Legal analysis: In fact, the reimbursement scope of supplementary medical insurance is the same as that of local basic medical insurance, including the scope of medicines and hospitals. For example, Class A drugs can enjoy full reimbursement, Class C drugs need to be fully reimbursed at their own expense, and Class B drugs need 80% reimbursement and 20% reimbursement. The reimbursement scope of such drugs is also applicable to the reimbursement of supplementary medical insurance drugs. In fact, the supplementary function of supplementary medical insurance is mainly reflected in the amount and degree of reimbursement. 1, medical expenses when the personal account is insufficient to pay 2, medical expenses that should be paid by individuals except the basic medical insurance pooling fund, and medical expenses that should be paid by individuals except the large medical expenses mutual fund.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope: (1) should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior. Medical institutions shall provide reasonable and necessary medical services for the insured.