Beijing's designated medical institutions for medical insurance refer to those medical institutions that have been examined and approved by the Beijing Municipal Bureau of Medical Insurance (BMIB), and have signed service agreements with the Beijing Municipal Medical Insurance (BMMI) to provide medical services for the insured and make direct payments to the medical insurance fund. According to the regulations of the Beijing Municipal Health Insurance Bureau, participants can generally choose their own hospitals, but they should choose the designated medical institutions, otherwise they may not be able to enjoy the reimbursement of health insurance. When choosing a designated hospital, it is generally possible to choose more than one designated hospital, but the exact number of hospitals available may vary from region to region, so you can consult your local social security bureau or medical insurance center for details.
The specific requirements of the designated hospitals for medical insurance are as follows:
1, obtaining a license to practice as a medical institution in accordance with the law, and complying with the relevant national and local regulations;
2, possessing the necessary medical facilities and medical equipment, and being able to provide medical services in accordance with the requirements of medical insurance;
3, having qualified medical technicians and management personnel, and being able to guarantee the quality of medical services;
4, having the ability to provide medical services in accordance with the requirements of medical insurance; and Quality of medical services;
4. Standardized medical charges, which shall not exceed the maximum price set by the local medical service price management department;
5. Ability to compile, summarize, audit and settle medical services in accordance with the requirements of the medical insurance department, to ensure the reasonable use of medical services and reasonable payment of medical expenses.
In summary, the specific regulations for designated hospitals for medical insurance may vary in different regions, and should be implemented in accordance with local policies. At the same time, participants should choose the designated hospital for medical services, otherwise the medical insurance fund may not be reimbursed.
Legal basis:
Article 23 of the Social Insurance Law of the People's Republic of China
Employees shall participate in the basic medical insurance for employees, and shall pay the basic medical insurance premiums by the employer and the employees in accordance with the state regulations***. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees in the employing organization, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.