Beijing tertiary hospital medical insurance need fixed point

Beijing tertiary hospital medical insurance need fixed point.

Medicare designated hospitalsMedicare designated hospitals, refers to the social security department to publish the list of hospitals with social security medical qualifications in the area under its jurisdiction. The hospital is a designated hospital, the social security department announced the jurisdiction of the region with the social security medical qualifications of the hospital list, according to the published list, the insured person to choose their own medical hospital, and then the social security department after examination and approval, issued to the participants of the medical insurance card, with the card to the designated hospitals to get medical treatment, can be in accordance with the relevant provisions of the reimbursement of medical expenses, otherwise can not be reimbursed for the medical expenses. Hospitals are divided into Class A and Class B hospitals, and Class A hospitals are divided into first-class, second-class and third-class. In general, each person can choose four designated hospitals for medical insurance, including one compulsory community hospital.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of illness. A medical insurance fund is established through contributions from employers and individuals, and medical insurance organizations provide certain financial compensation to insured persons after they incur medical expenses for sick visits.

The establishment and implementation of the basic medical insurance system gathers the economic strength of the units and members of society, together with the government's financial support, which enables the sick members of society to obtain the necessary material help from society, reduces the burden of medical expenses, and prevents the sick members of society from "becoming poor because of illness".

Medical insurance, like other types of insurance, also collects medical insurance premiums from those who are threatened by illnesses in advance by means of a contract, and establishes a medical insurance fund; when the insured falls ill and goes to a medical institution to see a doctor and incurs medical expenses, the medical insurance organization will give a certain amount of financial compensation. Therefore, medical insurance also has two major functions of insurance: risk transfer and compensation transfer. That is to say, the economic loss caused by the risk of disease in an individual is spread to all members who are threatened by the same risk, and the centralized health insurance fund is used to compensate for the economic loss caused by the disease.

Legal Basis

The Social Insurance Law of the People's Republic of China

Article 7 The administrative department of social insurance under the State Council shall be responsible for the administration of social insurance throughout the country, and other relevant departments of the State Council shall be responsible for the relevant work of social insurance within their respective areas of responsibility.

The social insurance administrative departments of the local people's governments at or above the county level are responsible for the administration of social insurance in their respective administrative areas, and other relevant departments of the local people's governments at or above the county level are responsible for the relevant social insurance work within their respective areas of responsibility.