Medical insurance fund payment refers to the meaning of medical insurance reimbursement. The insured who has paid the basic medical insurance shall, after the occurrence of the prescribed medical expenses, meet the conditions of medical expenses under the premise of meeting the scope of medical insurance reimbursement, and be paid by the social medical insurance pooling fund. Users who have paid basic medical insurance can get medical insurance reimbursement as long as they have medical expenses within the medical insurance catalogue when they are hospitalized.
The medical insurance fund pays not the money deducted from the medical insurance card, but the money deducted from the overall account. The money in the medical insurance card is part of the individual contribution of employee medical insurance. It can usually be used for outpatient clinics and designated pharmacies, as well as expenses that need to be paid by individuals after completing medical insurance reimbursement.
Difference of fund payment standard
Co-ordination fund payment is to use the funds in the co-ordination account to pay the related medical expenses of the insured, which means using your medical insurance card to swipe your card at the pharmacy or clinic. The insured person in the designated outpatient time, because of the emergency directly to the town (street) community health service center for medical treatment of basic medical expenses, the overall fund in accordance with the provisions of payment.
The insured person directly to the town (street) community health service center outpatient rescue of basic medical expenses, the overall fund in accordance with the provisions of payment. The proportion of basic medical expenses incurred by direct visits to designated outpatient clinics and outpatient rescue in medical institutions outside the town (street) community health service center will be reduced by 10%.