Job Recruitment Website - Social security inquiry - How many designated hospitals can Beijing medical insurance choose?
How many designated hospitals can Beijing medical insurance choose?
Beijing medical insurance designated medical institutions refer to medical institutions that have been approved by Beijing Medical Insurance Bureau, signed a service agreement with Beijing Medical Insurance, provided medical services for the insured, and settled directly with the medical insurance fund. According to the regulations of Beijing Medical Insurance Bureau, the insured can generally choose their own hospitals, but they must choose designated medical institutions, otherwise they may not be able to enjoy medical insurance reimbursement. When choosing a designated hospital, generally speaking, you can choose a number of designated hospitals, but the specific number of optional hospitals may vary from region to region. You can consult the local social security bureau or medical insurance center for details.
The specific provisions of the designated hospitals for medical insurance are as follows:
1. Obtaining the practice license of medical institutions in accordance with the law, in line with relevant national and local regulations;
2, have the necessary medical facilities and medical equipment, and can provide medical services that meet the requirements of medical security;
3. Qualified medical technicians and managers can guarantee the quality of medical services;
4, there are standardized medical charges, shall not exceed the maximum price stipulated by the local medical service price management department;
5 according to the requirements of the medical insurance department, statistics, summary, audit and settlement of medical services, to ensure the rational use of medical services and the reasonable payment of medical expenses.
To sum up, there may be differences in the specific provisions of designated hospitals for medical insurance in different regions, which should be implemented according to local policies. At the same time, the insured should choose the designated medical insurance hospital for medical services, otherwise the medical insurance fund shall not be reimbursed.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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