Medical insurance payment is inconsistent with actual payment.

If the employee's payment amount is inconsistent with the balance of the medical insurance account, you can go to the Social Security Bureau to consult the specific situation. If the social security agency infringes on the rights and interests of the insured, the insured may file an administrative reconsideration or administrative lawsuit according to law to safeguard their legitimate rights and interests.

The main reasons for the inconsistency of medical insurance revenue and expenditure are as follows:

1. Balance status has not been updated.

After the medical insurance payment, the update of the balance status needs to be updated for a period of time. Some insured people directly check the balance status after paying the fee, but generally they will not display the new amount so quickly. The insured can check the balance status after a period of time.

2. The balance used by the insured.

The funds in the personal medical insurance account can be used by the insured to pay the outpatient expenses, and can also be used to buy designated drugs in chain pharmacies. After use, the balance of the insured's personal medical insurance account will decrease, so it does not correspond to the amount paid by the insured. The insured can check the account expenditure by himself. Both the medical and health service of WeChat and the citizen center of Alipay have corresponding medical insurance sections, and the insured can choose the corresponding services to check the flow of their medical insurance accounts.

3. The insured person pays flexible employment medical insurance.

In China, there are flexible employees besides employees. The proportion of medical insurance paid by flexible employees is much higher than that of on-the-job employees. However, part of the corresponding expenses paid by flexible employees should be remitted to the overall account of the insured place, and only the funds originally paid by individuals will be remitted to their personal medical insurance accounts, so it is normal that the amount displayed on the medical insurance balance page does not match the amount paid by themselves.

4. Wrong calculation method

Generally speaking, medical insurance for employees in China is jointly paid by individuals and employers. The base of payment is the same, but the proportion of payment is different. Some insured people may accidentally add the part paid by the unit when calculating, which leads to the inconsistency between the medical insurance balance and the payment amount calculated by themselves. At present, only employees in China have personal medical insurance accounts, and the funds that can be remitted to personal medical insurance accounts are part of the funds that local medical insurance individuals need to pay.

To sum up, if the employee payment amount is inconsistent with the balance of the medical insurance account, you can go to the Social Security Bureau to consult the specific situation. If the social security agency infringes upon the rights and interests of the insured, the insured may file an administrative reconsideration or administrative lawsuit according to law to safeguard their legitimate rights and interests.

Legal basis:

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

Article 4

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Article 83

If the employing unit or individual thinks that the behavior of the social insurance fee collection agency infringes upon its legitimate rights and interests, it may apply for administrative reconsideration or bring an administrative lawsuit according to law.

The employing unit or individual may apply for administrative reconsideration or bring an administrative lawsuit against the social insurance agency for failing to register social insurance, verify social insurance premiums, pay social insurance benefits, handle social insurance transfer and connection procedures or infringe upon other social insurance rights and interests according to law.

Individuals and employers who have social insurance disputes may apply for mediation, arbitration and bring a lawsuit according to law. If an employer infringes upon an individual's social insurance rights and interests, the individual may also request the social insurance administrative department or the social insurance premium collection agency to deal with it according to law.