Conditions for individual clinics to apply for designated medical insurance

Individual clinics applying for designated medical insurance shall meet the following conditions:

1. Have a legal medical license: individual clinics need a legal medical license, and doctors have a legal medical qualification certificate.

2. Prescribed medical equipment and facilities: Individual clinics need prescribed medical equipment and facilities.

3. Prescribed medical personnel: Individual clinics need prescription medical personnel, such as clinicians, pharmacists and other medical professionals.

4. Have the required medical service capacity: Individual clinics need to have the required medical service capacity, such as medical care, basic medical care, diagnosis and treatment of common diseases, etc.

5. There are prescribed management systems and quality management systems: individual clinics need to have prescribed management systems and quality management systems, such as medical quality control and medical safety management.

6. Possessing the prescribed medical insurance fixed-point conditions: Individual clinics need to have the prescribed medical insurance fixed-point conditions, such as geographical location, medical service items, medical service level and other conditions, and the specific conditions may be different due to different regions and policies.

The process of applying for medical insurance is as follows:

1. Preparation materials: Before applying for medical insurance, you need to prepare relevant application materials, such as ID card, household registration book, work certificate, social security card, etc.

2. Fill in the application form: After preparing the application materials, you need to fill in the medical insurance application form, which can be collected or downloaded from the local social security bureau or medical insurance center.

3. Submit application materials: After completing the application form, you need to submit the relevant application materials together with the application form to the local social security bureau or medical insurance center.

4. Review the application materials: The Social Security Bureau or the Medical Insurance Center will review the submitted application materials, and after the approval, apply for a medical insurance card or an electronic medical insurance card for the applicant, and input the relevant information into the medical insurance system.

5. Get a medical insurance card: After approval, the applicant can get a medical insurance card or an electronic medical insurance card from the local social security bureau or medical insurance center. The medical insurance card can be used for direct settlement or reimbursement of medical expenses in medical institutions.

To sum up, when handling medical insurance, it is necessary to provide true and accurate personal and work information, and at the same time, it is necessary to abide by the medical insurance system and avoid false reimbursement and other irregularities.

Legal basis:

Article 29 of People's Republic of China (PRC) Insurance Law

The reinsurer may not require the insured of the original insurance to pay the insurance premium.

The insured or beneficiary of the original insurance shall not make a claim for compensation or payment of insurance money to the reinsurance acceptor.

The cedant of reinsurance shall not refuse to perform or delay the performance of the original insurance liability on the grounds that the reinsurer fails to perform the reinsurance liability.