Overall amount refers to the amount paid by the overall fund, that is, the amount paid by the social insurance fund.
Overall gold refers to the amount paid by the social insurance fund as a whole, which is used to pay the medical expenses, maternity allowance, work-related injury compensation and other expenses of the insured. The sources of the pooling fund include the basic medical insurance premium paid by the employer incorporated into the pooling fund, the transitional basic medical insurance premium for retirees incorporated into the pooling fund, the interest income of the pooling fund, the overdue fine charged according to regulations, government subsidies and other legitimate income. All kinds of insurance pooling funds are managed separately, while social pooling funds are more complicated, mainly referring to basic medical insurance funds, including pooling funds and individual accounts. To sum up:
The overall amount refers to the amount paid by the social insurance fund as a whole, that is, the medical expenses or other treatment paid by the social insurance fund in accordance with the regulations. In the social insurance system, the overall fund is usually used to pay the medical expenses, maternity allowance, work injury compensation and other expenses of the insured. The payment standard of the overall fund is generally implemented in accordance with the prescribed proportion and limit, and the specific standards and limits vary according to regions and policies.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "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."
Article 30 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. "