Fixed-point change of Guangzhou medical insurance

You don't have to make a special trip to see a doctor in the designated medical insurance process in Guangzhou, just go there. The insured person has an opportunity to re-select the fixed point of medical insurance once a year, usually starting from July 1 every year. According to the new round of agreement signed between the Municipal Medical Insurance Bureau and the designated medical institutions, the designated medical institutions for medical insurance in Guangzhou will be selected according to the natural year in the future, that is, starting from 65438+ 1 in the future, the designated medical institutions for general outpatient service in the new year can be re-selected. The Municipal Medical Insurance Bureau said that for the insured who don't want to change the fixed point of medical insurance, they don't need to re-select, and they can go directly to the original selected point for medical treatment in the new year. For the insured who wants to change the fixed point of medical insurance, there are three situations: first, the insured who has never applied for a general outpatient service and applied for the first time; Second, I chose a point before and want to change it in the new year; The third is to change halfway. The guidelines issued by the bureau yesterday reminded that the insured who applied for the selection point for the first time can hold the medical insurance medical certificate and valid identity documents, and go through the procedures for determining the choice of medical institutions when they go to the hospital to be selected for general outpatient (emergency) treatment for the first time. Note that you need to go through the "small point" selection program first, and then through the "big point" selection program. For the insured persons who have selected points in the previous year, if they want to change the selection points in the new year, they can bring medical insurance and valid identity documents at the beginning of the new year and go directly to the newly selected hospital for re-selection procedures. If you haven't had time to change places after the start of New Year's Day, you have already had an ordinary outpatient (emergency) consultation in the original hospital, but you want to re-select the insured person in other hospitals. This is a change of position halfway. Only when the following conditions are met can it be handled: the insured person's household registration change, residence change, work unit change, or the designated hospital needs to be changed because of the qualification change of the designated hospital. The insured person shall go through the formalities of change with the above-mentioned diagnosis certificate and related materials to any one or two medical insurance agencies of the municipal medical insurance. The change of the selection point takes effect immediately, and the insured person can enjoy the overall treatment of general outpatient service in the newly selected hospital according to the regulations. The Municipal Medical Insurance Bureau reminded that according to past experience, more insured people will get together to handle the selection at the beginning of the new year. In fact, when they need to see a doctor, there is no need to choose a spot by the way, and there is no need to make a special trip.

Legal objectivity:

Introduction: It is very simple to apply for a designated hospital for medical insurance: bring two ID cards, medical insurance cards and color photos and go to the hospital of your choice to handle the affiliated business. Call two hospitals at a time: 1. Hospitals above Grade II (50% reimbursement) 2. Grassroots community hospitals (65% reimbursement); How to handle the designated hospital of Guangzhou medical insurance? Can I change it after I handle it? In one case, in the new social security year, if the general outpatient (emergency) consultation is not carried out in the original selected hospital, the insured person can bring the medical insurance card to the designated handling department of the proposed selected hospital and fill in the registration form to handle the change procedures. The insured person can also carry the medical insurance card directly to any of the eight branches directly under the Municipal Medical Insurance Bureau 1 branch. There is another situation. In the new social security year, you have done general outpatient (emergency) treatment in the hospital you originally chose, but you want to change to another hospital. In this case, if you need to change to another hospital, you must meet the following conditions before you can change: the insured person's household registration changes, the residence changes, the work unit flows, or the "selected hospital" needs to be changed because of the changes in the qualifications of designated medical institutions. The insured must hold the medical insurance card, "Registration Card" and the relevant information of the above changes to the Municipal Medical Insurance Bureau as a branch to handle the change procedures. The change of the selection point takes effect immediately, and the insured person can enjoy the overall treatment of general outpatient service in the newly selected medical institution according to the regulations. Extension of relevant medical insurance knowledge: designated medical insurance hospitals refer to the list of hospitals with social security medical qualifications in the area under the jurisdiction of social security departments. The insured person chooses the hospital for medical treatment according to the published list, and then issues the medical insurance card to the medical insurance insured person after passing the examination by the social security department. With the medical insurance card, he can go to a designated hospital for medical treatment, and he can reimburse medical expenses according to relevant regulations, otherwise he will not be able to reimburse medical expenses. 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.