1. What does medical insurance Category C mean? Medical insurance reimbursement mainly depends on the three catalogs and two designated points. The three catalogs will divide drugs, service facilities, and diagnosis and treatment items. Generally, Category A and Category B will be divided.

Category A in medical insurance reimbursement is the best reimbursed, and the categories in the local medical insurance drug catalog cannot be adjusted, usually 100% of the reimbursement ratio; Category A is inferior to Category A, and can only achieve partial reimbursement, but reimbursement

Most of the proportion can reach more than 70%; those that are not in the catalog will basically be classified as Category C. This is the part borne by the patient, such as some special drugs, purchased drugs, etc., which are basically all

Need to pay out of pocket.

2. The difference between Class C medical insurance and self-payment 1. Class C drugs are related to the amount of medical insurance reimbursement. Class A drugs can be fully reimbursed, and Class B drugs can be partially reimbursed. Class C drugs are almost self-pay, and the reimbursement rate is very small.

2. Class C drugs are generally health care products. Newly released drugs and high-end drugs are not reimbursed. Therefore, if you need to be reimbursed when seeing a doctor, you can tell the doctor in advance not to prescribe Class C drugs or to prescribe less Class C drugs.

Medical insurance type self-payment cannot be reimbursed.

Medical insurance has the basic characteristics of social insurance such as compulsory, mutual aid, and social nature.

Medical insurance generally refers to basic medical insurance, which is a social insurance established to compensate workers for economic losses caused by disease risks.

A medical insurance fund is established through employer and individual contributions. After insured persons incur medical expenses when they are sick, the medical insurance institution will provide them with certain financial compensation.

The establishment and implementation of basic medical insurance gathers the economic power of units and social members, and coupled with funding, it can enable sick members of society to obtain necessary material help from the society, reduce the burden of medical expenses, and prevent sick members of society from suffering from illness.

Causing poverty.

Medical insurance self-pay As for personal medical insurance, taking the base of 5,000 yuan as an example: the payment index is based on 5,000 yuan.

Basically, medical insurance has two levels: low-end and high-end. The low-end has a payment standard of 4%, and the high-end has a payment standard of 8%. If calculated according to the 4% payment standard, the monthly payment is 200 yuan.

, 12 months is 2,400 yuan, plus the cost of major illness medical insurance, it will generally not exceed 2,600 yuan.

If the self-pay for medical insurance is calculated according to the 8% payment standard, the monthly payment is 400 yuan, which is 4,800 yuan for 12 months. Including critical illness insurance, it will generally not exceed 5,000 yuan.

If you want to reimburse hospitalization expenses through a medical insurance card, you generally need to go to the corresponding service desk of the hospital, or after paying the hospitalization deposit, hand the medical insurance card to the nurse service desk of the inpatient department for reimbursement.

If during the subsequent treatment and examination, you encounter drugs or examination items that are not within the scope of hospitalization reimbursement, you will receive a payment list from the hospital. In this case, the insured person needs to go to the hospital outpatient window to pay by himself.