How to handle designated medical insurance

First, the medical institution voluntarily applies, then the county labor and social security bureau conducts a preliminary examination, and then the city conducts an audit. Medical institutions that have passed the evaluation can obtain the designated qualification of basic medical insurance, and the Municipal Medical Insurance Affairs Management Center has signed a service agreement with the medical institutions that have obtained the designated medical institutions. In general, each designated medical insurance hospital can choose 4 hospitals, including 1 compulsory community hospital. According to the regulations of Beijing Labor and Social Security Bureau, there are 19 hospitals in Beijing as first-class designated medical institutions. When choosing a hospital for medical insurance, you can enjoy medical insurance benefits without choosing these hospitals. There are also some designated specialties, such as Beijing Maternity Hospital and Beijing Hospital of Traditional Chinese Medicine, which can also be covered without choice. Hospitals are institutions that treat and care for patients.

1. Required materials for designated hospitals with medical insurance: social security card of the insured, valid ID card of the insured, and 1 color photos of the insured in recent years.

2, medical insurance designated hospitals for the process:

(1) Go to the pre-selected clinic to choose a medical institution;

(two) designated medical institutions shall register the insured in the medical insurance information system, and indicate in writing that the medical institution is the selected medical institution in the outpatient medical record;

(3) The insured or family members sign and confirm and register their names and contact numbers.

3. Processing time of medical insurance designated hospitals: June 65438+1 October1optional new points. Insured persons who don't want to change the fixed point of medical insurance don't need to re-select, but go directly to the fixed point originally selected in the new year for medical treatment.

Second, can the designated hospitals for medical insurance be changed?

Many people may encounter a problem, that is, they often move. The previously bound designated hospitals are a little far from where they live now, but it is inconvenient to go to the hospital to see a doctor. Want to know if the designated hospital for medical insurance can be changed? The answer is yes, our designated medical insurance hospitals can make changes. How to change it to facilitate everyone's understanding, let's take Beijing as an example:

1, medical insurance for urban workers

(1) The change is made by the unit through the social insurance online service platform.

(2) The unit sends an offer to the social insurance agency of the insured place to make changes through the social security enterprise software.

(3) Retirees can go through the change procedures through both the unit and the social security office of their place of residence.

2. Medical insurance for urban and rural residents

(1) is modified in "Designated Urban and Rural Residents" in the menu bar "Medical Insurance Inquiry" of the official WeChat account "Medical Insurance Beijing".

(2) Apply to the social security office of the insured place for change.

(3) Individuals make changes through the social insurance online service platform. Through the social insurance online service platform-individual medical login (after successful login of ID number, password and verification code)-account information collection and change-change of designated medical institutions, select the designated medical institutions to be changed, and click Modify and submit.

Legal basis: Article 31 of the Social Insurance Law of People's Republic of China (PRC), social insurance agencies may sign service agreements with medical institutions and pharmaceutical trading units to regulate medical service behavior according to the needs of management services. Medical institutions shall provide reasonable and necessary medical services for the insured.