How to choose a designated hospital for medical insurance card?

How to choose a designated hospital for medical insurance card? I hope I can help you.

Hospitals are divided into Class A hospitals and Class B hospitals. Class A hospitals are divided into first, second and third levels. In general, each designated medical insurance hospital can choose 4 hospitals, including 1 compulsory community hospital.

1. Designated hospitals for medical insurance refer to the list of hospitals with social security medical qualifications published by the social security department. According to the published list, the insured person chooses the hospital for medical treatment, and after passing the examination by the social security department, he will issue a medical insurance card to the medical insurance personnel. With the medical insurance card, he can go to the designated hospital for medical treatment, and he can reimburse medical expenses according to relevant regulations, otherwise he can't reimburse medical expenses.

2, medical insurance manual is mainly to do designated hospital control. 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.

3, medical insurance manual * * * Five hospitals (4+ 1), you can choose four designated hospitals (including a grassroots community hospital), you can also choose a 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.

Extended reading of related knowledge: using medical insurance card in designated hospitals

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 local medical insurance department will entrust the bank to transfer the personal account payment to the personal medical insurance card of the insured employee at the end of the month.

(1) When seeing a doctor in a designated hospital, show the medical insurance card to prove the identity and registration of the insured. Individuals do not need to pay first and then reimburse, and medical insurance and hospitals can directly settle the part of medical insurance reimbursement. Only when the account is settled, the self-funded part will be paid by the balance of the 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.

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. Hospitalization expenses are settled by post-paid service items.

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