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What is the meaning of medical insurance fixed point
Medicare fixed-point, that is, designated hospitals for medical treatment.
Medicare fixed point is one of the common social policies, medicare fixed point hospital is the social security department to publish the jurisdiction of the region has the qualification of the social security hospital list, according to the published list, the insured person selected their own medical hospital, and then the social security department after examination and approval of the qualified, issued to participate in the medical insurance personnel medical insurance card, the card to the designated hospitals to go to the hospitals to get medical treatment, can be in accordance with the relevant provisions of the reimbursement of medical fees. The medical insurance card can be used to reimburse the medical expenses in accordance with the relevant regulations, otherwise the medical expenses cannot be reimbursed.
Medicare designated hospitals can be divided into Class A hospitals and Class B hospitals, of which Class A hospitals are divided into first-class, second-class and third-class, the higher the level of hospitals the higher the level of hospitals, such as the three A hospitals, which we often say, refers to the higher level of medical care in the general hospital. The reimbursement rate for the designated hospitals will be higher after the medical insurance is designated, but there are some limitations.
Difference between designated and non-designated medical insurance
1, medical institutions are different from the designated hospitals and social insurance department signed an agreement, the list usually includes a number of public medical institutions and medical facilities, medical technology and level of private medical institutions are relatively good, the qualifications and medical services are more secure.
2, the reimbursement amount is different Usually, the reimbursement amount of designated hospitals is higher, while the reimbursement amount of non-designated hospitals is lower. Most of the non-designated hospitals are not able to reimburse the medical expenses, basically need to participate in all out-of-pocket expenses, that is, the reimbursement amount is zero, which is the most significant difference between the designated and non-designated medical insurance.
3, the checkout method is different in the medical insurance designated hospitals, in the checkout can be directly reimbursed expenses, make up for the reimbursement after the amount can be.
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