How to determine the medical insurance designated medical care

In daily life, the people have more contact with the institution is a medical institution, we go to the hospital to see a doctor, will find that some hospitals will hang a written "designated medical institutions" sign. If we have a medical insurance card, you can also be reimbursed part of the cost in the process of seeing a doctor. So, how to hospitals to designated medical insurance? Next, I briefly introduced the hospital designated medical insurance knowledge, welcome to read.

First, the hospital how to fixed-point medical insurance?

The fixed-point medical institutions refers to the integrated area of labor security administrative department review, and signed an agreement with the medical insurance agency, and the social insurance agency to determine the basic medical insurance for urban workers to provide medical services to the insured, and bear the corresponding responsibility of the medical institutions. Including public medical institutions and private medical institutions with certain qualifications.

The fixed-point medical institutions from the date of approval by the Human Resources and Social Security Bureau, will hang the fixed-point medical institutions issued by the Human Resources and Social Security Bureau signage.

Second, the application for basic medical insurance designated medical institutions must have the conditions of what?

1, in line with the regional medical institutions set up planning.

2, in line with the evaluation standards for medical institutions

3, to comply with national and municipal laws, regulations and standards relating to the management of medical services, there is a sound and perfect medical services management system.

(1) the development and implementation of the Health Bureau of medical quality management standards for common diseases clinic;

(2) there are drugs, medical equipment, medical materials, medical statistics, case management, financial management system;

(3) accurately provide outpatient emergency, hospitalization, single disease costs and other relevant information.

(4) Strictly implement the national and municipal price departments to set the prices of medical services and medicines, charges, and by the price departments to check and pass.

5, the strict implementation of the basic medical insurance system of the relevant policies and regulations, the establishment of basic medical insurance management and management of the internal management system, equipped with full-time (part-time) management personnel and specialized equipment.

Third, under what circumstances can enjoy medical insurance reimbursement treatment?

After the approval of the out-of-town referrals to hospitals for treatment, after several examinations and consultations, the diagnosis is still not clear of the difficult diseases or because the diagnosis and treatment of hospitals are not conditional to continue to diagnose and treat, need to go to a higher level of treatment outside the city of the insured person, after the approval of the out-of-town medical and enjoy the reimbursement of the health insurance.

Employee health insurance participants short-term and long-term out-of-town visits (out of more than 3 months) can choose to first apply for registration of out-of-town visits in the municipal social security bureau, selected local fixed-point medical institutions (pharmacies), and the need to be in the selected medical institutions, the cost of the first by the individual to pay for the reimbursement of the return to the city in accordance with the appropriate standards. In the application for registration procedures for foreign medical treatment, the participant's health insurance IC card will be temporarily locked, can not be used, to return to the city when the city social security bureau for unlocking can be.

From the above for you to introduce the hospital on how to specify the issue of health insurance, I believe we have a certain understanding. Simply put, those and the medical insurance center signed a medical agreement for urban workers to provide medical services are designated medical institutions. People who are entitled to medical insurance can get partial reimbursement of hospitalization and outpatient expenses when they visit designated medical institutions. If there are still questions welcome online legal advice.