The hepatitis C medical insurance reimbursement policy is: Hepatitis C antiviral drugs, injections and lozenges cannot be reimbursed, but hospitalization can be reimbursed. When seeking medical treatment at a designated medical institution in the coordinated area, you can directly swipe the medical insurance card for reimbursement.
The reimbursement ratio is: above the deductible line, 85% of the part that is within the scope of medical insurance will be reimbursed for in-service and 95% for retirement.
Legal basis: Article 41 of the "Regulations on Basic Medical Insurance for Urban Employees of the People's Republic of China and the State", the provincial labor and social security administrative department shall, in accordance with relevant national regulations, jointly determine the basic medical insurance in conjunction with the planning, economic and trade, finance, health administration, and drug supervision and management departments.
Insurance drug catalog.
The provincial labor and social security administrative department shall, in accordance with relevant national regulations, determine the catalog of basic medical insurance diagnosis and treatment items, the scope of medical service facilities and payment standards in conjunction with the planning, finance, health administration, and drug supervision and management departments.
The cost pooling fund shall not pay for the use of drugs, diagnosis and treatment items, and medical service facilities that are not covered by basic medical insurance.
What conditions are required for medical insurance reimbursement? 1. To obtain medical insurance reimbursement for medical activities in designated institutions, the insured must first go to the designated medical institutions and pharmacies stipulated in the basic medical insurance for medical treatment or purchase medicines before they can obtain reimbursement. Otherwise, they cannot be reimbursed.
2. In order to obtain medical insurance reimbursement if it belongs to the social security catalog, the diagnosis and treatment items or the purchased medicines need to be in the social security catalog before it can be reimbursed, otherwise it will not be reimbursed; 3. The deductible standard has been reached
To obtain reimbursement from medical insurance, the medical expenses incurred by the insured must first reach the deductible line stipulated by social security. The portion exceeding the deductible line must be within the limit before reimbursement can be obtained, and the basic medical coordinating fund will pay a uniform proportion.