Is the medical insurance co-ordination quota cleared every year?

The medical insurance co-ordination quota will not be cleared every year.

First, the concept of overall medical insurance quota

The overall medical insurance quota is an important part of the medical insurance fund, which is used to pay the medical expenses of the insured. According to the provisions of the medical insurance policy, combined with the insured payment and medical needs to set and adjust. The existence of medical insurance co-ordination quota aims to protect the basic medical rights and interests of insured persons and ensure that they can get necessary medical services when needed.

Two, the overall use of medical insurance.

The use of the overall medical insurance quota is strictly regulated and managed. When using the overall amount of medical insurance, the insured shall abide by the provisions of the medical insurance policy and reimburse medical expenses in accordance with the prescribed procedures and processes. Medical institutions and medical insurance departments will also audit and settle medical expenses to ensure the rational use and effective management of funds.

Third, the total management of medical insurance.

The management of overall medical insurance quota is a complicated and rigorous process. The medical insurance department will set and adjust the overall amount of medical insurance according to the medical insurance policy and the actual situation and medical needs of the insured. At the same time, the medical insurance department will also supervise and inspect the use of the medical insurance fund to ensure the safe and effective use of the fund.

Fourth, the overall amount of medical insurance will not be cleared every year.

It is worth noting that the overall medical insurance quota will not be cleared every year. Once the insured reaches the use standard of the overall medical insurance amount, they can use this part of the funds to pay the medical expenses within the prescribed scope. The unused medical insurance pooling quota will not be cleared, but will remain in the medical insurance fund for future use.

To sum up:

The overall medical insurance quota is an important part of the medical insurance fund, which is used to ensure the basic medical needs of the insured. Its use and management are strictly regulated and controlled to ensure the rational use and effective management of funds. The overall medical insurance quota will not be cleared every year, but will be adjusted and retained according to the actual situation in order to better provide medical services for the insured.

Legal basis:

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

Article 23 provides that:

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 27 provides that:

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers

Article 29 provides that:

The hospitalization expenses for major diseases are paid in the following ways:

(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 10%;

(two) the maximum payment limit is controlled in principle at about 4 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.