If this hospital belongs to a designated medical institution, then even if this medical institution belongs to a private hospital, it can use medical insurance. Designated medical institutions refer to medical institutions that have passed the qualification examination of the administrative department of labor security and are determined by the medical insurance agency to provide medical services for the insured.
The function of medical insurance is:
1. is conducive to improving labor productivity and promoting production development.
2. Adjust income differences and reflect social equity.
Medical insurance is an important means for the government to adjust the income difference and redistribute income by collecting medical insurance premiums and paying medical insurance service fees.
3. An important guarantee for maintaining social stability.
4. An important means to promote social civilization and progress.
5. An important guarantee for promoting economic system reform, especially the reform of state-owned enterprises.
To sum up, not all private hospitals are designated medical institutions. Therefore, before choosing a private hospital, it is best for the insured to know whether the hospital belongs to a designated medical institution, so as to avoid the situation that medical expenses cannot be reimbursed.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.