The expenses paid by the overall fund refer to the expenses that are in line with the national medical insurance catalogue and policies and can be paid by the medical insurance fund, including hospitalization expenses, outpatient medical expenses for special diseases, drug expenses of designated retail pharmacies, etc. Fund payment refers to the medical expenses paid by the medical insurance fund to individuals in accordance with the prescribed proportion, which is usually related to the insured's payment base, age, gender, occupation and other factors.

Fund payment refers to the medical expenses actually paid by the medical insurance pooling fund, that is, the medical expenses actually borne by the medical insurance pooling fund during the insured's medical treatment. This part of the cost is usually paid by the medical insurance pooling fund according to the prescribed payment ratio and limit.

In the medical insurance system, pooling fund payment and fund payment are two different concepts. The former is the reimbursable expenses in line with the national medical insurance catalogue and policies, and the latter is the medical expenses paid by the medical insurance fund to individuals according to the prescribed proportion.

To sum up, the expenses paid by the overall fund and the expenses paid by the fund are two important concepts in the medical insurance system, which respectively represent the reimbursable expenses in line with the policy and the medical expenses paid by the medical insurance fund to individuals in accordance with the prescribed proportion.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates that 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.