Good news
In order to further give to the insured
Provide more convenient medical insurance services
WeChat public account of the National Health Insurance Administration
It is currently online
The query function of the national basic medical insurance drug list
Talk about health insurance reimbursement
What exactly is the National Basic Medical Insurance Drug List?
What do Categories A and B mean in the reimbursement categories?
Let's take a look
The National Basic Medical Insurance Drug Catalogue is a basic medical insurance drug catalogue formulated to ensure the basic medical needs of the insured and standardize the drug management of basic medical insurance. The medical insurance fund shall pay the relevant medical expenses incurred by the insured persons in the designated medical institutions in accordance with the provisions of the medical insurance drug catalog.
● "Class A drugs" refer to drugs that are necessary for clinical treatment, widely used, have definite efficacy, and have a lower price or treatment cost among similar drugs.
When the insured person uses this type of drug, it can be fully included in the reimbursement scope, and then reimbursed according to the prescribed proportion.
● "Category B drugs" refer to drugs that can be used for clinical treatment, have definite efficacy, and have a slightly higher price or treatment cost than "Class A drugs" among similar drugs.
When the insured person uses this kind of drug, he needs to pay a certain percentage of himself, and the remaining part is included in the reimbursement scope, and then reimbursed according to the prescribed proportion.
so
How to check the drug information in the medical insurance catalog?
Step 1: Enter the WeChat official account of "National Health Insurance Administration", click on the microservice → query the National Medical Insurance Drug Catalog.
Step 2: Enter the specific drug name and click Search.
You can also select "Drug Classification" or "Medical Insurance Reimbursement Category" to filter.
(Source: Rongcheng Political Affairs)