Job Recruitment Website - Social security inquiry - Medical Insurance Center Medical Insurance Center official website
Medical Insurance Center Medical Insurance Center official website
12333 as the national public service telephone medical insurance center of human resources and social security system, it mainly provides public services such as policy consultation, information inquiry, service guide, complaints and reports in the fields of employment, social insurance, personnel, talents, wage and income distribution, labor relations, etc.
At present, 12333 Zhixuntong has covered 10 policy information such as endowment insurance, maternity insurance, labor relations, labor remuneration and employee welfare. Relying on the scientific and technological project of "Research on Key Technologies of Labor and Social Security Public Service Business and Information Technology System and Major Applications", we will jointly formulate standards and norms including service facilities, service terms, business processes and knowledge base, and guide the construction of telephone consultation service centers around the country. Focus on the telephone consultation service, determine the unified logo, cultivate the concept and habit of "looking for human resources and social security problems 12333" among the public, and make 12333 a household name. Gradually establish a telephone, SMS incoming exchange platform and ministerial telephone consultation service knowledge base, all localities participate in the maintenance and use, realize the unification of standards and resource sharing, and promote the interconnection and business cooperation of telephone consultation service centers around the country. Further open new service channels such as SMS, study and formulate SMS application scheme for telephone consultation service center of human resources and social security in combination with local exploration and practice, give full play to the flexible and fast characteristics of SMS, and deliver the service directly to the people.
12333 The telephone consultation service hotline for human resources and social security is an important service platform for people's livelihood. Promoting the construction of telephone consultation service system for human resources and social security is conducive to unblocking the communication channels between human resources and social security departments and the public and improving their ability to serve the public.
What is the difference between medical insurance office and medical insurance center? What are their respective functions? First, the classification of institutions is different
1, the medical insurance department is divided into organ type, independent operation type and intermediate type;
2. The medical insurance center is divided into maternity insurance department, business management department, audit department, big insurance office, medical service department, chronic disease management department, medical management department, fund collection department, information management department, planning and finance department and comprehensive department.
Second, the nature of institutions is different.
1. Generally speaking, the medical insurance department is a social welfare undertaking, not an economic activity of a commercial medical insurance center. Therefore, medical insurance institutions, as medical insurance centers that undertake this business, are different from for-profit commercial insurance companies in general medical insurance centers. It is a non-profit institution, which is also called institution in China's medical insurance center.
2. The unit nature of the medical insurance center is the state administrative organ, which belongs to the local human resources and social security bureau.
Third, their respective functions.
1, Functions of Medical Insurance Department
Because medical insurance is a highly professional activity, the government needs the participation of medical insurance institutions when formulating relevant policies, regulations and plans. According to the first-hand information, medical insurance institutions actively provide reasonable basis and suggestions for the government to formulate medical insurance policies, regulations and plans, which is also the premise to ensure the effective development of medical insurance business.
2. Functions of medical insurance center
(1) Coordinate the administrative affairs of the unit to ensure the orderly operation of the work.
(2) Responsible for drafting comprehensive manuscripts such as relevant documents, summaries, reports and leaders' speeches.
(3) Responsible for filing, keeping and reading official documents.
(4) Responsible for signing, planning, conveying, supervising and supervising the implementation of communication.
(5) Responsible for information collection, collation, submission and feedback.
(six) responsible for the handling of the recommendations of the National People's Congress and the CPPCC and the implementation of the matters supervised by the provincial government.
(7) Responsible for meeting organization, daily reception and liaison and coordination of related activities.
Extended data:
Classification of institutions
According to the degree of independent operation of medical insurance institutions, they can be roughly divided into three categories:
1, type of government agency
The operation of this kind of medical insurance institutions is basically in accordance with the provisions of the government plan, the main goal is to ensure the implementation of the government plan, and there is not much room for independent operation, which can be regarded as a government institution.
Its members are similar to national civil servants, and their business activities are almost risk-free, and the management effect mainly depends on the administrative level. This kind of medical insurance institution is rare among medical insurance institutions in various countries, only in Canada and other countries.
2. Independent operation type
This kind of medical insurance institutions are basically independent in operation, including organization and personnel, financial arrangements, business decisions and so on. However, they generally act in accordance with the government's laws and regulations on medical insurance and accept the supervision of relevant state departments.
Such medical insurance institutions are responsible for their own profits and losses in financial management, and may develop or close down. Medical insurance handled by commercial insurance companies mostly falls into this category. This kind of medical insurance institution is not common and can be found in the United States, the Netherlands and other countries.
3. Intermediate type
The medical insurance institutions in most countries in the world belong to this type. On the one hand, such institutions accept the unified planning arrangements of the government, on the other hand, they have relatively independent management rights, such as certain autonomy in determining the scope of insurance, insurance rates and operating methods.
Therefore, this type of medical insurance system can not only ensure the social welfare in the process of medical insurance implementation, but also maintain good efficiency and benefit through competition among insurance institutions, which is a more reasonable system form.
Reference source: Baidu Encyclopedia-Medical Insurance Institution
Legal Analysis on the Address of Service Hall of Provincial Medical Insurance Center: The Service Hall of Zhejiang Medical Insurance Center is located on the third floor of Zhu Jin Building, No.538 Stadium Road, Xihu District, Hangzhou. Basic medical insurance is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance agency will give certain economic compensation to avoid or reduce the economic risks caused by illness and treatment. The basic medical insurance is one of the most important types of insurance in the social insurance system. Together with the basic old-age insurance, industrial injury insurance, unemployment insurance and maternity insurance, it constitutes a modern social insurance system. The payment base of basic medical insurance is that the employer takes the total wages of employees stipulated by the state as the payment base, and the employees take their salary income in the previous year as the payment base. If the wage income of employees is higher than 300% of the average wage of local employees, 300% of the average wage of local employees shall be the payment base.
Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the medical expenses incurred by the insured shall be paid by the basic medical insurance fund and directly settled by social insurance agencies, medical institutions and pharmaceutical trading 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.
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