The following situations mainly occur in the overall payment of medical insurance cards:

1. Hospitalization: When the insured is hospitalized due to illness, the medical expenses will be paid by the pooling fund. The overall fund will bear the hospitalization expenses of the insured who meet the requirements of medical insurance during hospitalization and the medical expenses of specific outpatient diseases during hospitalization. Including hospitalization expenses, operation expenses, medicine expenses, etc.

2. Specific outpatient treatment: Some diseases and symptoms need outpatient treatment, such as radiotherapy and chemotherapy for malignant tumors, dialysis for chronic renal failure, hypertension and diabetes. The expenses arising from these outpatient treatments will also be paid by the overall fund.

3. Family sickbed: For some patients with chronic diseases who need long-term bed rest, after hospital evaluation, they can set up sickbeds at home for treatment. In line with the provisions of family bed expenses, the medical insurance card will also be paid by the overall fund, and the medical expenses incurred by family beds can also be paid as a whole.

4. Referral and transfer: When the insured person needs to be transferred to another place for medical treatment, if the medical treatment in another place meets the requirements and is approved, the medical expenses incurred during the referral and transfer period will also be paid by the overall fund.

5. Medical treatment in different places: If the insured needs emergency medical treatment in different places and goes through the medical treatment procedures in different places within the specified time, the medical expenses incurred during the medical treatment in different places will also be paid by the overall fund. The overall payment of medical insurance card is mainly to reduce the burden of medical expenses for hospitalization, special outpatient service, major diseases and family bed treatment of insured persons.

To sum up:

The overall payment of medical insurance card mainly occurs in the insured's hospitalization due to illness, specific outpatient treatment, family bed, referral to other hospitals, and treatment in different places. These payments are aimed at ensuring the basic medical needs of the insured and reducing the burden of medical expenses.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations."