Medical insurance to buy medicine reimbursement is how the reimbursement

There are two kinds of reimbursement for using medical insurance card to buy medicine, one is to go to the hospital to buy medicine, and the other is to go to the store of networked medical insurance to buy medicine. First of all, the health insurance is divided into employee health insurance and rural health insurance. If you go to the hospital to buy drugs, we first need to go to the doctor's place to register, if it is a new card, but also to go to the counter machine to open it.

The medical insurance is divided into two accounts, the individual account, embodied in the medical insurance card money, can be used to buy drugs in designated pharmacies

store, outpatient payment and hospitalization costs in the individual out-of-pocket part of the payment; co-ordination of the account, the management of the medical insurance center, the participant incurred in line with the local medical reimbursement of the cost of the co-ordination of the account to pay for the expenses incurred by the local health care insurance. 2: in the medical treatment (hospitalization), the hospital to present the designated hospitals 2: When seeking medical treatment (hospitalization), present your medical insurance card to the designated hospital to prove your insurance status, and when settling the bill, you will pay for the out-of-pocket expenses with your medical insurance card or cash, and the reimbursed expenses will be settled between the medical insurance and the hospital, so you don't need to pay for them before reimbursement. And those medical expenses for outpatient visits are not reimbursed.

Medicare card reimbursement scope:

1, basic medical insurance drug reimbursement Drugs included in the scope of basic medical insurance benefits, divided into Category A and Category B two. Class A drugs are those that are basically uniform throughout the country and can guarantee the basic needs of clinical treatment. The cost of such drugs is included in the scope of payment of the basic medical insurance fund, and the cost is paid according to the standard of payment of the basic medical insurance.

2. Reimbursement for basic medical insurance diagnostic and treatment programs Basic medical insurance diagnostic and treatment programs shall meet the following conditions: (1) necessary for clinical treatment, safe and effective, and appropriate cost; (2) fees and charges set by the pricing department; and (3) within the scope of designated medical services provided by designated medical institutions for the insured.

3. Reimbursement of basic medical service facilities The reimbursement of basic medical insurance medical service facilities covers the living service facilities provided by the designated medical institutions, which are necessary for the participants in the process of receiving diagnosis, treatment and nursing care, and mainly includes inpatient hospitalization bed fees or outpatient (emergency) hospitalization bed fees. Medicines can only be purchased at designated pharmacies. When purchasing medicines at a designated retail pharmacy, if the insured person participates in a health insurance personal account, he or she can use the funds in the personal account to purchase medicines; in addition, the financial account of the social security card, if there are funds deposited in it, also has a payment function equivalent to that of an ordinary bank card that can be used to purchase medicines.

Legal basis: "The People's Republic of China Social Insurance Law"

Article 28: Medical expenses in accordance with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.