1. What is the meaning of fund payment in medical insurance? In the medical insurance industry, fund payment means that medical expenses are paid by the social security pooling fund. Simply put, when people use medical insurance for medical treatment, the reimbursed part is paid by the fund. The funds in medical insurance can only be used for reimbursement of medical expenses, and the insured person can not withdraw the funds in medical insurance without authorization. The medical insurance fund ensures that Chinese people can enjoy certain reimbursement policies after medical diseases occur, thus reducing the financial pressure caused by diseases.
second, how can the fund be paid in medical insurance? If you want to pay in medical insurance, you must meet the relevant conditions. 1. See a doctor in a designated hospital. For medical insurance, it is required by the hospital. For example, it must be treated in a public secondary hospital or in some township hospitals, and funds can also be used for reimbursement. 2. The drugs or items used are within the scope of reimbursement. When we are in treatment, we often use some drugs and doctors will carry out some projects. We must ensure that these are within the scope of the medical insurance catalogue before we can reimburse them. If they are not within this scope, there is no way to reimburse them well.
third, is there a limit for medical insurance fund payment? Some medical insurance funds have a limit, and the requirements in different regions are different. For example, in some regions, the limit is four times the average monthly salary of local employees. If you don't know how much your regional medical insurance fund can pay at most, I suggest you consult a hospital or a social security agency. In fact, medical insurance and commercial insurance are different, because the reimbursement ratio of medical insurance is different in each region, and commercial insurance is basically diagnosed, and after treatment, it can be paid according to the contract. In other words, the restrictions on diseases and hospitals are very small.