What is the fixed point of social security card?

Question 1: What does it mean to be designated in social security? The designated medical institution in Social Security 1 refers to the first designated medical institution. Generally, several designated medical institutions can be designated.

It's a noun

Bigger: refers to big hospitals, top three hospitals.

Smaller: refers to a small hospital.

Question 2: What photos do you need to specify social security? A recent 1 inch bareheaded color picture of the insured; Photos must meet the following requirements: According to the Technical Requirements for Digital Photos of Resident Identity Cards (GA46 12004), the background of photos is white, with no borders and clear portraits. You must wear dark clothes with a collar.

Question 3: Should every hospital designate a place to use social security cards? Yes, you need to go to the hospital designated by the Social Security Bureau for reimbursement.

Question 4: What is the use of social security designated medical institutions to handle medical insurance reimbursement?

Social medical insurance reimbursement is after discharge or transfer.

Settlement procedures for inpatient and outpatient treatment of special diseases:

Designated medical institutions should report the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination;

The medical insurance agency pre-allocated the hospitalization and outpatient co-ordination expenses for special diseases last month;

Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.

Emergency settlement procedure: the medical expenses incurred by the insured in emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall go through the reimbursement procedures according to the provisions with the hospital emergency medical records, inspections, laboratory tests, invoices and detailed list of medical expenses.

Question 5: What are the advantages of using medical insurance cards in designated hospitals? (1) When you go to a designated hospital for medical treatment, you can show your medical insurance card to prove your enrollment and registration. Individuals can directly settle medical insurance reimbursement by medical insurance and hospitals without paying in advance. Only when you settle accounts can you pay the self-funded part with the balance of medical insurance card or cash. (2) There is a deductible for hospitalization reimbursement (the deductible standard is generally 10% of the average annual salary of employees in the whole city last year), which means that the money above the deductible needs to be paid by itself, and the reimbursement ratio varies from place to place, and different hospitals and different projects are different, about 80%. You can go to the local labor and social security online for details.

Medical insurance card (hereinafter referred to as medical insurance card) is a special card for personal account of medical insurance. It takes personal identity card as the identification code, and stores and records detailed information such as personal identity card number, name, gender, allocation and consumption of account funds. The medical insurance card is undertaken by the local designated agent bank, which is a multi-functional debit card of the bank. After the insured unit pays the fee, the medical insurance office (hereinafter referred to as the medical insurance office) will entrust the bank to transfer the personal account funds into the personal medical insurance card of the insured employees at the end of the month.

If a patient with a medical insurance card wants to go to the hospital after getting sick, the process of going to the designated medical insurance unit with a medical insurance card is as follows: When the insured is sick, he can go directly to the local designated medical institution with a medical insurance manual and an IC card. The general process is as follows: holding the medical insurance manual and IC card-going to the hospital medical insurance office to register-checking the card-paying the hospitalization deposit-hospitalization-self-funded items need the patient's consent and signature-using cash or IC card to settle the self-paid part of the deductible standard and the self-paid proportion-the hospital pays the expenses within the overall scope-settling and discharging.

How to choose the designated hospital for reimbursement of medical insurance card?

The medical insurance card will be bound to the designated hospitals, so how many designated hospitals can each person choose at most? How to choose? What is the basis of choice? Why do you have to choose a designated hospital? The specific provisions of the medical insurance policy are as follows:

The basic medical insurance implements the management of designated medical institutions, allowing the insured to put forward the choice intention of individual designated medical institutions within the scope of medical institutions with designated qualifications, which greatly facilitates the insured to seek medical treatment.

When the insured chooses a designated medical institution for medical treatment, he takes into account the needs of comprehensive and specialist, Chinese and Western medicine, grass-roots and advanced; Moreover, it also expands the insured person's right to choose designated medical institutions for personal medical treatment in quantity, and allows the insured person to propose the intention of changing designated medical institutions according to his illness. The specific provisions are as follows:

First, specialized medical institutions and traditional Chinese medicine medical institutions with designated qualifications can be used as designated medical institutions for all insured persons in the overall planning area;

Second, in addition to specialized medical institutions and Chinese medicine medical institutions with designated qualifications, the insured can also choose 3 to 5 different levels of medical institutions, and the number of insured people with management capabilities can be expanded;

Third, after 1 year, the insured can also make changes to the designated medical institutions.

How to choose a designated hospital?

The medical insurance manual is mainly to control the designated hospitals. According to the principle of "nearby medical treatment and convenient management", everyone can, in principle, arbitrarily choose four medical institutions for medical treatment within the designated medical institutions of basic medical insurance in the districts and counties where the unit and place of residence are located, among which there must be/kloc-0 designated medical institutions at the grass-roots level (including community health service centers and medical institutions in stations, factories and mines). All designated hospitals marked as "Grade I" and "Other" in "Hospital Level" are designated hospitals for primary medical care.

Medical Insurance Manual * * * Five hospitals (4+ 1), including four designated hospitals (including one grass-roots community hospital) and one community service station. Note that the fifth is the community service station, which is only a service point set up by the community hospital, not the community hospital itself. In general, you can choose four designated hospitals.

Why are insured people allowed to choose designated hospitals freely?

In the management of designated medical institutions, the insured is allowed to choose designated places, mainly to enhance the demand side's ability to dominate competition. Due to the information asymmetry between the supply and demand sides of the medical service market, the medical service market has a strong supplier monopoly. In the management of designated medical institutions, it is necessary to introduce demand-led competition mechanism in the field of medical services, not only between medical institutions, but also between medical institutions and pharmacies. If there is no competition, the level and quality of medical services will not go up, and the cost of medical services will not come down.

Medical care and labor insurance at public expense in the past ... >>

Question 6: How can I use the social security card to handle designated hospitals if the social security card is not fixed? I have to take my medical insurance card and ID card to the community hospital where my account is located to handle the designated hospital. If you get sick in a designated hospital, the proportion of reimbursement through designated hospitals will be higher. Part of the initial outpatient expenses can also be reimbursed. No designated hospital can be reimbursed as long as it is within the scope of overall planning.

Question 7: Is the social security card fixed by default? Do you still need to go to the social security bureau for a fixed point? Designated hospitals for medical insurance refer to the list of hospitals with social security medical qualifications published by the social security department within its jurisdiction. Insured persons choose their own hospitals for medical treatment according to the published list, and then issue medical insurance cards after passing the examination by the social security department. With the medical insurance card to the designated hospital for medical treatment, medical expenses can be reimbursed according to relevant regulations, otherwise medical expenses cannot be reimbursed.

Hospitals are divided into Class A and Class B hospitals, and Class A hospitals are divided into Class I, II and III hospitals.

In general, no one can choose four designated hospitals for medical insurance, including 1 compulsory community hospitals.

I hope my answer can help you. If in doubt, you can consult or visit the quick method platform.

Question 8: Can the social security card be used at any fixed point? As long as it is a public hospital, it can be used, but the reimbursement ratio is different. Grassroots communities have the highest reimbursement, and the higher the reimbursement, the lower the reimbursement.

Question 9: What is the difference between designated hospitals and non-designated hospitals? When you check out, you can directly write off the expenses, and you only need to pay the amount after the write-off. 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.