Highlights of medical insurance window service

In the window service, we combined with the actual situation, constantly optimized the workflow, improved the efficiency, put the medical insurance brochure and the materials needed for business processing in a conspicuous position in the window, and publicized and publicized the public service items, service processes and business requirements, which shortened the business processing time of the insured personnel and better served the vast number of insured people. One window to accept, set up a fast lane to serve the masses, learn from each other's strengths and achieve a "zero breakthrough" in serving the masses.

First, the National Medical Insurance Bureau interprets the list of medical insurance for government services:

1, basic medical insurance participation and change registration;

2, basic medical insurance information query and personal account one-time withdrawal, basic medical insurance relationship transfer;

3, the basic medical insurance insured for medical treatment in different places for the record, the basic medical insurance insured enjoy outpatient treatment of chronic diseases and special diseases.

4. Manual (sporadic) reimbursement of medical expenses of the insured person of basic medical insurance, approved payment of maternity insurance benefits, approved payment of medical assistance object benefits, application for fixed-point agreement management of medical institutions, and settlement of expenses of designated medical institutions.

2. What are the main features of the national inventory?

1, the service content is open;

2. Legalization of setting basis;

3. Standardization of business handling;

4. Simplify procedures;

5. Simplify materials;

6. Shorten the processing time.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth 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.