The amount that can be reimbursed for nine-price medical insurance needs to be determined according to the local medical insurance policy and the personal account balance.
Nine-valent vaccine can be paid by using the balance in the personal account of medical insurance, but whether it can be reimbursed and the amount of reimbursement depends on whether the balance in the personal account is sufficient and the local medical insurance policy. If the personal account balance is sufficient, you can directly pay the cost of the nine-valent vaccine with your personal account in the designated hospital; If the balance is insufficient, you need to pay by other means.
reimbursement scope and policy of medical insurance:
1. Basic medical insurance reimbursement items: covering common outpatient and inpatient treatment expenses, as well as some medicines and medical services;
2. Medical insurance drug list: which drugs can be reimbursed, as well as the proportion and conditions of reimbursement;
3. Designated medical institutions for medical insurance: designated hospitals and clinics where insured persons can enjoy medical insurance reimbursement;
4. Use of personal medical insurance account: This paper introduces the functions of personal medical insurance account and how to use the funds in the account to pay medical expenses;
5. Cross-provincial medical reimbursement in different places: explained the process and precautions of medical insurance reimbursement in different places;
6. reimbursement of serious illness insurance: an additional insurance reimbursement policy for serious illness, which is used to reduce the financial burden of seriously ill patients.
To sum up, the reimbursement amount of the nine-valent vaccine depends on the personal account balance and the local medical insurance policy. It is recommended to consult the medical insurance department or the designated hospital for accurate information.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
article 29
the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 8 of the Interim Measures for the Administration of Medication in Basic Medical Insurance
The following drugs are not included in the Drug List:
(1) Drugs that mainly play a nourishing role;
(2) drugs containing rare and endangered wild animals and plants;
(3) health care drugs;
(4) preventive vaccines and contraceptives;
(5) drugs with the functions of enhancing sexual function, treating alopecia, losing weight, beautifying, quitting smoking and drinking;
(6) drugs that cannot be charged separately due to reasons such as being included in the diagnosis and treatment project;
(7) wine preparations, tea preparations, all kinds of fruity preparations (except for children under special circumstances), oral preparations and oral effervescent agents (except under special circumstances);
(8) other drugs that do not meet the requirements of basic medical insurance.