Many friends are curious about what the medical insurance pooling fund payment means, because when we reimburse medical expenses, we can often see the medical insurance pooling fund payment written on the reimbursement form.

So let's take a look today at what the payment amount of the medical insurance pooling fund means and what the payment standards are? 1. What does the payment amount of the medical insurance pooling fund mean? Pooling fund payment refers to the items paid by the social security pooling fund.

For example, the basic pension in pension insurance and the reimbursement expenses in medical insurance are all paid from the unified fund.

Therefore, the payment amount from the medical insurance pooling fund refers to the payment from the fund in the medical insurance account.

When the unit pays social security for its employees, part of it will go into the social security pooling account, and part of the social security fees paid by individuals will also go into the pooling account. After entering the pooling account, the social security fund will use special funds to make unified payments.

allocated for use.

When you seek medical treatment in a designated hospital, you can apply for reimbursement of the medical expenses incurred. The reimbursement expenses are paid from the overall fund account. The money in the overall fund account can only be used for unified disposal, regardless of any person or unit.

, cannot be appropriated.

2. What are the payment standards of the medical insurance pooling fund? 1. Treatment in designated hospitals.

Only treatment expenses incurred in hospitals required by medical insurance can be paid using the medical insurance pooling fund.

2. You must be above the deductible line of medical insurance to be reimbursed.

For medical expenses incurred in tertiary hospitals exceeding 30,000 yuan, 85% can be paid from the unified fund, and the remaining 15% is paid by employees.

For the medical expenses incurred by secondary hospitals, if the amount exceeds 30,000 yuan, 87% can be paid from the overall fund, and the remaining 13% is borne by the employees.

For medical expenses incurred in first-level hospitals, 90% can be paid from the unified fund, and employees only need to pay 10%.

3. How to check the balance of the medical insurance pooling account. The balance of the medical insurance pooling account cannot be queried by individuals at present. We can only check the methods of personal account balance inquiry, including Alipay inquiry and offline inquiry.

1. We can directly open Alipay, then search for the medical insurance code in the Alipay application and open it.

2. For first-time use, face recognition is required. After clicking on the medical insurance balance, you can check the monthly payment status and expenditure details.

3. Of course, we can also directly go to the nearby medical insurance bureau to provide our own medical insurance card to check the balance, or we can also see the balance of our personal account during settlement.