Class A designated medical institutions refer to medical institutions with a certain scale, medical facilities and personnel, which can provide various basic medical services for medical insurance participants and enjoy the highest preferential policies for medical insurance payment standards.
Class A designated medical institutions are an important concept in China's social medical insurance system, and they are also important stakeholders of medical institutions, medical insurance participants and their families. According to the regulations of the National Medical Insurance Bureau, the designated medical institutions of Class A shall meet the following conditions: 1. Medical institutions with legal license to operate, such as the practice license of medical institutions issued by the Health Bureau; 2. Have a high medical level and professional skills, such as scale, beds, medical facilities, medical staff and other indicators; 3. Be able to provide a variety of basic medical services for medical insurance participants, such as prevention, diagnosis, treatment and rehabilitation; 4. Signed an agreement with the local medical insurance department to provide traceability, audit, supervision and management of related expenses and management information. As an important supporting institution of the medical insurance system, Class A designated medical institutions enjoy the preferential policies with the highest medical insurance payment standard, and at the same time need to undertake more medical services and responsibilities. Medical insurance participants can enjoy more comprehensive, high-quality and low-cost basic medical security services when they see a doctor.
what's the difference between class a designated medical institutions and class b and c medical institutions? A-class designated medical institutions, B-class designated medical institutions and C-class designated medical institutions are three levels in the medical insurance system, which correspond to different medical services and medical insurance payment standards. Among them, Class A designated medical institutions have the characteristics of larger scale, higher medical level, wider service scope and higher payment standards. Class B designated medical institutions are relatively small, with professional clients and low payment standards; Class C designated medical institutions are mainly rural grassroots medical institutions, serving farmers and urban and rural residents, with the lowest payment standard. Different levels of medical institutions have different qualifications and management requirements.
Class A designated medical institutions are one of the important concepts in China's social medical insurance system. As a supporting institution for basic medical services and a welfare guarantee institution for medical insurance participants, they are of great significance. Medical insurance participants should understand the characteristics, advantages and disadvantages of different levels of medical institutions, and rationally choose medical services and medical treatment channels to provide better protection for their own health and family financial plans.
Legal basis:
Social Insurance Law of the People's Republic of China Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to receive material assistance from the state and society in case of old age, illness, industrial injury, unemployment and maternity. Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.