Changed to "Medical Insurance for Urban and Rural Residents in Changchun Area": From June 65438+ 10/day, 2020, the original patients of the new rural cooperative medical system were included in the local medical insurance for urban and rural residents according to the management principle, which was collectively called "Medical Insurance for Urban and Rural Residents". that
The policy of "medical insurance for urban and rural residents" in other provinces is basically the same as that in Jilin Province, but the merger time is different.
Medical insurance refers to social medical insurance. It is a social insurance system that guarantees the basic medical needs of workers when they are sick according to the laws and regulations of the state and society.
20 16 65438+ 10/2 the State Council issued "opinions on promoting the integration of basic medical insurance system for urban and rural residents", demanding the integration of medical insurance for urban residents with the new rural cooperative medical system, and gradually establishing a unified medical insurance system for urban and rural residents. On February 20th, 2065438+0616, Ministry of Human Resources and Social Security held a national teleconference on direct settlement of medical treatment in different places through networking of basic medical insurance, and signed the first batch of letters of responsibility for direct settlement of medical treatment in different places through networking of basic medical insurance in China with 22 provinces including Beijing, which marked that the direct settlement of medical treatment in different provinces officially entered the implementation stage. According to the statistical bulletin of 20021June, in 2020, the number of people participating in the national basic medical insurance will be 136 13 1 10,000, and the participation rate will reach over 95%.
Medical insurance and the new joint venture are located in Xinzheng Campus and Jincheng Campus respectively. The department has been rated as an advanced collective by the National Medical Insurance Bureau for many times, and its main responsibilities are:
1. Be responsible for the implementation, coordination and guarantee of hospital medical insurance under the leadership of hospital medical insurance leading group and dean.
2. According to the national and local medical insurance policies, combined with the specific situation of our hospital, do a good job in the publicity of medical insurance policies in time.
3. According to the medical insurance policy, formulate and improve the rules and regulations of medical insurance work in our hospital, so as to institutionalize and standardize the medical insurance work.
4. In accordance with the provisions of medical insurance, objectively, fairly, reasonably and legally do a good job in the examination and approval of referral, special examination, treatment and prescribed diseases of medical insurance patients.
5. Enthusiastically accept the consultation on medical insurance policies and operating procedures inside and outside the hospital.
6. Supervise the medical staff in our hospital to strictly implement the relevant provisions of the medical insurance policy, find problems in time and put forward rectification opinions.
7 to investigate, verify and explain the preliminary opinions of medical insurance feedback from medical insurance agencies, and deal with each medical insurance expense as realistically and reasonably as possible.
8. Do a good job of communication and coordination, so that the information is top-down. Try to coordinate the relationship between medical insurance agencies, hospital departments and insured personnel to ensure the normal operation of medical insurance.