Individual clinic to apply for medical insurance designated conditions

Individual clinics need to meet the following conditions to apply for medical insurance designation:

1, with a legal medical license: individual clinics need to have a legal medical license, and the doctor has a legal medical qualification certificate.

2, with the prescribed medical equipment and facilities: individual clinics need to have the prescribed medical equipment and facilities.

3, with the required medical personnel: individual clinics need to have the required medical personnel, such as clinicians, pharmacists and other medical professionals.

4, with the required medical service capacity: individual clinics need to have the required medical service capacity, such as health care, basic medical care, diagnosis and treatment of common diseases and other medical services.

5, with the required management system and quality management system: individual clinics need to have the required management system and quality management system, such as medical quality control, medical safety management system and system.

6, with the prescribed medical insurance designated conditions: individual clinics need to have the prescribed medical insurance designated conditions, such as geographic location, medical services, medical service level and other conditions, the specific conditions may vary depending on the region and policy.

The process of applying for health insurance is as follows:

1. Preparation of materials: Before applying for health insurance, you need to prepare the relevant application materials, such as ID cards, household registration books, proof of employment, social security cards and so on.

2, fill out the application form: after preparing the application materials, you need to fill out the application form for health insurance, the application form can be obtained from the local social security bureau or health insurance center or download.

3, submit the application materials: after filling out the application form, you need to submit the relevant application materials and application form together to the local social security bureau or medical insurance center.

4, review the application materials: the social security bureau or health insurance center will be submitted to the application materials for review, review and approval, will be for the applicant for health insurance card or electronic health insurance card, and will be related to information entered into the health insurance system.

5, get the card: after the audit, the applicant can go to the local social security bureau or health insurance center to get the card or electronic health insurance card, which can be used for direct settlement or reimbursement of medical expenses in the medical institutions.

In summary, when applying for health insurance, you need to provide true and accurate personal and work information, and you should also comply with the health insurance system to avoid irregularities such as false claims.

Legal basis:

Article 29 of the Insurance Law of the People's Republic of China

Reinsurance recipients may not demand payment of insurance premiums from the original insurance policyholder.

The insured or beneficiary of the original insurance shall not make a request for compensation or payment of insurance premiums to the reinsurance acceptor.

The reinsurance cedent may not refuse to fulfill or delay in fulfilling its original insurance liability on the ground that the reinsurance acceptor has not fulfilled its reinsurance liability.