What does insurance reimbursement mean within social security?

The scope of social security refers to our medical insurance catalogue, including medical insurance drugs catalogue, diagnosis and treatment items catalogue and medical service facilities. The medical expenses are within the scope of the medical insurance catalogue, and medical insurance can be reimbursed. Beyond the scope of the catalogue, you can only pay for it yourself.

1. The medical insurance drug list is divided into Class A and Class B. ..

Class A: Drugs that are necessary and widely used in clinical treatment, with good curative effect and low price.

Class B: Drugs with better clinical efficacy.

At present, 1858 drugs belong to Class A, and 8 17 drugs belong to Class B, which belongs to the scope of medical insurance reimbursement. The remaining 192455 species belong to Class C, which is totally out of the scope of medical insurance. To put it bluntly, 98% of drugs need to be paid out of their own pockets.

In addition, there are: diet pills, hangover drugs, specific drugs for infertility and many serious diseases, and imported drugs that cannot be reimbursed.

2. The diagnosis and treatment project directory

Clinical diagnosis and treatment is necessary, safe and effective, and the cost is appropriate. The price department has formulated the charging standard for diagnosis and treatment items. Such as X-ray fluoroscopy, photography, laboratory examination, physical therapy and acupuncture.

Registration fee, medical record fee, beauty project and cosmetic project cannot be reimbursed.

3. Catalogue of medical service facilities

The service facilities provided by designated medical institutions necessary in the process of diagnosis, treatment and nursing. Ambulance, hospitalization escort fee, washing fee and other expenses cannot be reimbursed.

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