Coverage of medical insurance in social security

Legal analysis: medical insurance coverage in social security: According to the provisions of the Social Insurance Law, medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue are paid by the basic medical insurance fund in accordance with state regulations. There are two kinds of basic medical consumables for reimbursement of basic medical insurance drugs, one is the drugs that are basically unified in the whole country and can ensure the basic needs of clinical treatment. The expenses of such drugs are included in the payment scope of the basic medical insurance fund, and the expenses are paid according to the basic medical insurance payment standard. The list of other drugs shall be adjusted by the provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions. Before this kind of drugs are included in the scope of the basic medical insurance fund, they will be paid by employees according to a certain proportion and according to the basic medical insurance payment standard.

Legal basis: Article 23 of the Social Insurance Law? Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 of the Social Insurance Law? The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.