2. Co-ordination fund payment refers to the payment of the insured's related medical expenses with co-ordination account funds, and account payment, that is, using your medical insurance card to swipe your card at the pharmacy or outpatient clinic. Personal contributions cannot be reimbursed.
3. The medical insurance fund consists of overall funds and individual accounts. The overall fund is mainly used to pay medical expenses such as hospitalization expenses of chronic outpatients, outpatient specific items and fixed Medicaid within the basic medical scope, above the Qifubiaozhun of the overall fund and below the maximum payment limit.
4. The overall fund payment in medical insurance is that individuals and enterprises bear different proportions respectively.
Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in the basic medical insurance for employees, and both employers and employees shall pay the basic medical insurance premium according to the provisions of the state.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.