On-the-job employees who seek medical treatment in eligible first-class and first-class medical institutions, second-class medical institutions and third-class medical institutions shall be paid by the overall fund for 80%, 75% and 60% respectively; On-the-job employees who seek medical treatment in eligible first-class and first-class medical institutions, second-class medical institutions and third-class medical institutions shall be paid by the overall fund for 80%, 75% and 60% respectively.
Insured employees buy medicines at qualified retail pharmacies, and the proportion of overall fund payment is implemented in accordance with the proportion of tertiary medical institutions, including 60% of on-the-job employees and 70% of retired employees.
According to the progress of the construction of prescription circulation platform in the province, the proportion of drug expenses within the medical insurance policy of qualified designated retail pharmacies will be gradually realized in line with that of designated medical institutions with external prescriptions.
Scope of use of medical insurance
1. It is used to pay out-of-pocket and out-of-pocket medical expenses incurred by the insured in designated medical institutions, including prenatal examination expenses and maternity medical expenses borne by individuals after maternity insurance payment.
2. It is used to pay out-of-pocket expenses and out-of-pocket expenses incurred by the insured in purchasing drugs, medical devices and medical consumables at designated retail pharmacies. Drugs, medical devices and medical consumables shall comply with the relevant provisions of the national medical insurance information business coding management.
3, used to pay the insured in designated medical institutions in line with the national medical insurance information business code management of non immunization program vaccine costs.
4. It is used to pay the individual contributions of the insured to participate in the employee's serious illness insurance and long-term care insurance, the one-time payment of the employee's medical insurance premium when the employee's medical insurance insured enjoys the medical insurance benefits of retirees, and the individual contributions of the family members of the insured to participate in the urban and rural residents' medical insurance and long-term care insurance.
5, used to pay the insured to buy the provincial and municipal government guidance price, and the cost of commercial medical insurance products connected with the basic medical insurance.
The above contents refer to Baidu Encyclopedia-Medical Insurance.