Audit and payment of medical expenses; Management of designated medical institutions; The implementation of the medical insurance policy; Maternity insurance medical expenses, municipal retirees medical expenses audit; Audit of medical subsidies for the unemployed; Audit of medical expenses of industrial injury insurance.
The medical insurance department is an internal organization of the social security department, which belongs to the government administrative department and performs the administrative functions of medical insurance. The medical insurance center is a subordinate institution of the social security department, which belongs to a department and is responsible for the specific handling of medical insurance affairs. The medical insurance department refers to the medical insurance department of the labor bureau, which is responsible for the implementation of medical insurance policies in this area. The medical insurance center is an office, which deals with various social insurance matters, collects fees and issues money. The medical insurance center is led by the medical insurance department.
The medical insurance center should be under the control of the people's social security bureau, and the medical insurance of individuals and units should be under their control, which has great power.
Medical insurance:
Refers to the basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation. The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get the necessary material help from society, reduce the burden of medical expenses and prevent social members from getting sick.
To sum up, responsible for raising medical insurance funds.
Legal basis:
Article 27 of People's Republic of China (PRC) Social Insurance Law
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
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.
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