1. What is the meaning of medical insurance pooling fund payment?
The so-called medical insurance co-ordination fund payment refers to the items paid by the social security co-ordination fund, such as medical insurance reimbursement expenses and basic pensions in old-age insurance. Part of the social security fees paid by units and individuals will enter the social security pooling account and be co-ordinated by the social security pooling fund.
Everyone's medical expenses incurred in designated hospitals can be reimbursed. The expenses for reimbursement come from the overall fund and are earmarked for special purposes. No unit or individual may misappropriate them.
The overall fund is equivalent to a public fund account, and all types of insurance have their own overall fund accounts, and different types of insurance are managed separately.
Second, what is the payment standard of the overall fund?
1. Except for the treatment in the designated outpatient department, the expenses incurred by the insured in the emergency department of the local health service center can be paid in accordance with the relevant provisions of the overall fund.
2, the insured person directly to the local street community health service center or health service calendar center for medical treatment, the basic medical expenses arising from the rescue, can be paid in accordance with the relevant provisions of the overall fund.
Hang Lupeng? 3, the insured to the local medical insurance center designated outpatient medical point, can also be paid according to the relevant provisions of the overall fund.
In addition to the above situation, the insured person goes to a place other than a designated medical institution for medical treatment, and the medical expenses incurred will not be paid by the overall fund.