I. Responsibilities of Suzhou Medical Security Fund Management Center
As the management organization of Suzhou medical security fund, its main responsibilities include: raising, managing and using medical security fund; Formulate and implement medical security policies; Supervise and manage the medical service behavior of medical institutions and medical insurance designated pharmacies; To provide medical insurance consultation, inquiry and complaint handling services for the public.
Second, the scope of use of the medical insurance fund
The medical insurance fund is mainly used to pay the medical expenses of the insured, including hospitalization expenses, outpatient expenses and drug expenses. At the same time, according to the policy, it can also be used to pay medical expenses for some special diseases and medical assistance to people in need.
Third, how do citizens enjoy medical security services?
Citizens can enjoy medical security services by participating in medical insurance. When seeking medical treatment, you need to choose a designated medical institution or pharmacy with medical insurance and show your medical insurance card for settlement. For the medical expenses that meet the requirements, the Medical Insurance Foundation will pay them according to the proportion stipulated by the policy.
Four, strengthen the supervision of medical insurance funds.
In order to ensure the safe and effective use of medical insurance funds, Suzhou Medical Insurance Fund Management Center will strengthen the supervision of medical institutions and designated medical insurance pharmacies, and severely crack down on fraudulent medical insurance funds. At the same time, the use of medical insurance funds will be regularly audited and publicized and subject to social supervision.
To sum up:
Suzhou Medical Security Fund Management Center plays an important role in the management and operation of medical security funds, providing comprehensive and effective medical security services for citizens. Citizens should actively participate in medical insurance, understand medical insurance policies, make rational use of medical resources, and maintain the security and stability of medical insurance funds. At the same time, strengthening supervision and auditing to ensure the legal and compliant use of medical insurance funds is also an important measure to protect citizens' rights and interests.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23 provides that:
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 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 27 provides that:
Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.