Which drugs in social security in 23 years were adjusted to self-funded drugs?

Social security drug use refers to classifying drugs A, B and C according to the local drug list, and then reimbursing them according to different proportions. Policies vary from place to place. You can consult the medical insurance center or the social security bureau.

2. List of Social Security Drugs I * * *, how many drugs are there?

The self-funded items of medical insurance include:

Drugs that do not pay for meals and escort fees include drugs that are not listed in the basic medical drugs list (Class C drugs) and drugs made by medical institutions without the approval of government departments (in the list); Free living service facilities, including transportation expenses for (transfer) diagnosis and emergency treatment; Air conditioning fee, TV fee, telephone fee, infant incubator fee, food incubator fee, electric stove fee, refrigerator and official loss fee; Escort fee, nursing fee, washing fee and outpatient decocting fee; Meal expenses; Expenses for literary and artistic activities and other special life services; And the hospitalization bed fee (including disposable bedding) that exceeds the prescribed standard.

Organ transplantation, traffic accidents can not be reimbursed for diagnosis and treatment projects, including other medical service costs other than those stipulated by the provincial price department. Disposable medical materials that cannot be charged separately as stipulated by the provincial price department. Organ source or tissue source of various organ or tissue transplantation and its operation cost. Expenses for organ or tissue transplantation other than kidney, heart valve, cornea, skin, blood vessels and bone marrow transplantation. Diagnosis and treatment of various infertility (pregnancy) and sexual dysfunction. Various scientific research and clinical verification diagnosis and treatment projects. Super family planning fee. Medical expenses for various meetings. Organs, enterprises and institutions set up their own Red Cross medicine boxes to collect fees. Drug addiction, alcoholism, detoxification, smoking cessation and other expenses. All expenses incurred due to illegal crimes, fights, traffic accidents, medical accidents, intentional suicide, self-mutilation and fireworks. Medical expenses that have not been reimbursed due to illness during business trip or personal leave, medical expenses that have not been reimbursed within the specified period in the past year, and medical expenses that occurred before the medical insurance card came into effect. Without the approval of the administrative department of price and health, all expenses incurred by adding new examination and treatment items and raising the charging standards without authorization; Charges for drugs priced by the government that exceed the prescribed retail price; For other drugs, fees exceeding the prescribed retail price are charged. Medical expenses incurred during going abroad and going to Hong Kong, Macao and Taiwan for investigation, further study, giving lectures, visiting relatives and traveling. All expenses incurred by the insured who refuses to leave the hospital after hospitalization and confirmed by the medical technical appraisal team of the hospital from the second day after the appraisal confirmation; Medical expenses incurred by the insured due to nominal hospitalization and non-compliance with admission criteria. Medical expenses unrelated to the disease during treatment.

The medical treatment items involving cosmetic projects that cannot be reimbursed also include medical expenses that do not meet the conditions for referral and transfer and have not gone through the formalities. Registration fee, medical record fee and consultation fee outside the hospital. Special medical service fees, such as visiting fees, urgent fees for examination and treatment, additional fees for roll call surgery, high quality and good price fees, and self-invited special care fees, etc. Various beauty and bodybuilding projects, as well as non-functional beauty and plastic surgery lights. Treat pigmented spots, dark spots, freckles, acne, stuttering, snoring, cleft lip, carbuncle nevus, bromhidrosis, hirsutism, cross-eyed, strabismus, myopia, amblyopia, eye deformity, double eyelid plastic surgery, ear piercing, nevus removal, laser beauty and wart removal, wrinkle removal, beauty massage, tooth washing, tooth inlay and dentition correction. All kinds of weight loss, weight gain and height increase projects, such as boosting, intelligence enhancement, weight loss, diet therapy and other expenses. All kinds of health checks. Various prevention and health care diagnosis and treatment projects. Large-scale medical equipment such as positron emission tomography (PET), electronic CT and ophthalmic excimer laser therapeutic apparatus are used for examination and treatment. Rehabilitation appliances such as eyes, dentures, artificial eyes, artificial limbs and hearing AIDS. All kinds of self-use health care, massage examination and treatment equipment. Orthopedics of myopia. Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.

3. Classification of social security drugs list

Reimbursement scope:

1, drug cost: auxiliary examination: 200 yuan for ECG, X-ray fluoroscopy, photography, laboratory tests, physiotherapy, acupuncture, CT and nuclear magnetic resonance; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).

2. The elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

Not covered by reimbursement:

1. Medical treatment at one's own expense (no designated hospital or referral form), drugs purchased at one's own expense, drugs that cannot be reimbursed according to the regulations of public medical care and medical expenses that do not meet the requirements of family planning;

2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses;

3. Legal basis of medical expenses for car accidents, fights, suicides, alcoholism, work-related injuries and medical accidents: Article 30 of People's Republic of China (PRC) Social Insurance Law The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should be paid by the work-related 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 is paid in advance