Guangzhou medical insurance designated hospitals refer to the list of hospitals with social security medical qualifications in the area under the jurisdiction of the social security department. The insured person chooses the hospital for medical treatment according to the published list, and then the social security department issues the medical insurance card to the medical insurance insured after passing the examination. With the medical insurance card, they can go to the designated hospital for medical treatment, and they can reimburse the medical expenses according to the relevant regulations, otherwise they cannot reimburse the medical expenses. Hospitals are divided into Class A hospitals and Class B hospitals. Class A hospitals are divided into first, second and third levels. In general, each person can choose two designated hospitals for medical insurance, including 1 compulsory community hospital. The proportion of hospitalization reimbursement in designated hospitals in Guangzhou: hospitalization reimbursement-the minimum payment standard is low, and the proportion of * * * payment period is the highest. The level of medical insurance units with the lowest personal payment ratio is different, and the hospitalization deductible line, the reimbursement amount of the overall fund and the personal payment amount are quite different. Guangzhou Renai Tianhe Hospital is listed as a third-class first-class hospital (that is, a community service institution) and can enjoy the technical and service standards of a third-class first-class hospital. At the same time, it is also the hospital with the lowest minimum hospitalization Qifubiaozhun, the highest proportion of overall funds in the * * * payment period and the lowest proportion of individual payment. Proportion of reimbursement for hospitalization in first-class hospitals: the lowest deductible line is 200 yuan, and the highest deductible line is 400 yuan. The highest reimbursement is 90% from the overall fund, and individuals only need to pay 10%. Proportion of hospitalization reimbursement in secondary hospitals: the lowest deductible line reaches 400 yuan, the highest deductible line reaches 85% of the highest reimbursement in 800 yuan, and the individual needs to pay 15% of hospitalization reimbursement in tertiary hospitals: the lowest deductible line reaches 800 yuan. The maximum floating line is 1.600 yuan, and the maximum is 80% reimbursed by the overall fund and 20% by individuals. The calculation formula of hospitalization medical insurance (taking 1 1,000 yuan as an example): Formula 1: hospitalization deductible +( 1 1,000-hospitalization deductible) × individual payment ratio = individual out-of-pocket expenses. Formula 2: (66) Out-of-pocket expenses (that is, within the three catalogues of medical insurance drugs, diagnosis and treatment items and medical service facilities, it is stipulated that the insured person pays part of the expenses first); Expenses below the minimum threshold; * * * Pay out-of-pocket expenses; Expenses exceeding the maximum payment limit of Medicaid for major diseases.

Legal objectivity:

Introduction: It is very simple to apply for a designated hospital for medical insurance: bring two ID cards, medical insurance cards and color photos and go to the hospital of your choice to handle the affiliated business. Call two hospitals at a time: 1. Hospitals above Grade II (50% reimbursement) 2. Grassroots community hospitals (65% reimbursement); How to handle the designated hospital of Guangzhou medical insurance? Can I change it after I handle it? In one case, in the new social security year, if the general outpatient (emergency) consultation is not carried out in the original selected hospital, the insured person can bring the medical insurance card to the designated handling department of the proposed selected hospital and fill in the registration form to handle the change procedures. The insured person can also carry the medical insurance card directly to any of the eight branches directly under the Municipal Medical Insurance Bureau 1 branch. There is another situation. In the new social security year, you have done general outpatient (emergency) treatment in the hospital you originally chose, but you want to change to another hospital. In this case, if you need to change to another hospital, you must meet the following conditions before you can change: the insured person's household registration changes, the residence changes, the work unit flows, or the "selected hospital" needs to be changed because of the changes in the qualifications of designated medical institutions. The insured must hold the medical insurance card, "Registration Card" and the relevant information of the above changes to the Municipal Medical Insurance Bureau as a branch to handle the change procedures. The change of the selection point takes effect immediately, and the insured person can enjoy the overall treatment of general outpatient service in the newly selected medical institution according to the regulations. Extension of relevant medical insurance knowledge: designated medical insurance hospitals refer to the list of hospitals with social security medical qualifications in the area under the jurisdiction of social security departments. The insured person chooses the hospital for medical treatment according to the published list, and then issues the medical insurance card to the medical insurance insured person after passing the examination by the social security department. With the medical insurance card, he can go to a designated hospital for medical treatment, and he can reimburse medical expenses according to relevant regulations, otherwise he will not be able to reimburse medical expenses. Hospitals are divided into Class A hospitals and Class B hospitals. Class A hospitals are divided into first, second and third levels. In general, each designated medical insurance hospital can choose 4 hospitals, including 1 compulsory community hospital.