A, medical insurance in the designated hospital is what it means
For medical insurance designated hospital is what it means to this problem, the answer is as follows, medical insurance designated hospital refers to the safety of patients by the insurance, reasonable treatment, so the provisions of a very small number of medicines and anesthetics, only allowed to medical equipment and medical technology is higher than the regional and regional hospitals to use. Some hospitals do not have to choose and designated hospitals can be the same which medical insurance card to see a doctor, this is what is going on we all know that, in principle, we can choose 4 designated hospitals as a medical insurance card to see a doctor's hospital, but there are 3 types of hospitals do not have to choose to be used for medical insurance reimbursement of medical institutions, respectively: Class A + Chinese medicine + specialized hospitals Class A designated hospitals, for the city of the participants in the same designated personnel **** No need to choose medical institutions, participants can go to the above medical institutions directly. The designated specialized hospitals and the designated Chinese medicine hospitals in the city are the same designated medical institutions for the participants in the city, and there is no need to choose them, and the participants can go to the above medical institutions directly for medical treatment. The designated specialized hospitals can only treat specialized diseases; the designated Chinese medicine hospitals are not subject to any restrictions on the types of medicine and Chinese and Western medicines, and the reimbursement methods are the same as those stipulated by other designated medical institutions.
The difference between designated and non-designated social security institutions
1, the reimbursement amount is different.
The amount of reimbursement in the designated hospital will be relatively more. To the designated hospital, can enjoy a certain percentage of reimbursement: in the "small point", the reimbursement rate of medicine can be up to 80%; and in the "big point" hospitals, if it is the first after the "small point" In the case of the "big point" hospitals, if you go through the "small point" first and then referral, you will be reimbursed 55%, and if you go directly to the "big point" without referral, you will be reimbursed 45%.
2. The billing methods are different.
The hospitalization in the designated hospitals can be directly offset at the time of settlement of expenses, as long as the amount of reimbursement after the offset can be. If you are not a designated hospital, you have to apply for hospitalization first, otherwise you may not be reimbursed. You will have to pay for the hospitalization yourself and then go to social security for reimbursement. Generally speaking, the designated hospitals are set up and cannot be changed on application.
3. Medical institutions are different.
Specialized medical institutions are medical institutions that provide medical services to insured persons by signing service agreements through equal communication, consultation and negotiation, and reaching agreement with medical insurance agencies. It includes public medical institutions and private medical institutions with certain qualifications.
Participants can be reimbursed for medical expenses incurred in designated medical institutions in accordance with the relevant provisions of the health insurance policy, while medical expenses incurred in non-medicare designated medical institutions (except for emergencies) will not be reimbursed under the policy of the health insurance.
The Social Insurance Law of the People's Republic of China
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