Can diabetes medication be reported to medical insurance?

Diabetes can be reimbursed by medical insurance. At present, diabetes is also included in the scope of chronic diseases in medical insurance in most places, but it should be noted that the regulations on diabetes drugs in urban and rural medical insurance in each region are different. Moreover, the specific reimbursement ratio is different, which needs to be decided according to the types of insurance and local policies.

Reimbursement scope of diabetes medical insurance:

For antihypertensive drugs or hypoglycemic drugs in the new medical insurance drug list, patients should give priority to the drugs in the list, basic drugs, varieties that have passed the consistency evaluation and drugs selected by centralized bidding.

To sum up, diabetes can be reimbursed by medical insurance. At present, diabetes is also included in the scope of chronic diseases in medical insurance in most places.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.