In the medical insurance receipt, the medical insurance co-ordination payment refers to the expenses reimbursed by the medical insurance co-ordination, the individual pays the amount that the individual should pay, and the individual pays the amount that the non-medical insurance reimbursement requires the individual to pay at his own expense. Among them, the expenses borne by the individual are the amount paid by the individual.

Taking Zhengzhou as an example, according to Article 25 of the Measures for the Basic Medical Insurance of Workers in Zhengzhou, the overall fund is mainly used to pay the hospitalization expenses, outpatient medical expenses for specified diseases and outpatient medical expenses for serious and serious diseases. Personal account is mainly used to pay for general outpatient medical expenses, drug purchase expenses and hospitalization medical expenses borne by individuals, etc. When the balance of personal account is insufficient to pay, the excess part shall be borne by individuals. The overall fund and individual account shall be accounted for separately, and shall not be misappropriated.

Extended information:

Article 32 of the Measures for Basic Medical Insurance for Employees in Zhengzhou City, the expenses incurred by using the medical treatment items that belong to the basic medical insurance pooling fund to pay part of the expenses, as well as the drugs in the "Class B List" in the basic medical insurance drug list, shall be paid according to the provisions of employee medical insurance after the individual bears a certain proportion. The proportion of personal burden is determined by the administrative department of human resources and social security.

article 33 for flexible employees who participate in employee medical insurance and pay employee medical insurance premiums normally, their maternity medical expenses and family planning operation expenses that meet the requirements shall be included in the payment scope of employee medical insurance pooling fund, and the treatment standard shall be implemented according to the relevant provisions of maternity insurance.

Zhengzhou Municipal Government-Measures of Zhengzhou Municipality on Basic Medical Insurance for Employees