1. Inquiring about the designated hospitals for medical insurance: You can log in to official website, the local medical insurance management department, to inquire about the list of local designated hospitals for medical insurance. You can also call the medical insurance service hotline to consult the relevant information of the designated hospitals for medical insurance;
2. Changing the designated medical insurance hospital: If it is necessary to change the designated medical insurance hospital, it must be handled by the local medical insurance management department. The specific procedures may vary from region to region. Generally, you need to provide ID cards, medical insurance cards, medical cards and other related documents, fill in the relevant application forms, and then handle them as required.
Conditions of designated hospitals for medical insurance:
1. Have certain medical service ability and level: Designated hospitals need to have certain medical service ability and level, and can provide corresponding medical services and diagnosis and treatment level, such as basic medical services, health first aid, disease prevention, etc.
2. Abide by medical insurance policies and regulations: designated hospitals need to abide by medical insurance policies and regulations, such as charging according to medical insurance payment standards, providing standardized diagnosis and treatment services, and standardizing medical behavior;
3. Have certain medical insurance management ability and service quality: Designated hospitals need to have certain medical insurance management ability and service quality, and can provide medical insurance services and management for medical insurance participants in a timely and accurate manner, such as medical insurance reimbursement service, medical record management and quality management. ;
4. Advantages of geographical location and medical resources: Designated hospitals need to have certain advantages in geographical location, be able to radiate the demand for medical services in surrounding areas, and have certain advantages in medical resources, such as equipment, technology and talents.
To sum up, medical insurance designated hospitals are determined by local medical insurance management departments according to local medical resources, medical insurance funds and other factors, and generally cannot be changed.
Legal basis:
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
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.