What does a designated medical insurance card mean, and what does a designated medical insurance mea

The meaning is as follows: the designated hospital of medical insurance refers to the list of hospitals with social security medical qualifications published by the social security department within its jurisdiction, and the insured person selects the hospital for medical treatment according to the published list, and then the social security department reviews and passes the medical insurance card, and the medical insurance card is issued to the designated hospital with the medical insurance card, and the medical expenses can be reimbursed in accordance with the relevant regulations, otherwise the medical expenses cannot be reimbursed.

Medical insurance designated hospitals can be divided into Class A hospitals and Class B hospitals, of which Class A hospitals are divided into first-class, second-class, third-class, the higher the level of the hospital, such as we often say that the third-class hospital, refers to a general hospital with a higher level of medical care.

The meaning of the designated medical insurance is that your company (factory) will designate your medical insurance in a certain hospital, and you can only go to the designated hospital to be reimbursed in the future, not other hospitals, and there is a comprehensive medical insurance that you personally buy, which can be reimbursed in any hospital you go to.

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

The designated hospital of medical insurance refers to the hospital designated by the social security department with social security medical qualification in the area under its jurisdiction, and the hospital can also apply to become a designated hospital for medical insurance by itself, and only needs to go through the medical insurance inspection and meet the requirements of medical insurance to become a designated hospital for medical insurance, so as to provide medical services for the insured personnel in the region. As long as the insured person goes to the designated hospital for medical treatment with the medical insurance card, he can be reimbursed for medical expenses in accordance with relevant regulations.

Designated medical insurance refers to:

The list of hospitals with social security medical qualifications in the jurisdiction published by the social security department, the insured person can choose the personal medical insurance designated medical institution according to his or her own situation, and go to the designated hospital for treatment with the medical insurance card, and can reimburse the medical expenses in accordance with the regulations.

Medical insurance designated hospitals can be divided into Class A hospitals and Class B hospitals, of which Class A hospitals are divided into first-class, second-class, third-class, the higher the level of the hospital, the higher the level of the hospital, often said that the third-class hospital, refers to the general hospital with a higher level of medical care.

The management system of medical insurance designated hospitals is as follows:

1. The medical insurance agency shall implement agreement management for the designated medical institutions. The content of the agreement includes the scope of services, service content, service quality, cost settlement, audit and control methods, as well as the rights, obligations and responsibilities of both parties, and the agreement is valid for one year. If either party violates the agreement, the other party has the right to terminate the agreement, but the other party and the relevant insured persons must be notified 3 months in advance, and reported to the Municipal Labor and Social Security Bureau for the record.

2. Designated medical institutions should hang the "Designated Medical Institutions" sign in a conspicuous position in their own units, and keep it properly, and shall not be transferred or damaged. After the medical insurance agency dissolves or terminates the agreement with the designated medical institution, it shall take back the designated signage in a timely manner.

3. When the insured person is treated in a designated medical institution, the designated medical institution shall record the examination, medication, etc. in detail in the medical record book issued by the medical insurance agency.

Social Insurance Law of the People's Republic of China

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits. Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

Medical insurance designation refers to the list of hospitals with social security medical qualifications in the area under the jurisdiction of the social security department.

According to the published list, the insured person selects the hospital, pharmacy and medical institution where he or she is treated, and then the social security department will issue a medical insurance card to the person participating in the medical insurance after passing the examination, and go to the designated hospital for medical treatment or purchase drugs with the medical insurance card. Medical expenses can be reimbursed in accordance with relevant regulations, otherwise medical expenses, medicine expenses, etc. cannot be reimbursed.

That is to say, the basic medical insurance designated medical institutions refer to the overall regional labor and social security administrative departments to review the qualifications of designated medical institutions, and by the social insurance agency to determine and sign the relevant agreement with the medical institutions, for the overall planning of the basic medical insurance for urban employees to provide medical services and bear the corresponding responsibilities of the medical institutions.

If you want to reimburse some medical expenses, then you need to go to these hospitals designated by medical insurance, otherwise there is no way to reimburse those expenses. In addition, when reimbursing, you also need to hold a medical certificate or a certificate for purchasing medicines. If you buy it in a designated hospital, you can directly swipe the medical insurance card, which is also more convenient.

Designated medical institutions (designated hospitals) refer to the medical institutions that have been reviewed by the labor and social security administrative departments of the overall planning area, signed an agreement with the medical insurance agency, and determined by the social insurance agency, to provide medical services for the insured persons of the basic medical insurance for urban employees, and bear the corresponding responsibilities.

From the date of approval by the Human Resources and Social Security Bureau, the designated medical institutions will hang the signs issued by the Human Resources and Social Security Bureau.

The difference between medical insurance fixed-point and non-fixed-point.

1. The reimbursement amount is different.

In small hospitals, the proportion of drug reimbursement can reach 80%, while in large hospitals, the proportion of reimbursement is about 45% to 55%. Under normal circumstances, hospitals with non-designated medical insurance cannot reimburse medical expenses, nor can they reimburse drug expenses, because the medical insurance card can only be reimbursed proportionally in designated hospitals, while non-designated hospitals can only pay for themselves**.

2. Different payment methods.

When paying medical expenses in designated hospitals, you can directly reverse the expenses and pay the costs after the reversal. In the case of non-designated hospitals, you must apply to the insurance company first, otherwise it is likely that you will not be reimbursed, not only that, but the medical expenses of hospitalization must be paid in advance before you can apply for social security reimbursement. Under normal circumstances, the designated hospital is already fixed and cannot be changed.

