Self-payment: refers to medical expenses that are not included in the scope of basic medical payment; the use of drugs outside the basic medical insurance drug catalog; the use of basic medical insurance diagnosis and treatment items and the medical expenses of some diagnosis and treatment items are not paid; medical services exceeding the basic medical insurance

The facility pays a standard portion of medical expenses; and expenses incurred by the facility for medical services that are stipulated not to be paid.

, Self-responsibility: refers to the medical expenses used by employees to pay below the minimum payment standard of the basic medical insurance co-ordination fund and insufficient outpatient account payment (currently excluding enterprise employees); when the basic medical insurance co-ordination fund and major disease medical treatment (i.e. medical assistance) subsidies,

The individual pays a prorated portion of the medical expenses.

Personal out-of-pocket expenses refer to all expenses that are borne by the individual outside the scope of reimbursement (such as self-paid drugs outside the catalog and expenses that exceed the maximum reimbursement limit).

Personal self-pay refers to the expenses that are within the scope of reimbursement but require the individual to bear part of the cost (generally Class B drugs or Class B medical services, the individual is required to pay part of it out of pocket. If "B 10%" is printed in the drug details on the invoice, it means that the individual pays for Class B drugs.

10%) Personal responsibility refers to the expenses within the scope of reimbursement that are not reimbursed according to the medical insurance policy and must be borne by the individual, which is generally the deductible line.

Extended information: Medical insurance refers to social medical insurance.

Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide workers within the coverage with basic medical needs when they fall ill.

The basic medical insurance fund consists of a pooled fund and individual accounts.

All basic medical insurance premiums paid by individual employees are included in their personal accounts; basic medical insurance premiums paid by employers are divided into two parts, one part is transferred to the personal account, and the other part is used to establish a pooling fund.

On January 12, 2016, the State Council issued the "Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents" requiring that the integration of urban residents' medical insurance and the new rural cooperative medical system be promoted and a unified medical insurance system for urban and rural residents be gradually established nationwide.

?On December 20, 2016, the Ministry of Human Resources and Social Security held a video conference on the national network of basic medical insurance and direct settlement of medical treatment in other places, and worked with 22 provinces including Beijing to apply for the first batch of national network of basic medical insurance and direct settlement of medical treatment in other places across provinces.

The signing of the work responsibility letter marks that the direct settlement of cross-provincial medical treatment in different places has officially entered the implementation stage.