Fund payment means that the medical insurance fund pays directly to the insured person or hospital according to the medical insurance policy. Reimbursement means that the insured person needs to advance the medical expenses first, and then submit relevant supporting materials to the medical insurance department, which will reimburse according to the actual situation.

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

The payment object is different: the fund pays directly 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.

The handling process is different: fund payment is an on-site payment method, and there is no need to fill in reimbursement documents. In case of reimbursement, the insured needs to pay medical expenses in advance, and then submit relevant supporting materials before reimbursement.

The required documents are different: for general fund payment, the insured only needs to show basic documents such as social security card and ID card, while for reimbursement, more detailed medical bills, prescriptions, invoices and other related materials need to be submitted.

Different time periods: Generally, fund payment will be made within a short time after the completion of hospital services, while reimbursement requires the insured to pay medical expenses first, and then submit relevant supporting 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:

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.