the medical insurance center is responsible for the collection of medical insurance funds, the examination and payment of medical expenses, the management of designated medical institutions and the implementation of medical insurance policies, as well as the issuance and duplication of medical insurance cards.
1。 To undertake the management of medical insurance services such as basic medical insurance, supplementary medical insurance, medical insurance for flexible employees, Medicaid for major diseases and Medicaid for civil servants within the administrative area of this Municipality;
2。 Responsible for the city's maternity insurance (including family planning) medical expenses, work-related injury insurance medical (rehabilitation) expenses and medical subsidies for unemployed people during the period of receiving unemployment insurance benefits;
3。 Responsible for the personal account management of social medical insurance, handling medical insurance cards and confirming medical treatment in different places;
4。 Responsible for the management of social medical insurance fund, the preparation of budget and final accounts, and the review and disbursement of medical insurance expenses;
5。 Responsible for signing service agreements with medical and pharmaceutical institutions designated by social insurance (agreements), and guiding, evaluating and supervising them;
6。 Responsible for providing data for social medical insurance operation analysis, decision-making and information system construction, and managing and maintaining the data standard library of medical service information system;
7。 Responsible for the management of municipal public medical care;
8。 Responsible for the business guidance of the medical insurance agencies in the independent planning areas (industries) of this Municipality.
the medical insurance management center is a social welfare institution organized for the government to handle medical and maternity insurance business, and it is under the management of the medical insurance bureau. Responsible for accepting the approval, payment, management and other daily affairs of basic medical insurance, industrial injury insurance, maternity insurance and medical expenses pooling fund for retired cadres. Provide corresponding management services for employers, employees and retired cadres who participate in basic medical insurance, industrial injury insurance and maternity insurance.
I hope the above contents can help you. If you have any questions, please consult a professional lawyer.
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, work 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, work injury, unemployment and maternity.
article 26 the treatment standards of 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.
article 28 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.