Hello, the expenses marked as "to be partially borne by the individual" in the medicine should be borne by the individual 1% first, and the rest should be included in the payment scope of the basic medical insurance fund.

(2) hospital preparations; According to the Notice on Implementation issued by the Municipal Health Bureau (J.W.G. Zi [1999] No.2).

(III) Scope of payment and use of Chinese herbal pieces

1. Chinese herbal pieces that require personal burden shall be implemented according to Article 1 of the Notice on Inspection and Issuance (J.W.C.Zi. [77] No.267) issued by the Municipal Health Bureau.

2. Chinese herbal pieces that are used singly and used reasonably in the compound prescription due to illness (not exceeding the normal dosage) shall be implemented according to Article 2 of the Notice on Inspection and Issuance (J.W.C.Zi. [77] No.267) issued by the Municipal Health Bureau.

3. The expenses for the reasonable use of Chinese herbal pieces in the above paragraphs 1 and 2 during the rescue period of critically ill patients shall be included in the payment scope of the basic medical insurance fund.

(IV) Payment scope of radiotherapy and chemotherapy drugs for malignant tumor outpatient service

When the insured persons are treated with radiotherapy and chemotherapy for malignant tumor in outpatient service, the following drugs can be included in the payment scope of the basic medical insurance pooling fund:

1. Tumor drugs

The "Eleventh Class of Tumor Drugs" of Chinese and Western medicines in the Reimbursement Scope of Free Medical Care and Labor Insurance Medical Drugs in Beijing is excluded.

2. Leukopoiesis promoting drug

Granulocyte colony stimulating factor [special] injection (imported), Lixuesheng tablet, shark liver alcohol tablet and inosine tablet injection.

3. Anti-infective drugs

"Antibiotics" (45 kinds) and "Antifungal drugs" (5 kinds) in the "Class I Anti-infective Drugs" in the Reimbursement Scope of Free Medical Care and Labor Insurance Medical Care in Beijing. ***5 kinds of drugs.

(V) Anti-rejection drugs used in renal transplant clinics

There are five kinds of drugs: cyclosporine, prednisone, dexamethasone, methylprednisolone and azathioprine.

Generally speaking, the economic development in different regions is different, so the reimbursement ratio is also different. The following is an explanation of the proportion of medical insurance for employees in Beijing.

After getting medical insurance, if you are an on-the-job employee, you can only reimburse the medical expenses of more than 1,8 yuan after seeing a doctor in the outpatient and emergency department of the hospital, and the reimbursement rate is 5%. If it is a retiree under 7 years old, the expenses above 13 yuan can be reimbursed, and the proportion of reimbursement is 7%. If it is a retiree over 7 years old, 8% of the expenses above 1,3 yuan can be reimbursed.

No matter what kind of people, the maximum amount of outpatient and emergency medical expenses paid is 2, yuan. For example, if you are an on-the-job employee, and the cost of seeing a doctor in the outpatient department is 2,5 yuan, then 5% of 5 yuan can be reimbursed, that is, 25 yuan.

if it is hospitalization expenses, when the basic medical insurance is used for the first time in a year, the minimum payment is 13 yuan for both employees and retirees. And the second and later hospitalization medical expenses, Qifubiaozhun determined by 5%, is 65 yuan. The maximum payment of the basic medical insurance pooling fund (hospitalization expenses) in one year is 7, yuan.

legal basis (1) western medicine and Chinese patent medicine shall be implemented in accordance with the notice on printing and distributing (No.15 [1997] of Jing Wei Gong Zi) and Supplementary Opinions on the Implementation of Guan Gan (No.2 [1998] of Jing Wei Gong Zi) issued by the Municipal Health Bureau.