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What is the scope of social security benefits
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Hello! I am Li Wei from Weifang People's Insurance Health, glad to be of service to you! The Interim Measures for the Administration of the Scope of Medicines for the Basic Medical Insurance for Urban Employees and Workers put forward different payment principles for different categories of medicines. First, the expenses incurred for the use of drugs in the "Category A List" are included in the scope of payment of the basic medical insurance fund and paid according to the regulations; second, the expenses incurred for the use of drugs in the "Category B List" are first paid by the employees at their own expense for a certain percentage and then included in the scope of payment of the basic medical insurance fund and paid according to the regulations. Secondly, expenses incurred for the use of drugs in the "Class B List" are first paid by the employees at a certain percentage of their own expense, and then included in the coverage of the basic medical insurance fund and paid in accordance with the regulations. Commercial medical insurance is based on the social security reimbursement scope, and the reimbursement rate for Class B drugs is only partial, and the rate depends on the insurance terms and conditions or ask the agent. PICC Health's medical insurance not only reimburses Class B drugs, but also reimburses imported drugs, including drugs not covered by social security. If you have this need, or if there is anything I can help you, you can contact me, I can according to your needs, for you to design a detailed plan, click on my avatar can know my contact information, I wish you good health, work well!
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