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How to use medical insurance fund and social pooling fund
The social pooling fund is mainly used to pay for hospitalization expenses.

The basic medical insurance co-ordination fund, also known as the basic medical insurance fund, refers to the special fund for basic medical insurance for employees raised by medical insurance agencies from insured units and employees in accordance with the relevant provisions of the state. The fund is paid by the insured units and individual employees in accordance with a certain proportion of payment.

The basic medical insurance fund should be supported by income and balanced. Mainly the basic medical insurance premium paid by the employer; Basic medical insurance premiums paid by individual employees; Interest on the basic medical insurance premium; Late payment fee for basic medical insurance; Other funds incorporated into the basic medical insurance fund according to law.

The basic medical insurance pooling fund is the basic medical insurance premium paid by the employer, and the remaining funds and interest income after deducting the part transferred to the personal account are the basic medical insurance pooling fund. The purpose of setting up the basic medical insurance pooling fund is to help and share the disease risks among social groups in a certain area, solve the medical expenses of employees when they are seriously ill, embody the principle of social equity, and help reduce the social burden of enterprises.

The overall fund is mainly used to pay for outpatient and inpatient medical expenses of special diseases, which belongs to the scope of basic medical insurance payment. We can't pay the general outpatient expenses and all self-funded items, and we can't pay the medical expenses caused by illegal crimes, alcoholism, suicide, self-mutilation, work-related injuries, maternity, traffic accidents, medical accidents and other liability accidents.

Qifubiaozhun of basic medical insurance co-ordination fund means that before the co-ordination fund pays the medical expenses of the insured, the insured individual must pay a certain amount of medical expenses with personal account funds or cash according to the regulations, and then the co-ordination fund pays the medical expenses according to the prescribed standards. According to the national regulations, the minimum payment standard of the overall fund is about 10% of the average annual salary of local employees in principle.