The social security fund is jointly paid by the social security payer and the employer to pay social insurance benefits and medical insurance expenses. Social security fund payment means that when employees enjoy social security benefits, the social security fund pays the corresponding medical insurance expenses, rather than the practice that employees pay in advance and then get medical expenses through reimbursement.

The scope and standard of social security fund payment may be different due to different regions and policies. When employees enjoy social security benefits, they need to understand the relevant local regulations, abide by the relevant regulations, and not receive social security benefits in violation of laws and regulations.

Fund payment and reimbursement are common payment methods in the medical insurance system, and there are the following connections and differences between them:

1, the payment object is different: the fund payment is directly paid to the insured person or the hospital, and reimbursement means that the insured person pays the medical expenses himself, and then the medical insurance department reimburses;

2. The handling process is different: the fund payment is on-site payment, and there is no need to fill in the reimbursement form. In case of reimbursement, the insured needs to pay the medical expenses first, and then submit the relevant certification materials before reimbursement;

3. Different documents are required: in general, fund payment, the insured only needs to show basic documents such as social security card and ID card, while reimbursement needs to submit more detailed medical bills, prescriptions, invoices and other related materials;

4. Different time periods: Generally, the fund payment is made within a short time after the hospital service is completed, and the reimbursement requires the insured to pay the medical expenses first, and then submit relevant certification materials for review, which takes a long period.

To sum up, fund payment and reimbursement are two common payment methods in the medical insurance system, and there are certain connections and differences between them. In the actual use process, we need to choose and use it according to our own situation and medical insurance policy in order to obtain more convenient and efficient medical insurance services.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.