implementation of fund planning, accounting, analysis and assessment, and truthfully reflect the income and expenditure of the fund; Strictly abide by financial discipline, strengthen supervision and inspection, and ensure the safety of funds.

Expanding data medical insurance belongs to the scope of labor security business. 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. 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.

References:

Baidu encyclopedia-medical insurance fund