Social security card reimbursement scope

The scope of medical insurance card reimbursement is generally more specific. In terms of drugs, general class A drugs can enjoy full reimbursement, class C drugs need to bear all the expenses, and class B drugs need to be reimbursed 80% and bear 20%. Class A and B drugs are determined by the state, and are mainly classified according to the commonly used, generic and basic grades. Provinces shall not adjust the drugs of Class A in the national drug list, and the sum of the transferred and transferred drugs of Class B shall be controlled within 15% of the total number of drugs of Class B in the national drug list. Class A drugs are paid in strict accordance with the provisions of the basic medical insurance, and class B drugs are determined by the overall planning area according to the actual situation. Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.

Legal objectivity:

Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.