How to choose a medical insurance hospital? Are there any rules?

Medical insurance designated hospitals need to make changes through the social security center one year later, and the changes will take effect the next month.

Under normal circumstances, each insured person can choose four designated hospitals for medical insurance, of which 1 compulsory community hospital can choose a hospital close to home or a comprehensive 3A hospital. The designated medical hospital changes the designated medical institutions for medical insurance due to moving or changing jobs.

Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. It is undertaken by the government and implemented and managed by economic, administrative and legal means. Social medical insurance consists of basic medical insurance and large medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.

legal ground

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 public health demand, management service demand, medical insurance fund revenue and expenditure, regional health planning and medical institution setting planning. 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. Article 6 A medical institution applying for designated medical insurance shall meet the following basic conditions:

(a) formal operation for at least 3 months;

(2) There are at least 1 doctor who has obtained the doctor's practice certificate, rural doctor's practice certificate or Chinese medicine (specialist) qualification certificate and is registered in a medical institution for the first time;

(three) the main person in charge is responsible for the medical insurance work, equipped with full-time (part-time) medical insurance management personnel; /kloc-medical institutions with more than 0/00 beds should set up internal medical insurance management departments and arrange full-time staff;

(4) Having a medical insurance management system, a financial system, a statistical information management system and a medical quality and safety core system that meet the management requirements of the medical insurance agreement;

(5) Having hospital information system technology and interface standards that meet the requirements of medical insurance agreement management, realizing effective docking with the medical insurance information system, transmitting relevant information of all patients to the medical insurance information system as required, and providing direct online settlement for the insured. The establishment of medical insurance drugs, diagnosis and treatment projects, medical service facilities, medical consumables, diseases and other basic databases, according to the provisions of the use of a unified national medical insurance code;

(six) meet other conditions stipulated by laws and regulations and provincial and above medical security administrative departments.