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Is COVID-19 vaccine included in medical insurance reimbursement?
Although the epidemic situation in COVID-19 has been effectively controlled in China, there is still a risk of counterattack. It is suggested that the public should be vaccinated with COVID-19 vaccine in time. Recently, a representative of the National People's Congress suggested that the newly crowned pneumonia vaccine be included in the full reimbursement of medical insurance. What is the result? Can COVID-19 vaccine be included in medical insurance reimbursement?

Is COVID-19 vaccine included in medical insurance reimbursement?

According to the National Medical Insurance Bureau's reply to recommendation No.9354 of the Third Session of the 13th National People's Congress, COVID-19 vaccine is not included in the scope of medical insurance reimbursement. There are two reasons:

1 Non-therapeutic items such as vaccines are not covered by medical insurance reimbursement. At present, China's basic medical insurance system still focuses on providing basic disease treatment for the masses, focusing on meeting the basic medical needs of the masses, and has no ability to expand the scope of payment to non-therapeutic items such as vaccines.

2 beyond the affordability of the medical insurance fund. The financing level of basic medical insurance in China, especially for urban and rural residents, is low. In 20 19, the per capita financing of medical insurance for urban and rural residents was only about 800 yuan. However, the number of people vaccinated is large and the total cost is high, which obviously exceeds the affordability of the medical insurance fund.

In addition, the fact that COVID-19 vaccine is not covered by medical insurance reimbursement does not mean that it must be paid at its own expense. According to "People's Republic of China (PRC) Vaccine Management Law" 438+09,65,438+0, which was implemented on February 65, 1965, vaccines in China are divided into planned immunization vaccines and unplanned immunization vaccines. The EPI vaccine shall be subject to centralized bidding or unified negotiation by the health authorities in the State Council and the financial departments in the State Council, and unified procurement shall be implemented by all provinces, autonomous regions and municipalities directly under the Central Government, and the government shall provide it to residents free of charge, and the expenses shall be paid by the public. Non-immunization vaccines are self-funded.

The above is the answer to whether COVID-19 vaccine is included in medical insurance reimbursement. I hope it helps you.