The low amount of medical insurance may be caused by one of the following reasons: First, there are problems in the reimbursement materials submitted by hospitals, such as irregular reporting, missing bills, repeated charges, etc. , resulting in failure of review or delay of reimbursement time. Second, because of the large gap in the medical insurance fund, measures need to be taken to supplement and adjust, such as reducing the reimbursement ratio and adjusting the medical insurance policy. Third, due to other reasons, such as technical failure and improper fund management. In order to ensure their own rights and interests, taxpayers are advised to contact the local medical insurance department in time to understand the specific situation and actively cooperate with the medical insurance department for verification and handling. At the same time, we can also strengthen our own awareness of prevention, standardize medical expenses, strengthen the audit and supervision of medical reimbursement materials, and avoid affecting our own interests because of irregular operation.
How is the medical insurance fund gap formed? The gap of medical insurance fund is usually caused by the growth rate of medical insurance expenses higher than that of financial input, or the inefficient use of funds. For example, the concentration of medical resources, excessive medical care, and high drug prices will increase the gap in medical insurance funds. In order to ensure the sustained and healthy development of medical insurance fund, we must strengthen the rational allocation and use of medical resources, control the growth of medical expenses and improve the efficiency of medical insurance fund.
The decrease in the amount of medical insurance account may be due to problems with the reimbursement materials submitted by the hospital or a large gap in the medical insurance fund. It is suggested that taxpayers contact the local medical insurance department in time to understand the specific situation and cooperate with the verification. At the same time, we need to strengthen our own awareness of prevention, standardize medical expenses, and avoid affecting our own interests due to improper operation.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 25 The State establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.