What is the reimbursement ratio of social security drug purchase?

Social security can pay part of the cost of medicine.

First, the factors that determine the reimbursement ratio of social security drugs

The reimbursement rate of social security drugs is not fixed, and it is influenced by many factors. First of all, different regions may have different social security policies and reimbursement standards, resulting in different reimbursement ratios. Secondly, the type of social security purchased by individuals will also affect the reimbursement ratio. For example, different types of social security, such as social security for urban workers and social security for urban and rural residents, may be different in drug reimbursement. In addition, the type and price of drugs are also important factors affecting the reimbursement ratio. Some high-priced drugs or imported drugs may have a low reimbursement rate or may not be reimbursed.

Second, how to check the reimbursement ratio of social security drugs?

In order to know the reimbursement rate of social security drugs in their own area, individuals can inquire through the following channels. First of all, you can go to the local social security bureau or medical insurance center for consultation, and they will provide detailed reimbursement ratio and policy information. Secondly, you can make inquiries by calling the social security service hotline or logging in to the official website of the Social Security Bureau. In addition, some third-party platforms also provide social security inquiry services, but it is necessary to pay attention to choosing a formal and credible platform for inquiry.

Third, ways to increase the reimbursement ratio of social security drugs.

Although the reimbursement rate of social security drugs is affected by many factors, individuals can still improve the reimbursement rate through some methods. First of all, you can choose to buy higher-grade social security, which usually means higher reimbursement ratio and wider reimbursement scope. Secondly, we can pay attention to the national and local governments' medical insurance policies and find out whether there are reimbursement concessions for specific drugs or diseases. In addition, maintaining good health habits and awareness of prevention and reducing the risk of illness are also effective ways to indirectly increase the proportion of reimbursement.

To sum up:

The reimbursement rate of social security drugs is influenced by many factors, such as region, social security type, drug type, price and so on. Individuals need to inquire about the specific reimbursement ratio and policy information according to their own situation. At the same time, individuals can improve the reimbursement rate of social security drugs to some extent by choosing a higher level of social security, paying attention to medical insurance policies and maintaining healthy living habits.

Legal basis:

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

Article 28 provides that:

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.

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

Article 29 provides that:

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.

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

Article 30 provides that:

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;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.