Hemorrhoid medicine is not reimbursable.

Hemorrhoids are diseases covered by medical insurance. However, hemorrhoid drugs are not included in the scope of reimbursement. Hemorrhoid drugs belong to the 0501 group of Class 5 of the trademark classification. Only hemorrhoid surgeries using disposable staplers are reimbursable. And the report is made on the spot. Employee medical insurance reimburses approximately 75%. Resident medical insurance reimburses about 65%.

Basic Medical Insurance Drug Reimbursement Drugs included in the scope of basic medical insurance benefits are divided into Category A and Category B. Class A drugs refer to drugs that are basically unified across the country and can ensure the basic needs of clinical treatment. The cost of such drugs is included in the payment scope of the basic medical insurance fund, and is paid according to the payment standards of the basic medical insurance.

The catalog of Class B drugs is adjusted by each province, autonomous region, and municipality directly under the Central Government according to its own situation. After employees pay a certain proportion of the cost for such drugs, they are then included in the scope of payment of the basic medical insurance fund and are paid according to the basic medical insurance. Standard payment fees.

Conditions for medical insurance reimbursement

1. Insured persons must go to a designated medical institution for basic medical insurance to seek medical treatment and purchase medicines, or go to a social insurance institution with a medical prescription issued by a doctor at a designated hospital for confirmation. Designated retail pharmacies purchase drugs from outside.

2. The medical expenses incurred by insured persons during the course of medical treatment must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards before they can be covered by the basic medical insurance fund. Pay according to regulations.

3. Among the medical expenses of insured persons that meet the payment scope of basic medical insurance, the portion of the expenses above the minimum payment standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a uniform proportion.

The above content refers to Baidu Encyclopedia-Medical Insurance