3. Medical institutions are different.

Designated medical institutions have been negotiated with insurance institutions, and agreements have been signed, including public medical institutions and private institutions with better medical facilities and technology. When the insured person has ** in a designated medical institution, it can be reimbursed, but not in a non-designated medical institution.

The designated point of medical insurance is to designate a hospital for medical treatment.

Medical insurance designated is one of the common policies in the society, medical insurance designated hospital refers to the social security department announced the list of hospitals with social security medical qualifications within the jurisdiction of the region, the insured according to the published list, select their own hospitals, and then the social security department audits and passes, issued to participate in the medical insurance personnel medical insurance card, with the medical insurance card to the designated hospital to repent of medical treatment, can be reimbursed in accordance with the relevant provisions of the medical expenses, otherwise can not be reimbursed medical expenses.

Medical insurance designated hospitals can be divided into Class A hospitals and Class B hospitals, of which Class A hospitals are divided into first-class, second-class, third-class, etc., the higher the level of the hospital, the higher the level of the hospital, as we often say The third class hospital, refers to the comprehensive source of the hospital with a higher level of medical care. After the medical insurance is fixed, the reimbursement ratio enjoyed by the insured in the designated hospital will be higher, but there are also certain restrictions.

The difference between medical insurance fixed-point and non-fixed-point

1. Medical institutions have signed agreements with social insurance departments with different medical insurance designated hospitals, and the list usually includes some public medical institutions and medical facilities, private medical institutions with relatively good medical technology and level, which are relatively guaranteed in terms of qualifications and medical services.

2. The reimbursement amount is differentNormally, the reimbursement amount of designated hospitals is relatively high, while the reimbursement amount of non-designated hospitals is relatively low. Most non-designated hospitals are not able to reimburse medical expenses, and basically need to pay all the insured's own expenses, that is, the reimbursement amount is zero, which is the most significant difference between medical insurance designated and non-fixed.

3. If you seek medical treatment in a designated hospital under medical insurance in different ways of checkout, you can directly reimburse the expenses at the time of checkout, and you can pay the amount after reimbursement.

Legal analysis: Designated medical institutions (designated hospitals) refer to medical institutions that have been reviewed by the labor and social security administrative departments of the overall planning area, signed an agreement with the medical insurance agency, and determined by the social insurance agency, to provide medical services for the basic medical insurance participants of urban employees, and bear the corresponding responsibilities.

Legal basis: Social Insurance Law of the People's Republic of China

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Medical institution refers to a qualification obtained by a qualified medical institution after submitting the required materials to the NCMS management department and being reviewed. It is not divided into public, private or joint ventures, as long as the hospital you see has the nameplate of the NCMS designated medical service institution, there is no problem.

Basic medical insurance designated institutions refer to the overall regional labor and social security administrative departments to review and approve the qualification of designated medical institutions, and by the social insurance agency identified and signed with the relevant agreements, for the overall planning of urban staff basic medical insurance participants to provide medical services and bear the corresponding responsibilities of medical institutions.

Both social security and commercial insurance will have designated hospitals.

Generally speaking, designated hospitals have the following basic characteristics and requirements.

1. It must be a public hospital.

2. The hospital must have a certain scale and medical equipment conditions.

Hospitals designated by the state, where you can enjoy the preferential policies of the state.

1. The designated medical insurance refers to the designated hospital of medical insurance, designated by the social security department, the list of hospitals with social security medical qualifications in the region, the policyholder can choose the hospital where he or she seeks medical treatment when he is sick, if the hospital is the hospital designated by medical insurance, he can reimburse a certain amount of medical expenses by virtue of the medical insurance card to the hospital, otherwise he can not be reimbursed.

2. Under normal circumstances, there are 4 designated hospitals for medical insurance that everyone can choose, one of which must be a community hospital, and these hospitals are divided into Class A and Class B, and Class A hospitals are divided into one, two, and three, the higher the level, the higher the level.

Designated hospitals for medical insurance refer to the list of hospitals with social security medical qualifications in the area under the jurisdiction of the social security department.

According to the list published by the judgment of the potato, the insured chooses the hospital where he or she seeks medical treatment, and then the social security department will issue a medical insurance card to the person participating in the medical insurance, and go to the designated hospital with the medical insurance card to seek medical treatment, and the medical expenses can be reimbursed in accordance with the relevant regulations, otherwise the medical expenses cannot be reimbursed. Hospitals are divided into Class A hospitals and Class B hospitals, and Class A hospitals are further divided into first, second, and third classes. Under normal circumstances, each person can choose 4 designated hospitals for medical insurance, including 1 mandatory community hospital.

That is to say, the basic medical insurance designated medical institutions refer to the designated medical institutions that have been reviewed by the labor and social security administrative departments in the overall planning area. And determined by the social insurance agency and signed with the relevant agreement, for the overall planning of the basic medical insurance for urban employees of the insured personnel to provide medical services and bear the corresponding responsibilities of the medical institutions.

Introduction to medical machinery.

According to the classification of risk level, the risk level is divided into three categories, according to which the first, second, and third categories are marked. The first type is the medical equipment that is commonly used by doctors and has high routine and safety. The second category refers to machinery that has a certain risk and must be supervised by a special person to manage the excavator.

The third category refers to the equipment used to maintain the patient's life, most of which need to enter the human body, the hidden risk is higher, and the machine needs to be watched at all times compared to the second category.

Functional classification, this classification is relatively simple, medical machinery mainly plays a diagnosis, the first two major roles, so it is also divided into diagnostic machinery and machinery. Our common thermometer is a diagnostic machine, and under a more detailed classification, it should be divided into a physical diagnostic machine. Imaging machinery includes B-ultrasound, magnetic resonance, etc., and electrocardiogram is an electrophysiological machine.