How to choose a designated hospital for medical insurance

First, how to designate designated hospitals for medical insurance

1. The way to choose a medical insurance hospital is as follows:

(1) The medical insurance for urban workers can be changed by the unit through 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, and retirees can go through the change procedures through the social security office of the unit or place of residence;

(2) Urban and rural residents' medical insurance participants can apply for changes to the social security office of the insured place, or make changes through the social insurance online service platform.

2. Legal basis: Article 7 of the Interim Measures for the Fixed-point Management of Medical Security in Medical Institutions.

Medical institutions shall submit designated applications for medical insurance to the agencies in the overall planning area, and provide at least the following materials:

(a) the designated medical institutions application form;

(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.

Two, medical institutions under what circumstances do not accept designated applications?

Medical institutions do not accept the following designated applications:

1, mainly engaged in non-basic medical services such as medical beauty, assisted reproduction, life care and dental implant;

2, the basic medical services did not implement the medical price policy formulated by the administrative department of medical security;

3, did not fulfill the responsibility of administrative punishment according to law;

4, to resort to deceit and other improper means to apply for fixed-point, less than 3 years from the date of discovery;

5. The medical insurance agreement has been terminated for less than 3 years due to illegal acts, but the legal responsibility of administrative punishment has not been fully fulfilled;

6. Termination of the medical insurance agreement due to serious violation of the agreement is less than 1 year or 1 year, but the liability for breach of contract is not fully fulfilled.