1. When the insured goes to the hospital outside the designated outpatient service hours, he can use the overall fund to pay for the emergency according to the relevant laws and regulations;

2, for the insured person directly to the town community health service center outpatient service, the basic medical expenses caused by the rescue, according to the relevant statutory use of pooling funds to pay. The proportion of medical expenses incurred in direct outpatient rescue in extrajudicial medical institutions paid by the overall fund decreased by10%;

3 patients in the designated outpatient referral to other community health service centers, in accordance with the relevant laws and regulations to use the overall fund to pay. If the patient is transferred to the outpatient department of the municipal designated specialized hospital, the proportion of the overall fund will be reduced by 10%.

The inquiry method of the balance of the medical insurance pooling fund is as follows:

1, check in official website, Social Security Bureau;

2. View through a third-party platform;

3. Go to hospitals and pharmacies for examination;

4. Call the official phone to inquire;

5. Check at the counter of the local social security center.

To sum up, the money in the medical insurance pooling fund belongs to all insured persons, and no unit or individual may misappropriate it without permission, but it is stored in a special account for special purposes.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

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 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and 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.