What does the medical insurance co-ordination deductible mean?

Deductible, also known as deductible and threshold fee, refers to the starting point for calculating the compensation expenses of farmers participating in cooperative medical care in social security. If the medical expenses do not exceed the deductible line, the insured shall bear all the expenses, and the medical expenses beyond the deductible line shall be compensated according to a certain calculation method.

Who owns the balance of overall medical insurance?

Belongs to all the insured. The balance in the overall medical insurance account does not belong to one person, but belongs to all insured persons. Anyone who knows something about medical insurance should know that its expenses are jointly paid by units and individuals, of which units need to pay according to 8% of the payment base and individuals need to pay according to 2% of the payment base. Individual contributions are all included in individual accounts, about 2% of unit contributions go into individual accounts, and about 6% go into overall accounts. The money in the overall account is mainly used to reimburse medical expenses, and the money in the personal account can be directly used when going to the hospital to see a doctor or go to a pharmacy to buy medicine.

To sum up, the setting of deductible is to set a threshold for medical expenses for the insured who really needs hospitalization, so as to avoid wasting resources because the insured is plagued by minor illness. It is also necessary to ensure that people who need to be hospitalized can get certain economic compensation. The standard of deductible is related to the level of local hospitals and the number of hospitalizations. The higher the hospital level, the higher the deductible may be, and vice versa. In the same medical year, the deductible will gradually decrease due to the increase of hospitalization times. Within one year, the cumulative hospitalization for four times, no longer charge deductible. Of course, different cities will have different deductible lines.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.