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How to reimburse medical insurance for hepatitis B

Hepatitis B medical insurance reimbursement scope: Disease-related examinations, treatment expenses and drug expenses incurred by insured persons for outpatient treatment at designated medical institutions selected by themselves are included in the reimbursement scope.

1. How is hepatitis B medical insurance reimbursed? 1. Hepatitis B patients insured must go to designated hospitals for outpatient treatment; 2. The examination, treatment expenses and drug expenses incurred are included in the scope of reimbursement, and reimbursement will be based on relevant information; 3. Outpatient special disease treatment

Fees are calculated annually.

2. What is the reimbursement ratio of hepatitis B medical insurance? 1. Limit standard: The limit standard for chronic hepatitis B is 6,000 yuan/year. For insured persons who have new special diseases for less than one year in the current year, the reimbursement limit is calculated based on the actual number of months of new special diseases.

2. Reimbursement ratio: The outpatient medical expenses for special diseases of insured persons shall be shared according to the following proportion: 3. Hepatitis B medical insurance reimbursement ratio for employees: 4. Hepatitis B medical insurance reimbursement ratio for residents: There is no reimbursement threshold for medical expenses within the scope of medical insurance for outpatient treatment.

, the reimbursement ratio is 80% for first-level medical institutions, 60% for second-level medical institutions, and 40% for third-level medical institutions. The annual reimbursement limit is 1,000 yuan/year per person. For those who suffer from two or more special diseases and chronic diseases at the same time, for each additional one,

The annual reimbursement limit is increased by 200 yuan.

3. Who can be reimbursed for hepatitis B? 1. Employees participating in medical insurance; 2. Persons participating in the second level of employee medical insurance in an individual capacity; 3. Personnel participating in municipal resident medical insurance.

Hepatitis B medical insurance reimbursement scope: Disease-related examinations, treatment expenses and drug expenses incurred by insured persons for outpatient treatment at designated medical institutions selected by themselves are included in the reimbursement scope (within the limit, drugs are not restricted by the medical insurance drug catalog).

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China (2018 Amendment)" complies with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses.

Paid from insurance funds.

Article 29 The portion of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.