Many people buy medicines in hospitals and pharmacies
All have such a question:
Can the medical insurance reimburse the drug I want to buy?
How much can I be reimbursed?
To make this information more easily accessible to insured residents
Recently, the National Health Insurance Administration WeChat public account
The query function of the national basic medical insurance drug catalogue has been launched
How to use it? What can I find?
Introduction of medical insurance handling staff
The National Health Insurance Administration has been established since 2018
A dynamic adjustment mechanism for the medical insurance drug catalogue has been established and improved
In principle, it will be adjusted once a year
Drugs that will meet the basic conditions such as safety, effectiveness, and reasonable price
Included in the list of medical insurance drugs
The medical insurance fund shall pay in accordance with regulations
Wu Xuan, a staff member of the resident medical insurance department of Nanjing Pukou District Medical Insurance Center, introduced:
To treat chronic bronchitis
Carbostan oral liquid as an example
Enter the WeChat public account of the National Health Insurance Administration
Click Microservices
Enter it in the query of the national medical insurance drug catalog
The name Carbostan
You can see that there are two models
One is a release form
One is an oral solution
You can see
Oral solution belongs to medical insurance class B drugs
So when searching
Pay attention not only to the name of the drug
Also pay attention to the properties, specifications and other conditions of the drug
We can also according to our needs
Select the drug classification
Or Medicare reimbursement categories to filter
in the reimbursement category
What do Class A and B mean?
Current medical insurance drug reimbursement categories in the mainland,
It mainly includes two categories: A and B.
"Class A drugs" means those necessary for clinical treatment,
It is widely used, with precise efficacy and similar drugs
Medicines with lower prices or treatment costs.
When the insured person uses such drugs,
Can be fully included in the reimbursement scope,
Thereafter, reimbursement is made in accordance with the prescribed proportion.
"Class B drugs" refers to the optional use of clinical treatment
The efficacy is definite
Compared with "Class A drugs" in similar drugs
Medicines with slightly higher prices or treatment costs
When the insured person uses such drugs
Individuals are required to pay a certain percentage in advance
The remainder is included in the reimbursement
It will then be reimbursed according to the prescribed proportion
Class eight drugs are not included in the national medical insurance drug list
The staff reminds that, in addition to this,
There are eight categories of drugs that are not included in the national medical insurance drug list.
Insured residents should pay attention when purchasing.
1. Drugs that mainly play a tonic role;
2. Medicines containing national precious and endangered wild animal and plant medicinal materials;
3. Health care drugs;
Preventive vaccines and contraceptives;
5. Drugs that mainly enhance sexual function, treat hair loss, lose weight, beauty, quit smoking, abstain from alcohol, etc.;
6. Drugs that cannot be charged separately due to reasons such as being included in the diagnosis and treatment items;
7. Wine preparations, tea preparations, all kinds of fruity preparations, except for children's medicines under special circumstances, oral dosage and oral effervescent agents, except for special circumstances;
8. Other drugs that do not meet the provisions of basic medical insurance.
Jiangsu Public News Channel "News 360"
Jiangsu Radio, Television and Financial Media News Center Reporter|Shen Can Editor|Xiaoyan
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