The Medical Insurance Bureau is a national administrative agency and is affiliated with the local Human Resources and Social Security Bureau.
The main responsibilities of the Medical Insurance Bureau: 1. Responsible for accepting the approval, payment, management and other daily affairs of basic medical insurance, work-related injury insurance, maternity insurance and retired cadre medical expense pooling funds; 2. To participate in basic medical insurance, work-related injury insurance and maternity insurance
Provide corresponding management services to employers, employees, and retired cadres.
The medical insurance reimbursement process is as follows: 1. Local hospitalized employees who are sick and hospitalized should be hospitalized in the medical insurance designated hospital in the location where the unit pays. When hospitalized, the medical guarantee and medical insurance booklet must be directly handed over to the medical insurance department of the hospital where the hospital is located. Basic medical expenses will be automatically reimbursed during settlement.
; 2. Hospitalization in other places. Employees who are sick due to business trips or long-term work in other places must be emergency. They can be hospitalized in local hospitals, but they must report to the Supervision Department of the Municipal Medical Insurance Bureau within three days; 3. Transfer to other places
Hospitalization in the place where the unit pays the fee does not produce any results or the hospital doctor recommends transfer to another place. It must be a designated hospital, the central hospital or the Municipal People's Hospital. A referral letter and relevant inspection materials must be sent to the Supervision Department of the Medical Insurance Bureau for review, and the transfer can only be made after approval.
To sum up, the medical insurance bureau is a national administrative agency and is subordinate to the local human resources and social security bureau.
Legal basis: "Basic Medical Care and Health Promotion Law of the People's Republic of China" Article 82 Basic medical service expenses are mainly paid by the basic medical insurance fund and individuals.
The state raises basic medical insurance funds through multiple channels in accordance with the law, and gradually improves the sustainable financing and protection level adjustment mechanism of basic medical insurance.
Citizens have the right and obligation to participate in basic medical insurance in accordance with the law.
Employers and employees pay basic medical insurance premiums for employees in accordance with national regulations.
Urban and rural residents shall pay basic medical insurance premiums for urban and rural residents in accordance with regulations.