Suzhou Medical Insurance Center consultation hotline 12333

The phone number of Suzhou Medical Insurance Bureau is: 16822666.

The main functions of the Medical Insurance Bureau are to formulate policies, plans, standards and organize the implementation of medical insurance, maternity insurance, medical assistance and other medical security systems, supervise and manage relevant medical security funds, and improve the national out-of-town medical management and expenses The settlement platform organizes the formulation and adjustment of prices and charging standards for drugs and medical services.

Internal Organizations

1. Office

Responsible for the daily operations of the agency, including security, confidentiality, letters and visits, government affairs disclosure, and international cooperation and exchanges.

2. Department of Planning, Finance and Regulations

Organize the formulation of medical security work plans. Responsible for budget and final accounts, agency finance, asset management, and internal auditing of agencies and directly affiliated units, and promote the construction of medical security informatization. Organize the drafting of draft laws and regulations, rules and standards, undertake the legality review of normative documents, and undertake administrative reconsideration, administrative response, etc.

3. Benefits and Security Department

Formulate medical security financing and benefit policies, and coordinate urban and rural medical security benefit standards. Coordinate and promote the construction of a multi-level medical security system. Establish and improve the transfer and continuation system of medical security relationships. Organize the formulation and implementation of long-term care insurance system reform plans.

4. Medical Service Management Department

Draft the medical insurance catalog and payment standards, establish a dynamic adjustment mechanism, formulate medical insurance catalog access negotiation rules and organize their implementation. Formulate medical insurance agreements and payment management for designated medical institutions, management measures for off-site medical treatment, and settlement policies. Organize and promote the reform of medical insurance payment methods. Organize and carry out economic evaluations of drugs, medical consumables, and medical technologies.

5. Department of Pharmaceutical Prices, Bidding and Procurement

Formulate policies on prices of drugs, medical consumables, medical service items, and charges for medical service facilities and organize their implementation, and establish price information monitoring and information release system. Formulate and supervise the implementation of bidding and procurement, distribution and settlement management policies for drugs and medical consumables, and promote the construction of a bidding and procurement platform.