Job Recruitment Website - Social security inquiry - What does the medical insurance card mean to designate a hospital?

What does the medical insurance card mean to designate a hospital?

Medical insurance designated hospitals are hospitals designated by social security departments. Those who participate in social security can only go to such hospitals for medical treatment, otherwise they will not be able to reimburse medical expenses. The name of the designated hospital will be indicated in the general medical manual. Each insured person can choose 4 designated hospitals for medical insurance, including 1 compulsory community hospital, which can choose a hospital close to home or a comprehensive 3A hospital. If the designated medical hospital needs to change the designated medical institutions for medical insurance due to moving or job changes, it needs to be changed through the social security center one year later, and the change will take effect the next month.

The reimbursement process of medical insurance in different places is as follows:

1, discharge summary, invoice and medication list issued by different hospitals;

2. My ID card, medical insurance card and medical certificate issued by the company (official seal of the company is required). If the company is not insured, the medical certificate issued by the company is not required;

3. The transfer certificate issued by the local hospital needs to be issued by the attending physician, and after being signed by the director of the department where the attending physician is located, he will go to the hospital medical insurance office for the transfer certificate;

4. The reimbursement for medical treatment in different places is less than that in local places10%; Without the transfer certificate issued by the local hospital, less than 20%;

5. Take the above information to the local medical insurance office.

Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC).

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.