How to inquire about designated hospitals for medical insurance

The first one is through the "medical insurance inquiry" in the official account of WeChat, and through the "designated hospitals for urban and rural residents", you can inquire about your designated hospitals. The second is to log in according to the prompts through the "social insurance online service platform", and then inquire about the designated hospitals for medical insurance. These two paths can not only be queried, but also be changed and deleted in the designated hospital.

What does designated medical insurance mean?

Designated medical insurance refers to:

The list of hospitals with social security medical qualifications within the jurisdiction announced by the social security department, the insured person can choose designated medical institutions for personal medical insurance according to his own situation, go to the designated hospitals with medical insurance cards, and can reimburse medical expenses according to regulations.

Designated hospitals for medical insurance are divided into Class A hospitals and Class B hospitals, among which Class A hospitals are divided into Class I, Class II and Class III hospitals. The higher the level, the higher the level of the hospital. The "top three" hospitals often refer to general hospitals with high medical level.

Medical insurance designated hospital management system is as follows:

1, the medical insurance agency implements agreement management for designated medical institutions. The contents of the agreement include service scope, service content, service quality, cost settlement, auditing and control methods, and the rights, obligations and responsibilities of both parties. The agreement is valid for 1 year. If either party violates the agreement, the other party has the right to terminate the agreement, but it must notify the other party and related insured personnel three months in advance and report to the Municipal Labor and Social Security Bureau for the record.

2, designated medical institutions should be in a prominent position in the unit hanging "designated medical institutions" signs, and safekeeping, shall not be transferred or damaged. After the medical insurance agency and the designated medical institution cancel or terminate the agreement, the designated signs shall be recovered in time.

3, the insured in the designated medical institutions, designated medical institutions should be in the medical insurance agencies issued a unified medical record book detailed records of inspection, treatment, medication and so on. First, where there is a prescription requirement, the designated medical institution shall provide the prescription and affix the effective seal of the designated medical institution.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.