1. Erica is not covered by medical insurance, and medical insurance cannot be reported

2. Whether commercial insurance is reimbursed depends on the scope of drug use specified by specific products. If the purchased commercial medical insurance does not limit the use of drugs within social security, it can be reimbursed. However, some insurance companies' products will restrict the use of drugs in social security, so they cannot be reported. Please carefully study the insurance clauses before buying insurance

Medical insurance First of all, there are differences between medical insurance drugs and non-medical insurance drugs, and the reimbursement deductible line is also different according to the hospital level

Generally, class A drugs can enjoy full coverage, class C needs all out-of-pocket expenses, while class B needs 8% coverage and 2% out-of-pocket expenses.

If a person spends 1, yuan in a hospital, if he is hospitalized in a first-class hospital, then subtract 5 yuan first; If you are hospitalized in a secondary hospital, subtract 1 yuan first; If you are hospitalized in a tertiary hospital, you will first subtract 2 yuan, which is the difference of deductible.

1. In the special medical expenses, organs and tissues need to be transplanted due to illness, and the expenses for purchasing organs and tissues and using anti-rejection drugs and immunomodulatory drugs beyond the scope of medical insurance reimbursement for employees in Zhenjiang;

2. Work-related injuries and occupational diseases;

3. Female workers give birth;

4. Rogue fights;

5. Injuries caused by excessive drinking;

6. Traffic accidents;

7, others intentionally hurt;

8. Medical accident;

9. Beauty and health examination;

1. Other expenses not covered by the social medical insurance fund.

1. The medical expenses incurred by the insured employees on business trip or visiting relatives in other places are only reimbursed for emergency expenses in other places that meet the requirements of medical insurance, and all expenses will not be reimbursed for hospitalization for non-emergency reasons.

2. If the insured employee has lived in the field for more than 6 months, the medical expenses will be reimbursed according to the nature of the long-term resident.

3. Long-term resident workers in other places should be certified by the unit, and two designated hospitals (which should be designated medical institutions for local medical insurance) should be identified, and the Medical Expense Reimbursement Card for Long-term Resident Workers in Zhenjiang City should be processed in time

4. Long-term resident workers in other places must adhere to the principle of economy and prescribe drugs in a limited amount according to regulations (for each visit, the acute dose is within 3 days, the chronic dose is within 1 days, and tuberculosis, hypertension and diabetes can be extended to 3.

5. For the referral of long-term resident workers in other places, the local designated hospitals should sign their opinions and refer them step by step according to the principle of territoriality. The referral hospital is a special hospital determined by the medical insurance for employees in our city. Individuals pay 1% of the total expenses first, and then reimburse the expenses according to the provisions of medical insurance; In other hospitals, individuals pay 2% of the total expenses first, and then reimburse medical expenses according to the provisions of medical insurance.