Xiao Nuo answer:

Hello!

Social pooling refers to the unified collection, unified management and unified adjustment and use of social insurance funds by social insurance agencies in a large scope according to law. Overall planning can be understood as overall arrangement and overall use, which is a macro-planning measure taken by the government for a certain behavior.

Social pooling fund refers to the remaining part of the insurance premium paid by the employer for employees after deducting personal accounts. The social pooling fund is mainly used to pay the hospitalization expenses of the insured employees after paying the deductible expenses, but the expenses cannot exceed the maximum limit (capping line). The specific diagnosis and treatment items and the scope of drug payment should be determined according to the specific implementation plan of the reform of the medical insurance system for employees around the country.