Basic medical insurance diagnosis and treatment projects refers to a variety of medical technology labor projects and the use of medical instruments, equipment and medical materials for diagnosis and treatment projects in line with the following conditions:
1, clinical diagnosis and treatment necessary, safe and effective, the cost of appropriate diagnostic and treatment projects;
2, by the price department has set the fees for diagnosis and treatment
3, by the designated medical institutions for the insured to provide medical services within the scope of the diagnostic and therapeutic items. Second, what is the medical insurance industry
1, medical insurance is to compensate participants for the economic losses caused by the risk of disease and the establishment of an insurance system. Medical insurance has two main functions: risk*** sharing and compensation for losses, i.e., to share the economic losses caused by disease risks concentrated on individuals to all insured members, and to use the concentrated medical insurance funds to compensate for the economic losses due to disease risks.
2, medical insurance can be divided into a broad sense of medical insurance and narrow sense of medical insurance. Narrow medical insurance that its literal meaning, only refers to the occurrence of medical expenses for insurance; broad medical insurance, also known as health insurance, the scope of coverage not only includes medical expenses caused by disease, but also includes health checkups, preventive health care and other projects, the scope of a wider range of treatment is higher, and can be more effective to promote and maintain the physical and mental health of the insured. Third, migrant workers to participate in the basic medical insurance?
The Ministry of Labor and Social Security "on the implementation of the two regulations to expand the scope of social security coverage to strengthen the fund collection notice" (Ministry of Labor and Social Security issued [1999] No. 10) provides that rural contract workers to participate in the unit location of the social insurance, social insurance agencies for the workers to establish the basic medical insurance personal account. Upon termination or dissolution of the labor contract, the social insurance agency may send the amount stored in the basic medical insurance individual account to the employee in a lump sum.
Four, how long the employee medical insurance period
According to the former Ministry of Labor in 1994 issued the "enterprise workers sick or non-work-related injury medical period," the provisions of the medical period refers to the employer's employees due to illness or non-work-related injury and stop working to cure the rest, the employer can not be terminated the time limit of the labor contract. Legal basis: "Regulations on the Administration of Medical Institutions"
Article IX units or individuals to set up medical institutions, in accordance with the provisions of the State Council shall apply for the approval of the establishment of medical institutions, shall be examined and approved by the local people's government at or above the county level of the administrative department of health, and to obtain the approval of the establishment of medical institutions.
Article 10 Application for the establishment of medical institutions shall submit the following documents:
(1) application for the establishment;
(2) feasibility study report on the establishment;
(3) report on the selection of the site and architectural design plan.