2. Different payment methods: When paying medical expenses in designated hospitals, you can directly write off the expenses and make up the expenses after writing them off. If you don't specify a hospital, you must apply to the insurance company first, otherwise you may not be reimbursed. Not only that, but the medical expenses for hospitalization must be paid by themselves before applying for social security reimbursement. Under normal circumstances, designated hospitals have been fixed and cannot be changed.
3. Different medical institutions: Designated medical institutions have negotiated and signed agreements with insurance institutions, including public medical institutions and private institutions with better medical facilities and technology. When the insured is treated in a designated medical institution, it can be reimbursed, but it cannot be treated in a designated medical institution.
What is the fixed point of medical insurance?
Designated hospitals for medical insurance refer to the list of hospitals with social security medical qualifications in the region designated by the social security department. When the insured is sick, he can choose a hospital for medical treatment. If the hospital is a designated medical insurance hospital, they can reimburse certain medical expenses with the medical insurance card, otherwise they will not be reimbursed. You can't just choose one designated hospital for medical insurance, you can choose multiple hospitals. In terms of choice, it can be divided into "small point" and "big point" (the "small point" can choose a community hospital near home or company, and the "big point" can choose a third-class hospital according to demand), and the regulations vary from place to place. The selected hospital follows a purpose: all sizes are selected, and convenience is preferred. Just like Guangzhou, the insured can choose 1 primary medical institutions (referred to as "small points") as the choice institutions for general outpatient treatment in the designated medical institutions in this city; After the "small point" is selected, 1 "Class A" medical institution (referred to as "big point") can be selected as the selected institution for general outpatient service.
legal ground
People's Republic of China (PRC) social insurance law
Twenty-ninth insured medical expenses should be paid by the basic medical insurance fund, by the social insurance agencies, medical institutions and pharmaceutical business units directly settled.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.