The bureau is committed to establishing and improving the medical security system, improving the level of medical security, and ensuring that the legitimate rights and interests of the majority of insured persons are effectively protected.
The first is the formulation and implementation of medical security policies.
Jiamusi Medical Security Bureau is responsible for formulating and implementing medical security policies to ensure that the policies comply with relevant national and local regulations and meet the needs of local economic and social development. The bureau actively promotes the reform and improvement of the medical security system, strengthens the supervision of medical institutions, regulates medical behaviors, and protects the legitimate rights and interests of insured persons.
II. Insurance Management and Services
Jiamusi Medical Security Bureau is responsible for the registration, payment and information management of the insured in the city. In order to facilitate the insured, the bureau also provides various service channels such as online inquiry and telephone consultation, so that the insured can know their medical insurance situation in time.
Three. Settlement and supervision of medical expenses
Jiamusi Medical Security Bureau is responsible for the settlement of medical expenses in the whole city, so as to ensure that the medical expenses of the insured can be reimbursed timely and accurately. At the same time, the bureau also strengthened the supervision of medical institutions to prevent unreasonable charges and false charges by medical institutions and protect the interests of insured persons.
Four, the management and supervision of medical insurance fund
Jiamusi Medical Security Bureau is responsible for the management and supervision of the city's medical insurance fund to ensure the safe and effective use of the fund. The bureau regularly audits and accounts the medical insurance fund to prevent the abuse and waste of the fund and protect the rights and interests of the insured.
To sum up:
Jiamusi Medical Security Bureau plays an important role in the formulation and implementation of medical security policies, insurance management and services, settlement and supervision of medical expenses, and management and supervision of medical insurance funds. The bureau is committed to establishing and improving the medical security system, improving the level of medical security and providing better and efficient services for the majority of insured persons.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23 provides that:
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
People's Republic of China (PRC) social insurance law
Article 30 provides that:
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.