Many people buy medicine in hospitals and pharmacies
All have this question:
Can the medical insurance reimburse the drug I want to buy?
How much will we be reimbursed? How do we personally know?
Here's a method for you today:
Click to enter China Medical Insurance (WeChat public account).
Click "Microservices" in the bottom menu bar, select "Medical Insurance Catalog", and enter the query page;
to treat chronic bronchitis
Carboxystan oral solution as an example
Enter it in the National Medical Insurance Drug Catalogue query
The name carboxystan,
You can see that there are two models:
One is a release dosage form, and the other is an oral solution,
It can be seen that oral solution belongs to the class B drug of medical insurance.
So at the time of the search
Not only pay attention 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 own needs
Select the drug category or the medical insurance reimbursement category to filter.
What do Categories A and B mean in the reimbursement categories?
The current reimbursement categories of medical insurance drugs in mainland China,
It mainly includes two categories: A and B.
"Class A drugs" refer to drugs that are necessary for clinical treatment,
It is widely used, has definite efficacy, and is of the same kind of drug
Drugs with a lower price or cost of treatment.
When the insured person uses this type of drug,
can be fully included in the scope of reimbursement,
After that, reimbursement will be made in accordance with the prescribed proportion.
"Class B drugs" refer to drugs that can be used for clinical treatment.
Compared with "Class A drugs" in the same category
medicines with a slightly higher price or cost of treatment,
When the insured person uses this type of drug
Individuals need to pay a certain percentage in advance,
The remainder is included in the reimbursement scope
and then reimburse according to the prescribed proportion.
Establishing standards based on big data is the key to the success of medical reform
The staff reminded that in addition, there are eight categories of drugs that are not included in the national medical insurance drug list, and insured residents should pay attention to them when purchasing.
1. Drugs that mainly play a tonic role;
2. Drugs containing national precious and endangered wild animals and plants;
3. Health care drugs;
4. Prophylactic vaccines and contraceptives;
5. Drugs that mainly play the role of enhancing sexual function, treating hair loss, weight loss, beauty, quitting smoking, quitting alcohol, etc.;
6. Drugs that cannot be charged separately due to being included in the diagnosis and treatment items and other reasons;
7. Wine preparations, tea preparations, all kinds of fruit-flavored preparations, except for children's drugs under special circumstances, oral inhalants and oral effervescent agents, except for special provisions;
8. Other drugs that do not meet the requirements of basic medical insurance.
Source | National Health Insurance Administration
Edit | Fu Meiru Zhang Wenqing
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