Medical insurance co-ordination payment refers to the expenses reimbursed by the co-ordination fund after seeing a doctor. Ordinary outpatient clinics cannot be reimbursed, and only the medical expenses of outpatient prescribed diseases and outpatient diseases with serious and serious diseases can be reimbursed.

Taking Zhengzhou as an example, according to Article 3 of the Measures for the Basic Medical Insurance of Workers in Zhengzhou, the following principles are adhered to in the employee medical insurance system:

(1) The level of fund-raising and security is compatible with the level of economic and social development;

(2) The medical insurance premium for employees shall be borne by both the employer and the employees;

(3) The employee medical insurance fund combines social pooling with individual accounts;

(4) The employee medical insurance fund will be supported by income, so as to make ends meet.

Article 25 The overall fund is mainly used to pay the hospitalization medical expenses, outpatient medical expenses for specified diseases and outpatient medical expenses for serious and serious diseases. Personal account is mainly used to pay for general outpatient medical expenses, drug purchase expenses and hospitalization medical expenses borne by individuals, etc. When the balance of personal account is insufficient to pay, the excess part shall be borne by individuals. The overall fund and individual account shall be accounted for separately, and shall not be misappropriated.

Extended information:

Article 29 of the Measures for the Basic Medical Insurance for Employees in Zhengzhou City, if the hospitalization medical expenses exceed the threshold and the maximum payment limit, the pooling fund shall pay them according to the following proportions:

(1) If the employees are hospitalized, the proportions paid by the pooling fund are: 95% for community health service institutions and 95% for first-class medical institutions.

(2) For retirees who are hospitalized, the proportion paid by the overall fund is: 97% for community health service institutions, 97% for first-class medical institutions, 95% for second-class medical institutions and 93% for third-class medical institutions.

The annual accumulative maximum payment limit of the overall fund is 15, yuan. After the accumulated payment of the overall fund reaches the maximum payment limit in the natural year, the medical expenses beyond the limit shall be paid by the employee's commercial supplementary medical insurance, and the specific measures shall be implemented according to the existing regulations.

Zhengzhou Municipal Government-Measures for Basic Medical Insurance for Workers in Zhengzhou