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Guangzhou medical insurance fixed point new regulations
Guangzhou medical insurance fixed point for the process of medical insurance fixed point Do not have to make a special trip to the medical treatment can be done by hand In the past, the insured person once a year to re-select the medical insurance fixed point opportunity, generally July 1 each year to start. According to the new round of agreement signed between the Municipal Medical Insurance Bureau and the designated medical institutions, the Guangzhou medical insurance designated point selection will be carried out in accordance with the natural year, that is, in the future, you can re-select the new year's general outpatient coordinated designated medical institutions from January 1 each year. The Municipal Medical Insurance Bureau said, for participants who do not want to change the fixed point of medical insurance, can not be re-selected, the new year directly to the original point of choice for medical treatment can be. The participants who want to change the fixed point of medical insurance, there are three kinds of cases: one is never for general outpatient co-ordination selection, the first time to apply for the selection of the point of the participants; the second is previously selected points, the new year want to change the fixed point; third is the change in the middle of the day. The Bureau yesterday issued guidelines to remind: the first time to apply for the selection of the point of insurance participants, you can use the medical insurance voucher and a valid ID card to the proposed selection of hospitals for the first time in the general outpatient (emergency) clinic for the first time for the confirmation of the selected health care institution procedures. Note that it is necessary to go through the procedure of selecting the "small point" first, and then go through the procedure of selecting the "large point". For those who have already selected a point in the previous year and want to change the point in the new year, they can bring their medical insurance vouchers and valid ID cards to the new hospital directly for re-selection procedures from the beginning of the new year. If you don't have time to change the selection point after the New Year's Day, and you have already had general outpatient (emergency) treatment in the original selection point hospital, but you want to change to another hospital, this is a change of selection point in the middle of the year. The following conditions must be met in order to apply for the change: the participant's hukou relocation, change of place of residence, change of workplace, or change in the qualifications of the designated hospital, etc. The participant must present the medical certificate to the designated hospital for consultation. The participant must bring the medical certificate and the relevant information of the above changes to any of the second-tier medical insurance agencies of the Municipal Health Insurance to apply for the change. The change of the selected hospital will take effect immediately, and the participant can enjoy the general outpatient treatment at the newly selected hospital according to the regulations. The Municipal Health Insurance Bureau reminds, according to past experience, there will be more participants in the beginning of the new year to pile up for the selection of the point, in fact, it is not necessary, in the need for medical care in the incident for the selection of the point can be, do not have to make a special trip.
Legal objective:Introduction: for health insurance designated hospitals is very simple: bring your ID card, health insurance card, color photo two, to the hospital of their choice to register for the dependent business on the line. One time to rely on two hospitals: 1. two hospitals (reimbursement of 50%) 2. grass-roots community hospitals (reimbursement of 65%); Guangzhou how to apply for health insurance designated hospitals? Can I change the hospital after applying? In one case, in the new social security year, if you do not have a general outpatient (emergency) consultation in the original selected hospital, you can bring your health insurance card to the designated processing department of the hospital you want to select and fill out a registration form for the procedure of changing the designated hospital. The participant can also bring his/her health insurance card and go directly to any one of the 8 directly-affiliated branch offices of the Municipal Health Insurance Bureau. Another situation is that, in the new social security year, the participant has already made a general outpatient (emergency) visit to the originally selected hospital, but wants to change to another hospital. In this case, if you need to change to another hospital, you must meet the following conditions before you can change the point: the participant needs to change the "selected hospital" due to hukou relocation, change of residence, change of workplace, or change of the qualification of the designated medical institution. The participant must bring his/her medical insurance card, registration card, and the relevant information of the above changes to any of the subordinate branch offices of the Municipal Medical Insurance Bureau to apply for the change. The change of the selected hospital will take effect immediately, and the participant can enjoy the general outpatient treatment in the newly selected medical institution according to the regulations. Extension of relevant health insurance knowledge: The designated hospital of health insurance refers to the list of hospitals within the jurisdiction of the social security department that have the qualification of social security medical treatment, and the insured person selects the hospital that he/she will go to for medical treatment according to the published list, and then the social security department will issue the medical insurance card to the insured person after passing the examination and approval, and the insured person will go to the designated hospital for medical treatment according to his/her medical insurance card, and he/she will get reimbursement of medical fees according to the relevant regulations, or else he/she will not be able to get reimbursement of the medical fees. Hospitals are divided into Category A and Category B hospitals. Category A hospitals are further divided into first-class, second-class and third-class. In general, each person can choose 4 hospitals, including 1 compulsory community hospital.
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