Conditions for applying for medical insurance in traditional Chinese medicine clinics

To apply for medical insurance, the Chinese medicine museum needs to have the qualification of designated medical insurance, meet the scope of medical insurance payment, and be approved by medical insurance.

If a Chinese medicine museum wants to apply for medical insurance, it first needs to have medical insurance qualifications. Medical insurance designated qualification refers to the Chinese medicine museum approved by the administrative department of health, becoming a designated medical institution to participate in medical insurance according to the relevant provisions. Chinese medicine museum needs to have certain medical equipment and professional technical level, and also needs to bear corresponding professional responsibilities and risks. Secondly, the Chinese medicine museum needs to meet the scope of medical insurance payment. The scope of medical insurance payment refers to the scope of medical services and drugs paid by the medical insurance fund. At present, the scope of medical insurance payment can cover the diagnosis and treatment of common diseases and frequently-occurring diseases of Chinese medicine and Chinese patent medicine. Finally, the medical insurance department will verify the Chinese medicine museum. The verification mainly focuses on the medical insurance charges, drugs and drug proportion, drug use structure and clinical pathway of hospitals or other medical institutions, so as to make patients use drugs rationally and improve the quality and efficiency of medical services. Chinese medicine museum needs to pass the professional audit of medical insurance department before it can obtain medical insurance qualification.

Besides applying for medical insurance, what other preferential policies can the Chinese Medicine Museum enjoy? In addition to the medical insurance policy, the Chinese medicine museum can also enjoy many other preferential policies. For example, preferential tax policies, talent introduction policies and scientific research project support policies. In addition, the Chinese Medicine Museum can also actively participate in various government procurement projects, thus achieving scale and brand development. However, it should be noted that while enjoying the policy, the Chinese medicine museum also needs to abide by relevant laws and regulations to ensure the safety of diagnosis and treatment and the quality of service.

To apply for medical insurance, the Chinese medicine museum needs to have the qualification of designated medical insurance, meet the scope of medical insurance payment, and be approved by medical insurance. Chinese medicine museum can also enjoy various preferential policies to promote its own development. While enjoying the policy, the Chinese medicine museum also needs to bear corresponding responsibilities and obligations, and carry out diagnosis and treatment activities in strict accordance with laws and regulations to protect the rights and interests of patients.

Legal basis:

The Interim Measures for the Fixed-point Management of Medical Security in Medical Institutions Article 4 The administrative department of medical security in the overall planning area shall determine the allocation of medical service resources in the designated areas according to the needs of public health, the needs of management services, the income and expenditure of medical insurance funds, the regional health planning and the planning of medical response institutions. Article 5 The following medical institutions that have obtained the Practice License of Medical Institutions or the Registration Certificate of Chinese Medicine Clinics, as well as military medical institutions that serve the people with the approval of the competent military departments, may apply for designated medical insurance:

(1) General hospitals, traditional Chinese medicine hospitals, integrated traditional Chinese and western medicine hospitals, ethnic medicine hospitals, specialized hospitals and rehabilitation hospitals;

(2) Specialized disease prevention hospitals (stations) and maternal and child health centers;

(3) Community health service centers (stations), central hospitals, township hospitals, street hospitals, out-patient departments, clinics, hospitals (stations) and village clinics (institutes);

(4) Independent emergency center;

(5) Hospice care centers, hemodialysis centers and sanatoriums;

(six) medical institutions set up in the old-age care institutions. Internet hospitals can rely on their physical medical institutions to apply for signing supplementary agreements, and the related expenses incurred by the medical services provided by them that meet the scope of medical insurance payment shall be settled by the regional agencies and the physical medical institutions they rely on according to regulations.