Private hospitals can use medical insurance. Whether medical insurance can be used depends mainly on whether the hospital belongs to a designated medical institution. If the hospital belongs to a designated medical institution, it can be used even if the medical institution belongs to a private hospital. 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. Including public medical institutions and private medical institutions with certain qualifications.

According to the basic requirements of the payment of basic medical insurance benefits in China, the insured person who goes to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment generally meets the following conditions:

1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital.

2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standard of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, so as to be paid by the basic medical insurance fund.

3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.

Legal basis:

Interim Measures for the Fixed-point Management of Medical Security in Medical Institutions

Thirteenth designated medical institutions have the right to obtain medical insurance settlement fees after providing medical services for insured persons according to law, supervise the performance of agencies, and put forward opinions and suggestions on improving medical insurance policies.

Article 14 Designated medical institutions shall strictly implement the medical insurance agreement, make reasonable diagnosis and treatment, charge reasonable fees, strictly implement the list of medical insurance drugs, medical consumables and medical services, give priority to the use of drugs outside the medical insurance list, control the proportion of patients paying their own expenses, and improve the efficiency of the use of medical security funds. Designated medical institutions shall not provide medical insurance settlement for non-designated medical institutions.

Twenty-third designated medical institutions should optimize the settlement process of medical insurance, provide convenient medical services for the insured, directly settle medical insurance expenses according to regulations, and provide expense settlement documents and related materials. Provide referral services for eligible insured persons. According to the relevant regulations, the insured can purchase medicines from designated medical institutions or retail pharmacies with prescriptions.