Can Chinese medicine prescribed by Chinese medicine hospital be reimbursed?

Medical insurance pharmacies and hospital outpatient departments use the personal account balance on the medical insurance card to pay the expenses, which is equivalent to medical insurance reimbursement, because not all the money on the card is paid by individuals.

Herbs, many of which are used alone, are not a class. If the whole prescription is Class A, it should be possible to pay directly by medical insurance card.

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

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

90% of Chinese medicines are Class A medicines for medical insurance, and only a few animals and precious Chinese medicines cannot be reimbursed, such as Koryo, Ginseng and Hippocampus.

The 20 17 version of the medical insurance catalogue restricts the payment of 26 kinds of traditional Chinese medicine injections, limiting the diseases and the diseases used by medical institutions. It stipulates that the scope of Chinese herbal pieces included in the medical insurance fund and the scope of Chinese herbal pieces paid by local medical insurance funds shall not be adjusted. At the same time, the National Health and Family Planning Commission issued the first list of rational drug use, proposing to standardize the prescription of traditional Chinese medicine, and western medicine cannot prescribe traditional Chinese medicine. Therefore, only doctors with relevant qualifications of Chinese medicine prescribe Chinese medicine reimbursement, while western medicine does not prescribe Chinese medicine reimbursement.

Under the premise of paying medical insurance, you need to bring a medical insurance card and swipe your card to buy medicine.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.