What does the designated hospital for medical insurance mean?

1. What does the designated hospital in medical insurance mean?

The answer to this question is this: Designated hospitals with medical insurance refer to the safe and reasonable treatment of insured patients, so it is stipulated that very few drugs and anesthetics are only allowed to be used in hospitals with high medical equipment and technology in areas and above. Some hospitals can use the same medical insurance card as designated hospitals without choice. What's going on here? As we all know, in principle, we can choose four designated hospitals as hospitals that use medical insurance cards, but there are three types of hospitals that can reimburse medical insurance without choice, namely: top three+Chinese medicine+specialist hospitals, which are common designated medical institutions for insured persons in this city. Without choice, participants can go directly to the above medical institutions for medical treatment. Designated specialist hospitals and designated Chinese medicine hospitals in this city are the common designated medical institutions for the participants in this city, and there is no need to choose. Participants can go directly to the above medical institutions for medical treatment. Designated specialized hospitals can only see specialized diseases; Designated Chinese medicine hospitals are not restricted by departments and Chinese and western medicines, and the reimbursement method for medical treatment is the same as that of other designated medical institutions.

Second, the difference between fixed and non-fixed social security?

1, reimbursement amount is different.

The amount of reimbursement in designated hospitals will be relatively more. When you go to a designated hospital, you can enjoy a certain proportion of reimbursement: in a "small point", the proportion of reimbursement for medicine expenses can reach 80%; In the "big point" hospital, those who go through the "small point" before referral will be reimbursed 55%, and those who go directly to the "big point" without referral will be reimbursed 45%.

2. The checkout method is different.

When you are hospitalized in a designated hospital, you can directly offset the expenses when you check out, as long as the offset amount is paid. If it is not a fixed point, you must apply for hospitalization first, otherwise you may not be reimbursed. The hospitalization expenses are paid in advance, and then reimbursed by social security. Generally speaking, designated hospitals have regulations and cannot apply for changes.

3. Different medical institutions.

Designated medical institutions refer to medical institutions that provide medical services for the insured through equal communication, consultation and agreement with medical insurance agencies. Including public medical institutions and private medical institutions with certain qualifications.

The medical expenses incurred by the insured in designated medical institutions can be reimbursed according to the relevant policies and regulations of medical insurance, and the medical expenses incurred in non-medical insurance designated medical institutions (except emergency) are not reimbursed according to the provisions of medical insurance policies.

People's Republic of China (PRC) social insurance law