Class A refers to Class A drugs required for clinical treatment.

They are widely used in the same category of drugs with good efficacy and low prices. The expenses incurred in using these drugs should be included in the payment scope of the basic medical insurance fund and paid in accordance with the rules. 100% of Class A drugs will be reimbursed according to the reimbursement ratio.

Category B refers to Class B drugs.

The basic medical insurance fund can cover the cost of some medicines.

When medical insurance reimburses the expenses incurred for using the drug, the drugs in the drug catalog are divided into "Category A" and "Category B".

Category A refers to Category A drugs required for clinical treatment.

Reimbursement categories and supporting materials: 1. Transfer to other places for medical treatment: reporting procedures for transfer to other places for medical treatment are required. If the condition is urgent, reimbursement procedures should be completed within 7 days of transfer to another hospital; 2. Resettlement and work in other places: it is required to live and work in other places for more than half a year.

, and registration procedures must be completed in advance; 3. Medical expenses during short-term outings such as business trips, family visits, and tourism: ① Acute diseases: When reimbursing, provide business trip certificates, family visit certificates, travel contracts, real-name air tickets, etc.; ② Outpatient maintenance for chronic diseases

Treatment: Increase the number of medical records provided for Xiamen outpatient treatment, and the diagnosis and treatment measures during the outing period cannot exceed the original diagnosis and treatment measures in Xiamen; 4. Delivery in other places: hospital delivery costs and reasonable prenatal and postpartum examination costs; 5. Failure of the social security system in local and integrated areas cannot be treated

Real-time card settlement: the invoice endorsement and seal of the medical institution's charging office; 6. Social security card loss or damage, card issuance delay: the Social Security Card Management Department stamps the back of the invoice for confirmation; 7. The number of outpatient visits in a single month exceeds 20 times:

Charge bills must be settled by swiping a card and showing the number of registrations, and outpatient records must be provided; 8. Acute disease or rescue without a social security card: outpatient or inpatient medical records should be recorded in detail and clear enough to be recognized as acute disease or rescue; 9. Retired cadres not included in the directory

Drug expenses: "Approval form for drugs outside the catalog of retired cadres" must be provided and stamped with the official seal of the hospital's medical insurance management department; health care recipients of retired cadres under the care of the provincial two-fee center must provide health care certificates; 10. Insured status, change, and replacement of insured units

, The arrival of local tax data is delayed: you can apply for reimbursement after completing the change procedures with the local tax and confirming the arrival in the middle of the next month; 11. Medical expenses for newborns from birth: insurance coverage and payment should be made in time within three months after birth.

Reimbursement can be processed after the account has been settled.

A birth certificate must be provided; for newborns who are not named when expenses are incurred, the name on medical expense invoices, summary lists, discharge records and other reimbursement documents shall be the mother's or father's name followed by "son" or "daughter".

To sum up, Class A drugs refer to drugs that are uniformly formulated, necessary for clinical treatment, widely used, good in efficacy, and low-priced among similar drugs. The expenses incurred in using such drugs are included in the scope of payment of the basic medical insurance fund. According to the basic

Medical insurance pays; Class B drugs are drugs that can be used for clinical treatment, have good curative effects, and are more expensive than Class A drugs among similar drugs.

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.