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How to choose social security designated medical institutions

Legal analysis

Insured persons put forward their intention to choose designated medical institutions for medical treatment within the scope of qualified designated medical institutions, which shall be summarized by the unit and submitted to the social insurance agencies in the overall planning area. Social insurance agencies shall, according to the choice intention of the insured, co-ordinate the determination of designated medical institutions.

legal ground

Interim Measures for the Fixed-point Management of Medical Security in Medical Institutions

Thirteenth designated medical institutions have the right to obtain medical insurance settlement fees after providing medical services for insured persons according to law, supervise the performance of agencies, and put forward opinions and suggestions on improving medical insurance policies.

Article 14 Designated medical institutions shall strictly implement the medical insurance agreement, make reasonable diagnosis and treatment, charge reasonable fees, strictly implement the list of medical insurance drugs, medical consumables and medical services, give priority to the use of drugs outside the medical insurance list, control the proportion of patients paying their own expenses, and improve the efficiency of the use of medical security funds. Designated medical institutions shall not provide medical insurance settlement for non-designated medical institutions.

The unpaid expenses of the agency, the quality deposit deducted by the designated medical institutions according to the medical insurance agreement and the liquidated damages paid by the designated medical institutions shall not be treated as arrears of medical insurance.