(a) the initiative to disclose information
The information of Xuanhua District Medical Security Bureau will be voluntarily disclosed to the public within 20 working days from the date of formation or change (if laws and regulations have other provisions on the time limit for information disclosure of the District Medical Security Bureau, such provisions shall prevail), mainly through the websites of the district government, government information, newspapers, television and other ways that are convenient for the public to know. And according to the need to take the form of setting up an information bulletin board to disclose the information of the district medical security bureau.
1. Public scope
See the Information Disclosure Catalogue of Xuanhua District Medical Security Bureau for the scope of information disclosed to the society.
2. Open style
For information that is voluntarily disclosed, there are mainly two forms of disclosure: online disclosure and disclosure in various public places.
3. Time limit for publicity
After the information of Xuanhua District Medical Insurance Bureau is formed or changed, the Medical Insurance Bureau will make it public within 20 working days after the information is generated. If there are other provisions in laws and regulations on the time limit for information disclosure of the District Medical Insurance Bureau, such provisions shall prevail.
Medical insurance, like other types of insurance, collects medical insurance premiums from people threatened by diseases in advance and establishes medical insurance funds. When the insured goes to a medical institution for treatment, the medical insurance institution will give certain economic compensation.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Drugs included in the scope of reimbursement for drugs paid by basic medical insurance are divided into Class A and Class B. Class A drugs refer to drugs that are basically unified throughout the country and can ensure the basic needs of clinical treatment. The expenses of such drugs are included in the payment scope of the basic medical insurance fund, and the expenses are paid according to the basic medical insurance payment standard.
The list of Class B drugs shall be adjusted by all provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions. Before such drugs are included in the payment scope of the basic medical insurance fund, the employees shall pay according to a certain proportion and pay according to the basic medical insurance payment standard.
The reimbursement scope of medical service facilities in the basic medical insurance includes the living service facilities provided by designated medical institutions and necessary for the insured to receive diagnosis, treatment and nursing, mainly including the hospitalization bed fee or outpatient (emergency) observation bed fee.