How to reimburse the long-term outpatient drug purchase?

Long-term outpatient drug purchase reimbursement is as follows:

1. Medicaid treatment standard for major diseases: after the accumulated amount exceeds the annual limit, the basic medical expenses for specific items of inpatient and outpatient services will be reimbursed by Medicaid for major diseases according to 95%, and the basic medical expenses for designated chronic disease clinics will be reimbursed by Medicaid for major diseases according to corresponding standards, with the maximum payment limit of 6,543.8+0.5 million yuan.

The materials required for medical insurance reimbursement are as follows:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

7. If it is an agent, you need to provide the original ID card of the agent.

There is no medical insurance card reimbursement process as follows:

1. The medical insurance must be paid continuously for more than three months, and it will take effect in the fourth month before the related medical expenses can be reimbursed. After the medical insurance comes into effect, the company can go to the local social security department to apply for a medical card without a hospitalization certificate;

2. If the medical insurance card is not received, the individual can also apply for reimbursement of medical expenses after hospitalization, and the individual can provide relevant materials to his medical insurance center for reimbursement. Under normal circumstances, if an individual does not receive a medical insurance card, he can make a temporary medical card at the medical insurance center to facilitate medical treatment;

3. Reimbursement materials When applying for reimbursement, you need to bring hospital invoices, general lists, doctor's orders, medical records and other materials.

4. Reimbursement of medical insurance card is limited to medical expenses above hospitalization in re-designated hospitals due to diseases and some accidents. The reimbursement formula is: (total expense-threshold expense-self-funded expense-expense overrun) *(75+ age *0.2)% Under normal circumstances, the actual reimbursement ratio is between 20% and 60%. Self-funded drugs are not reimbursed, class B drugs are reimbursed 80%, bed fees are limited, and some inspection fees and treatment fees are not reimbursed according to regulations.

To sum up, according to your own situation, prepare the required materials and apply for medical insurance according to the process.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.