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How to change the designated medical insurance
2. The employee is changed by the unit, and the name of the hospital that needs to be cancelled or added is informed to the person in charge of social security of the unit, and the unit makes changes online.
The materials to be carried are personal identity cards, medical insurance cards or social security cards, outpatient medical records, application reports and related certification materials, which will be changed in the secondary medical insurance agency. Proof materials in different places can be confirmed by calling the government service hotline 12345. The handling agency shall complete the change point within 1 working day after the materials are accepted and approved.
What is a designated hospital?
1. Medical insurance designated hospitals refer to hospitals with social security medical qualifications within the jurisdiction designated by the social security department. Hospitals can also apply to become designated hospitals for medical insurance by themselves. Only after medical insurance inspection and meeting the requirements of medical insurance can they become designated hospitals for medical insurance and provide medical services for insured persons in this area. As long as the insured person holds the medical insurance card to the designated hospital for medical treatment, he can reimburse the medical expenses in accordance with the relevant regulations.
2. Hospitals are generally divided into Class A hospitals and Class B hospitals, among which Class A hospitals can be divided into Class I, Class II and Class III hospitals. Under normal circumstances, each person can choose 4 designated hospitals for medical insurance, but it will include 1 community hospitals that must be selected.
3. The difference between a designated hospital with medical insurance and a designated hospital without medical insurance is that the insured person can swipe the medical insurance card when he goes to the designated hospital for treatment, and the hospitalization can also be directly reimbursed, while the hospital without medical insurance cannot swipe the medical insurance card directly, so he needs to pay the medical expenses first, and then go to the social security agency for reimbursement.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: Article 57 of the Social Insurance Law of People's Republic of China (PRC), the employing unit shall, within 30 days from its establishment, apply to the local social insurance agency for social insurance registration with its business license, registration certificate or unit seal. The social insurance agency shall, within fifteen days from the date of receiving the application, examine and issue the social insurance registration certificate.
Where the social insurance registration items of the employing unit are changed or the employing unit is terminated according to law, it shall, within 30 days from the date of change or termination, go to the social insurance agency to handle the change or cancellation of social insurance registration.
The market supervision and management department, the civil affairs department and the organization management organ shall promptly inform the social insurance agency of the establishment and termination of the employing unit, and the public security organ shall promptly inform the social insurance agency of the birth, death, household registration, migration and cancellation of the individual.
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