Medical Insurance CenterMedical Insurance Center official website

1. Consultation hotline of the Medical Insurance Center 2. What is the difference between the Medical Insurance Department and the Medical Insurance Center, and what are their respective functions? 3. The address of the service hall of the Provincial Medical Insurance Center and the consultation telephone number of the Medical Insurance Center

The consultation telephone number of the Medical Insurance Center is 12333.

As the national public welfare service telephone medical insurance center of the human resources and social security system, 12333 mainly provides the public with policy consultation, information inquiry, etc. in the fields of employment, social insurance, personnel, talents, wage income distribution, and labor relations. Public services such as service guides and complaints and reports.

At present, "12333 Intelligent Information" has covered 10 categories of policy information in the medical insurance center, including pension insurance, maternity insurance, labor relations, labor compensation, and employee benefits. Relying on the "Research on Key Technologies and Major Applications of Labor and Social Security Public Service Business and Information Technology Systems" technology project, the government jointly formulated standards and specifications including service facilities, service terminology, business processes, knowledge bases, etc., to guide local telephone calls Construction of consulting service center. Concentrate on the promotion of telephone consultation services, determine a unified logo, and cultivate the concept and habit of "call 12333 for human resources and social security issues" among the public, making 12333 a household name. Gradually establish a phone and SMS inbound exchange platform and a ministerial-level telephone consultation service knowledge base. Colleagues from all over the country will participate in the maintenance and use, achieve unified standards, maximize the sharing of resources, and promote the interconnection and business collaboration of local telephone consultation service centers. . Further open new service channels such as SMS, and combine local exploration and practice to study and formulate the application of SMS services in human resources and social security telephone consultation service centers, giving full play to the flexible and fast characteristics of SMS to deliver services directly to the people.

The 12333 human resources and social security telephone consultation service hotline is an important national livelihood service platform. Promoting the construction of the human resources and social security telephone consultation service system will help smooth the connection between the human resources and social security department and society. Communication channels for the public and improve service capabilities to the public. What is the difference between the Medical Insurance Department and the Medical Insurance Center, and what are their respective functions?

1. Different classifications of institutions

1. Medical insurance agencies are divided into government agencies, independent operators and intermediate types;

2. Medical insurance centers are divided into They are the Maternity Insurance Department, Business Management Department, Audit Department, Large Insurance Office, Medical Services Department, Chronic Disease Management Department, Medical Management Department, Fund Collection Department, Information Management Department, Planning and Finance Department and Comprehensive Department.

2. Different institutional natures

1. Generally speaking, the Medical Insurance Office is a social welfare undertaking, not an economic activity of a commercial medical insurance center. Therefore, as a medical insurance institution that specifically undertakes this business, the medical insurance center is different from the for-profit commercial insurance companies that are general medical insurance centers. It is a non-profit institution and is also called a public institution in my country's medical insurance center.

2. Medical Insurance Center The medical insurance center is a national administrative agency and is affiliated with the local Human Resources and Social Security Bureau.

3. Their respective functions

1. Functions of the Medical Insurance Department

Since medical insurance activities are highly professional activities, they must be formulated by the government. When it comes to policies, regulations and plans, medical insurance institutions need to be involved. Medical insurance institutions take the initiative to provide reasonable basis and suggestions for the government to formulate medical insurance policies, regulations and plans based on the first-hand information they have. This is also a prerequisite for ensuring the effective development of medical insurance business.

2. Functions of the Medical Insurance Center

(1) Coordinate the administrative affairs of the unit and ensure the orderly operation of the work.

(2) Responsible for the drafting of comprehensive manuscripts such as relevant documents, summaries, reports and leadership speeches.

(3) Responsible for the archiving, storage and review of official documents.

(4) Responsible for signing, preparing, circulating, urging, and supervising the implementation of communications.

(5) Responsible for the collection, preparation, submission and feedback of information.

(6) Responsible for the handling of proposals from the National People’s Congress and the CPPCC and the implementation of matters supervised by the provincial government.

(7) Responsible for the liaison and coordination of conference organization, daily reception and related activities.

Extended information:

Organization classification

According to the degree of independent operation of medical insurance institutions, they can be roughly divided into three categories:

1. Government agency type

The operation of this type of medical insurance institution basically follows the regulations of the government plan. The main goal is to ensure the implementation of the government plan. There is little room for independent operation and can be regarded as a government agency.

The members of its organization are similar to national civil servants. There is almost no risk in business activities, and the business results mainly depend on the level of administrative management. This type of medical insurance institution is rarely seen among medical insurance institutions in various countries, and is only found in countries such as Canada.

2. Independently operated medical insurance institutions

This type of medical insurance institution is basically independent in terms of operations, including organizational personnel, financial arrangements, business decisions, etc., and can make its own decisions, but generally in accordance with It complies with government regulations on medical insurance and accepts the supervision of relevant state departments.

This type of medical insurance institution is responsible for its own profits and losses in financial operations and can develop or go bankrupt. Most medical insurances handled by commercial insurance companies fall into this category. This type of medical insurance institution is also not common and can be found in the United States, the Netherlands and other countries.

3. Intermediate type

Medical insurance institutions in most countries in the world belong to this type. On the one hand, such institutions accept unified planning arrangements from the government, but on the other hand, they have relatively independent operating rights, such as a certain degree of autonomy in determining insurance coverage, insurance rates, and operating methods.

Therefore, this type of medical insurance institution can not only ensure social welfare in the process of implementing medical insurance, but also maintain better efficiency and effectiveness through competition among insurance institutions, which is a more reasonable approach. organizational form.

Reference source: Baidu Encyclopedia - Address of the Service Hall of the Provincial Medical Insurance Center of Medical Insurance Institutions

Legal Analysis: The lobby of the Zhejiang Provincial Medical Insurance Service Center is located at 538 Tianjin Road, Xihu District, Hangzhou 3rd floor, Jinzhu Building. Basic medical insurance is a social insurance system established to compensate workers for economic losses caused by disease risks. A medical insurance fund is established through employer and individual contributions. After insured personnel incur medical expenses for medical treatment, the medical insurance agency will provide certain financial compensation to avoid or reduce the labor costs caused by illness, treatment, etc. economic risks. Basic medical insurance is one of the most important types of insurance in the social insurance system. It forms the modern social insurance system together with basic pension insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc. The payment base for basic medical insurance is that the employer uses the total wages of employees prescribed by the state as the payment base, and the employees use their own salary income in the previous year as the payment base. If the employee's salary income is 300% higher than the average salary of local employees, 300% of the average salary of local employees shall be the payment base.

Legal basis: "Social Insurance Law of the People's Republic of China" Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be borne by the social insurance agency and the medical insurance agency. Institutions and pharmaceutical business units settle directly. The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.