Do urban and rural residents need designated medical insurance?

Medical insurance for urban and rural residents needs to be determined.

This is a basic provision of the medical insurance system. Designated medical institutions refer to medical institutions that meet certain norms and conditions recognized by the medical insurance department, including community health service centers, township hospitals and hospitals at or above the county level. Residents seeking medical treatment in designated medical institutions can enjoy the medical security policies and benefits stipulated in the medical insurance system for urban and rural residents, including reimbursement of medical expenses, outpatient and inpatient co-ordination payment, etc.

It should be noted that residents should choose designated medical institutions that meet the medical insurance requirements when seeking medical treatment to avoid the situation that medical expenses cannot be reimbursed due to medical treatment in non-designated medical institutions. At the same time, residents also need to show their medical insurance cards and valid identity documents when seeking medical treatment, so that the medical insurance department can check and reimburse them.

The medical insurance process is as follows:

1. Medical insurance is handled centrally by the unit where employees work, but people without a work unit can also apply for medical insurance themselves or buy appropriate commercial medical insurance;

2. Anyone who meets the requirements can apply for personal medical insurance, but the medical insurance application process of different personnel is different, and some corresponding documents and materials need to be provided;

3. Individuals should have complete personnel files, and individuals can go to the local social security center with their own files;

4. If the unit where the individual worked before has provided personal medical insurance, you only need to issue a certificate to prove that the labor relationship has been terminated, and then you can go to the social security center with the relevant insurance materials.

To sum up, the designated medical insurance institutions for urban and rural residents may be different due to regional differences and different medical insurance policies, and the specific policies shall be subject to the provisions of local social security agencies.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

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.