Zhuhai outpatient co-ordination fixed-point change

In Zhuhai, the outpatient service will be changed into an outpatient service as a whole, and medical insurance participants can choose their own medical institutions for treatment, but they should pay attention to whether the medical institutions are true and compliant and confirm whether they can be settled by medical insurance cards.

Recently, there have been some changes in outpatient co-ordination in Zhuhai. It is understood that outpatient co-ordination means that the insured person goes to the designated outpatient medical institution for medical treatment under the basic medical insurance for urban and rural residents and the basic medical insurance for urban workers, and the social security fund pays a certain proportion of medical expenses. Prior to this, the designated outpatient medical institutions in Zhuhai were uniformly designated by the municipal medical insurance department and announced to the public. However, these designated medical institutions have changed recently. Insured people can choose their own medical institutions for treatment, but they need to pay attention to whether the medical institutions are true and compliant, and confirm whether they can use medical insurance cards for settlement. The implementation of this policy aims to improve the convenience and choice of the insured. At the same time, it also promotes competition among medical institutions and further promotes medical institutions to provide quality medical services. However, it should be noted that when choosing a medical institution, we should pay attention to whether the hospital is qualified and meets the requirements of medical insurance management to avoid being cheated by illegal medical treatment.

What if the selected medical institution is not on the outpatient list? If the selected medical institution is not in the designated list of outpatient clinics in Zhuhai, it is necessary to pay all the medical expenses by itself, and it is impossible to use the medical insurance card for settlement. At the same time, it should be reminded that some illegal medical institutions may lie that they are on the designated list of outpatient clinics to defraud patients of trust and consumption. Therefore, when choosing a medical institution, we must carefully check the qualifications and practice certificates of the hospital, and beware of being deceived.

Generally speaking, the implementation of the fixed-point change policy of Zhuhai outpatient service is conducive to improving the convenience and selectivity of insured personnel and promoting healthy competition among medical institutions. However, it should be noted that the insured should pay attention to the qualification and practice certificate of the hospital when choosing a medical institution to avoid being deceived.

Legal basis:

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.