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What is the meaning of fund payment in medical insurance?
This payment refers to the medical expenses incurred by an individual after attending the basic medical insurance due to illness. This part of the cost is not directly borne by the individual in full, and can be reimbursed through the medical insurance fund.

Specifically, part of the medical insurance expenses paid by individuals or units for the insured will enter the medical insurance pooling fund account. When the insured person goes to the hospital, according to the local medical insurance policy, including but not limited to the level of medical institutions, drug list, diagnosis and treatment items and service facilities standards, part of the medical expenses that meet the reimbursement conditions will be paid by the overall fund account.

The specific payment ratio and amount vary according to the medical insurance policies in different regions and the specific conditions of the insured (such as on-the-job employees and retired employees, outpatient service and hospitalization, etc.). ). Not all medical expenses can be reimbursed 100%, and some items may not be covered by medical insurance reimbursement, such as non-essential medical services such as cosmetic surgery and health care consumption. In practice, the insured needs to pay medical expenses in advance, and then apply to the medical insurance agency for fund payment and reimbursement with relevant documents.