Is the medical insurance expenditure account the same as the medical insurance income account?

It's different. According to the social security network, the medical insurance expenditure account is different from the medical insurance income account. There are two accounts in medical insurance, one is personal account and the other is overall account. Medical insurance contributions are paid jointly by individuals and units. Individual contributions are credited to individual accounts, and unit contributions are credited to overall accounts. However, the medical insurance balance query can only query the balance in the personal account, so it is inconsistent with the payment situation. If it is social security for flexible employees, only a part of the total amount paid by individuals goes into personal accounts, and the rest goes into social security funds as a whole.