The Medical Insurance Management Center is a public institution.
The main business is as follows:
1. It is responsible for accepting the approval, payment, management and other daily affairs of the coordinated fund for basic medical insurance, industrial injury insurance, maternity insurance and medical expenses of retired cadres.
2. Providing appropriate management services for employers, employees and retired cadres participating in basic medical insurance, work injury insurance and maternity insurance.
Expanded Information:
Article 28 of the Social Insurance Law stipulates that, in conformity with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.
According to the basic requirements for the payment of basic medical insurance benefits in China, the reimbursement of medical expenses incurred by the insured person to the medical insurance organization for medical treatment generally has to comply with the following conditions:
1. The insured person has to go to the designated medical institutions of the basic medical insurance for medical treatment and purchase of medicines, or go to the designated retail pharmacy determined by the social insurance organization with the prescription issued by the doctor in the designated hospital to purchase medicines. The purchase of medicines.
2. Medical expenses incurred by insured persons in the course of seeking medical treatment must be in accordance with the scope and payment standards of the basic medical insurance drug list, diagnostic and therapeutic items, and standards of medical service facilities, in order to be paid by the basic medical insurance fund in accordance with the regulations.
3. The part of the medical expenses of the insured persons which are in line with the scope of payment of the basic medical insurance, and which are above the starting standard and below the maximum payment limit of the social medical insurance fund, shall be paid by the social medical insurance fund in a uniform proportion.
Taiyuan Medical Insurance Management Service Center-Unit Overview