Expansion of self-interest
1. A copy of the license to practice and the approval of the hospital level of the documents (originals and photocopies); 2. A list of large-scale medical instruments and equipment; 3. the previous year's business income and expenditure and outpatient and inpatient treatment and services (including outpatient consultations, the average number of medical fees per treatment, the number of hospitalizations, the average hospitalization days, the average hospitalization fees per discharged person, the average daily hospitalization fees of discharged persons, and so on. Number of outpatient consultations, average medical fees per consultation, number of hospitalizations, average hospitalization days of discharged patients, average hospitalization medical fees per discharged patient, average daily hospitalization medical fees of discharged patients, etc.) in the previous year, as well as the ability to undertake medical insurance services; 4. Certificates of qualified supervision and inspection by drug supervision and management as well as pricing departments; 5. Certificates of the recordation of the military medical institutions in the local health administrative department (original and copy); 6. Labor contract of the unit's employees, social insurance registration form (original and copy), the provincial social insurance premiums universal payment letter (original and copy). In terms of treatment guarantee, Huimedian Insurance is highly complementary to and connected with basic medical insurance and major disease insurance system, and mainly protects the out-of-pocket expenses of hospitalization (including outpatient for special diseases) within the scope of medical insurance policy of the insured. In an insurance year, the part of medical expenses that belong to the scope of basic medical insurance of Wenzhou City, after being reimbursed by the affiliated social basic medical insurance, public medical care, major disease insurance, medical aid and any third party (including any commercial medical insurance), should be paid by the individual out-of-pocket, and the part of out-of-pocket expenses that should be paid by the individual with a deductible of more than 20,000 yuan is reimbursed by 70%, with a maximum of 1,000,000 yuan paid out. The portion that should be paid by the out-of-pocket reaches 50,000 yuan, after deducting the deductible of 20,000 yuan, 21,000 yuan will be paid.
The People's Court of Xixia County, in order to protect the safety of the medical insurance fund and popularize the knowledge of the law, used a circuit trial to conduct public hearings on the two cases. Xixia County medical insurance department staff, township health center director and some of the people in Beitang village, to the court. At the end of the trial, the judge issued a publicity page to the audience to prevent health insurance fraud, citing typical fraudulent insurance behavior, explaining the relevant legal penalties.