2025年1-12月职工医保个人账户共济4.64亿人次 共济金额687.7亿元

Core Insights - The article discusses the implementation and usage of the employee medical insurance personal account mutual aid system in China, highlighting the total number of participants and the financial amounts involved for the year 2025 [1]. Group 1: Mutual Aid Through Personal Accounts - In 2025, there were 464 million instances of mutual aid through personal accounts, amounting to 68.77 billion yuan [1]. - Within the same year, 463 million instances of mutual aid occurred within the province, totaling 68.02 billion yuan [2]. - Of the total mutual aid, 421 million instances occurred within the same planning area, contributing 60.08 billion yuan, while 4.17 million instances crossed planning areas, amounting to 7.94 billion yuan [2]. Group 2: Usage Breakdown - The mutual aid was primarily used for medical expenses incurred at designated medical institutions, totaling 48.84 billion yuan, and for personal contributions to basic medical insurance, which accounted for 14.23 billion yuan [2]. - Additional uses included 0.76 billion yuan for long-term care insurance contributions and 0.14 billion yuan for other purposes [2]. Group 3: Mutual Aid Through Medical Wallets - In 2025, there were 1.121 million transactions through the medical wallet, with a total mutual aid amount of 0.75 billion yuan [3]. - Out of these transactions, 648,800 were within the province, amounting to 0.44 billion yuan, while 472,200 transactions crossed provincial lines, totaling 0.31 billion yuan [4]. Group 4: Regional Breakdown - The article provides a detailed breakdown of mutual aid by region, with significant contributions from provinces such as Jiangsu (6.56 billion yuan), Zhejiang (8.04 billion yuan), and Guangdong (4.96 billion yuan) [5]. - The total mutual aid amount across all provinces through personal accounts reached 68.02 billion yuan, with a total of 462.82 million instances recorded [5].