How to change the designated hospital of Foshan medical insurance?

The ways to change the designated hospitals for medical insurance are as follows:

1. The medical insurance for urban workers can be changed by the unit on the social insurance online service platform, or the unit can make an offer to the social insurance agency in the insured place through the social security enterprise edition software;

2 urban and rural residents' medical insurance participants can apply to the social security office of the insured place for change, and individuals can also make changes through the social insurance online service platform;

3. Insured employees who seek medical treatment temporarily in different places due to sudden illness outside the city should report to the unit within 3 working days after admission, and the unit should go through the registration procedures for outpatient service within 5 working days from the date of hospitalization of the employees.

4. Employees who are resettled in different places outside the city or whose units are stationed outside the city for a long time shall apply by themselves, and after the consent of the medical insurance agencies in the districts and counties where the insured person is located, three designated medical institutions shall be determined locally for treatment;

5. If you live or work in a non-insured place in this city for a long time, you should apply by yourself and choose 1 tertiary medical institution for treatment at your place of residence or work with the consent of the county medical insurance agency or the designated institution in the county.

Scope of use of medical insurance:

1, medical insurance can be used for outpatient and inpatient treatment of the insured in designated medical institutions;

2. Medical insurance in some areas can be used to purchase medicines and medical services in the medical insurance catalogue;

3. Medical insurance can be used to pay for public health services such as physical examination and vaccination;

4, medical insurance personal account funds can be used to pay the drug costs of designated retail pharmacies.

To sum up, the ways to change the designated medical insurance hospitals include: urban workers change through the unit or online platform, urban and rural residents apply for personal changes or online changes, employees outside the city need to report and register for outpatient treatment in time, retirees and employees outside the city need to choose medical institutions locally after approval, and those who live or work in non-insured places in the city can choose tertiary medical institutions nearby after obtaining consent.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 29

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.

Interim Measures for the Fixed-point Management of Medical Security in Medical Institutions

Article 7

Medical institutions shall apply for designated medical insurance to the agencies in the overall planning area, and provide at least the following materials: (1) Application form for designated medical institutions; (2) A copy of the practice license of a medical institution or the registration certificate of a Chinese medicine clinic or the service license of a military medical institution for the people; (3) Internal management system and financial system that are compatible with the medical insurance policy; (4) Information system related materials of medical institutions related to medical insurance; (5) A forecast analysis report on the use of the medical insurance fund after it is included in the designated place; (six) other materials provided by the provincial medical security administrative department in accordance with the relevant provisions.