First, the basic function of the service hall
The main functions of the service hall of Jiangbei District Medical Insurance Bureau include:
1, responsible for the publicity, interpretation and consultation of medical insurance policies, to help citizens understand medical insurance policies and related regulations.
2, for medical insurance registration, change, cancellation and other procedures, to ensure that citizens' medical insurance rights and interests are protected.
3. Accept the medical insurance reimbursement application, review the reimbursement materials and pay the reimbursement in time.
4. Handle the transfer and connection of medical insurance relationship, and assist citizens to maintain the continuity of medical insurance in cross-regional employment and life.
Second, the service process of the service hall
When citizens handle business in the service hall of Jiangbei District Medical Insurance Bureau, they generally need to follow the following procedures:
1. Prepare relevant materials: prepare ID cards, medical insurance cards, medical expense invoices and other relevant supporting materials according to the type of business to be handled.
2. Take the number and queue up: take the number from the number machine in the service hall and wait for the call according to the prompt.
3. Window handling: submit the materials at the designated window, and the staff will review the materials and handle the business.
4. Business Completion: After the transaction is completed, citizens can receive relevant vouchers or receipts to confirm the business processing results.
Third, the service characteristics of the service hall
The service hall of Jiangbei District Medical Insurance Bureau is committed to providing convenient, efficient and high-quality services, which has the following characteristics:
1. One-stop service: The service hall integrates all aspects of the medical insurance business, and citizens do not have to travel between multiple departments to achieve one-stop processing.
2. Information service: The service hall makes full use of information technology to provide online reservation, self-service inquiry and other functions to facilitate the public to keep abreast of business progress and related information.
3. Humanized service: the service hall has a rest area, information desk, etc. Provide a comfortable working environment for the citizens; The staff answered the citizens' questions enthusiastically and patiently to ensure that the citizens returned home satisfied.
To sum up:
As the official service organization of medical insurance business in Jiangbei District, the service hall of Jiangbei District Medical Insurance Bureau provides convenient, efficient and high-quality medical insurance services to the public. Citizens can apply for medical insurance registration, reimbursement, transfer and other services in the service hall and enjoy a one-stop service experience. At the same time, the service hall also makes full use of information technology to improve the efficiency and quality of service and make the citizens more satisfied and reassured.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23 provides that:
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 27 provides that:
Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Article 28 provides that:
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.