1, drug reimbursement for basic medical insurance
Drugs included in the scope of basic medical insurance payment are divided into Class A and Class B. Class A drugs refer to drugs that are basically unified throughout the country and can ensure the basic needs of clinical treatment. The list of Class B drugs shall be adjusted by all provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions. Before such drugs are included in the payment scope of the basic medical insurance fund, the employees shall pay according to a certain proportion and pay according to the basic medical insurance payment standard.
2, the basic medical insurance treatment project reimbursement
The basic medical insurance diagnosis and treatment project should meet the following conditions: (1) Clinical diagnosis and treatment must be safe and effective, and the cost is appropriate; (2) The price department has set the charging standard; (3) within the scope of designated medical services provided by designated medical institutions for the insured.
3. Reimbursement of basic medical service facilities
The reimbursement scope of medical service facilities in the basic medical insurance includes the living service facilities provided by designated medical institutions and necessary for the insured to receive diagnosis, treatment and nursing, mainly including the hospitalization bed fee or outpatient (emergency) observation bed fee.
Bao Ge tip: Heihe medical insurance reimbursement scope? From the above, the scope of medical insurance reimbursement in Heihe City can be divided into three categories, namely, reimbursement of basic medical insurance drugs, reimbursement of basic medical insurance diagnosis and treatment projects and reimbursement of basic medical service facilities, and medical expenses within these ranges can be reimbursed.