Legal analysis: Both Chinese and Western medicines can be reimbursed with the medical insurance card.
Medical insurance cards are mainly suitable for patients who receive medication themselves or who swipe the card to seek medical treatment when checking for certain diseases.
If the medical insurance card is not located locally, you also need to activate the medical insurance card.
Therefore, when you go to the hospital for treatment, you must first consult the service desk to complete medical procedures.
For medical insurance reimbursement, you need to go to designated pharmacies to purchase, and you can swipe your card for reimbursement in the medical insurance directory.
Common Chinese medicines needed for illness can be reimbursed.
90% of traditional Chinese medicines are Category A medicines covered by medical insurance.
Only a few animals and precious traditional Chinese medicines cannot be reimbursed, such as Korean, ginseng, seahorse, etc.
The 2017 version of the medical insurance catalog limits payment for 26 types of traditional Chinese medicine injections and restricts the use of diseases by medical institutions.
It is stipulated that the Chinese medicinal materials department includes the scope of Chinese medicinal materials paid by the medical insurance fund, and the scope of Chinese medicinal materials paid by the medical insurance fund is not adjusted by the local government.
At the same time, the National Health Commission released the first batch of rational drug use catalogs and proposed standardizing traditional Chinese medicine prescriptions.
Western medicine cannot prescribe Chinese medicine.
Therefore, only doctors with relevant qualifications of traditional Chinese medicine can be reimbursed with traditional Chinese medicine, but Western medicine cannot be reimbursed with traditional Chinese medicine.
On the premise of paying for medical insurance, you need to bring your medical insurance card and swipe it when purchasing medicines.
Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.