In order to implement the decision-making arrangements of the CPC Central Committee, the State Council, the provincial party committee and the provincial government to deepen the reform of the medical security system, promote the integrated development of the medical security system and commercial medical insurance, improve the multi-level medical security system, and reduce the medical burden of the insured, Rizhao Medical Security Bureau, Rizhao Supervision Branch of the Bank of China Insurance Regulatory Commission, Rizhao Finance Bureau, Rizhao Health and Health Committee, Rizhao Civil Affairs Bureau and Rizhao Taxation Bureau of State Taxation Administration of The People's Republic of China jointly issued the Implementation Plan of Inclusive Commercial Supplementary Medical Insurance in Rizhao City.
Extended data;
Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. It is undertaken by the government and implemented and managed by economic, administrative and legal means.
Social medical insurance consists of basic medical insurance and large medical assistance, enterprise supplementary medical insurance and individual supplementary medical insurance.
Social medical insurance is a medical insurance system enforced by the state through legislation. Employers and individuals pay insurance premiums according to a certain proportion, establish social medical insurance funds, and pay medical expenses for employees.
Social medical insurance means that when workers get sick, social insurance institutions give appropriate subsidies or reimbursement for their medical expenses, so that workers can recover their health and labor ability as soon as possible and enter the process of social reproduction. Social medical insurance is an important part of social insurance, which is generally borne by the government. The government will use economic, administrative and legal means to implement and organize.
Special diseases
Designated medical institutions shall submit the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination. The medical insurance agency pre-allocated the hospitalization and outpatient expenses for special diseases last month. Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.