I. Responsibilities of Yuhua District Medical Security Affairs Center in Changsha City
Changsha Yuhua District Medical Security Affairs Center is a subordinate institution of Yuhua District Government, whose main responsibility is to manage and serve the medical security affairs in the whole region. Including medical insurance, maternity insurance, industrial injury insurance and other social security affairs registration, audit, settlement and payment. At the same time, the center is also responsible for the publicity, consultation and interpretation of medical security policies, providing convenient and efficient services for insured persons and medical institutions.
Second, Changsha Yuhua District Medical Security Affairs Center's clients
The service objects of Yuhua District Medical Security Affairs Center in Changsha mainly include insured persons, medical institutions and employers. Insured people can learn about medical insurance policies, inquire about personal medical insurance account information and apply for medical insurance reimbursement through the center. Medical institutions can settle medical insurance and declare medical insurance expenses through the center. Employers need to pay medical insurance premiums for employees in accordance with relevant regulations, and make relevant declarations and audits through the center.
Three, Changsha Yuhua District Medical Security Affairs Center workflow
The workflow of Yuhua District Medical Security Affairs Center in Changsha generally includes business acceptance, audit, settlement and payment. Insured persons and medical institutions need to submit relevant certification materials and application forms in accordance with the prescribed procedures and requirements when handling related business. After receiving the application, the center will conduct careful audit and accounting to ensure the accuracy and compliance of various businesses. After approval, the center will make timely settlement and payment to protect the legitimate rights and interests of the insured and medical institutions.
To sum up:
Changsha Yuhua District Medical Security Affairs Center is responsible for the medical security work in Yuhua District, serving the insured, medical institutions and employers. The main responsibility of the center is to manage and serve social security affairs such as medical insurance, maternity and work injury, and provide convenient and efficient services for insured persons and medical institutions. When handling related business, it is necessary to operate according to the prescribed procedures and requirements to ensure the accuracy and compliance of the business.
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.
Measures of Changsha Municipality on Social Medical Insurance
Article 4 provides that:
The following employers, employees, urban and rural residents and flexible employees (hereinafter referred to as the insured) within the administrative area of this Municipality shall participate in social medical insurance according to law:
(a) enterprises (including enterprises of various ownership and organizational forms), state organs, institutions, social organizations, private non-enterprise units, individual industrial and commercial households with employees and their employees;
(two) individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees of the employer and other flexible employees;
(3) Urban and rural residents with household registration in this city;
(4) Students studying in this city;
(five) other personnel as prescribed by the state, province and city.