Unlike the fixed-budget scheme, in which all hospitals must share a fixed amount of available funds, each hospital in the plan signs a separate agreement with the BNHI. This agreement guarantees that the reimbursement that the hospital receives for a quarter will be equal to what it received in the same quarter the previous year. However, any claims exceeding this sum will not be honored by the BNHI.
有別於總額預算是全體醫院分食一塊大餅，加入卓越計畫的醫院是個別與健保局簽約，保障該醫院一季收入與去年同期相當，但超出保障額度的部分，健保局則不給付。