The National Drug Catalogue of Basic Medical Insurance divides drugs into three categories:
The first category A can all enter the scope of medical insurance reimbursement and be reimbursed according to the proportion of medical insurance;
The second category B, the use of such drugs requires individuals to bear part of the expenses according to a certain proportion, and the rest will enter the scope of medical insurance reimbursement and be reimbursed according to the proportion of medical insurance;
Class III and Class C, these drugs are not reimbursed, and all of them are borne by individuals.
1. Class A drugs refer to drugs that are basically unified throughout the country and can ensure the basic needs of clinical treatment. The expenses of such drugs are included in the payment scope of the basic medical insurance fund, and the expenses are paid according to the basic medical insurance payment standard.
2. Class B drugs refer to drugs that the basic medical insurance fund has a certain ability to pay. These drugs are paid by employees according to a certain proportion, and then included in the coverage of the basic medical insurance fund, and paid according to the basic medical insurance payment standard.
3. Class A drugs refer to 100% drugs that are covered by medical insurance;
4. Class B drugs refer to drugs that must pay a certain proportion first, and the rest belong to the scope of medical insurance payment.
5. But now with the expansion and full coverage of the insured, class A drugs for a certain group of people may be class B drugs and class C drugs for other groups. For example, in some places, the therapeutic western medicines used for retired cadres are all Class A drugs, but the western medicines used by employees for medical treatment are divided into three categories: A, B and C, which will be analyzed in detail.
Legal basis:
Interim Measures for the Administration of the Medication Scope of the Basic Medical Insurance for Urban Employees
Eighth basic medical insurance insured to use the "Drug List" drugs, the expenses incurred by the payment according to the following principles.
The expenses incurred in using Class A drugs shall be paid in accordance with the provisions of the basic medical insurance. The expenses incurred in the use of "Category B drugs" shall be paid by the insured according to a certain proportion, and then according to the provisions of the basic medical insurance. The specific proportion of individual pays shall be stipulated by the overall planning area and reported to the administrative departments of labor security of provinces, autonomous regions and municipalities directly under the Central Government for the record.
The expenses incurred in the use of Chinese herbal pieces shall be paid in accordance with the provisions of the basic medical insurance, except for drugs that are not paid by the basic medical insurance fund.