职工医保个账共济4.64亿人次

Group 1 - The core point of the news is the implementation and usage of the employee medical insurance personal account mutual aid system, which allows insured individuals to use their personal account funds for their close relatives, with a total of 4.64 billion mutual aid instances and an amount of 68.77 billion yuan in 2025 [1] - The mutual aid system applies to close relatives, including spouses, parents, children, siblings, grandparents, and grandchildren, who must be insured under the basic medical insurance [1] - In 2025, the mutual aid through immediate access to the personal accounts within the province accounted for 4.63 billion instances and 68.02 billion yuan, while the mutual aid through the medical insurance wallet totaled 1.12 million transactions and 750 million yuan [1] Group 2 - The National Healthcare Security Administration reported that the total income of the basic medical insurance (including maternity insurance) pooled fund reached 29,544.06 billion yuan in 2025, while the total expenditure was 24,231.24 billion yuan, indicating stable overall operation [3] - The income from the employee basic medical insurance (including maternity insurance) pooled fund was 18,317.66 billion yuan, and the income from the urban and rural residents' basic medical insurance pooled fund was 11,226.40 billion yuan in 2025 [3] - The expenditure for the employee basic medical insurance (including maternity insurance) pooled fund was 13,574.17 billion yuan, which included 1,359.65 billion yuan for maternity insurance benefits, while the expenditure for the urban and rural residents' basic medical insurance pooled fund was 10,657.07 billion yuan [3]