What is the difference between the expenses in the medical insurance catalogue and those outside the catalogue?

What's the difference between medical insurance catalogue and out-of-catalogue expenses? Let's take a look at it with the social security network!

1 Expenses in the catalogue: medical insurance can be reimbursed, which generally refers to "expenses within social security".

2 Out-of-catalog expenses: medical insurance is not reimbursed, such as some newly listed anticancer drugs, imported drugs, expensive innovative drugs, patented drugs, etc. And you need to pay for it yourself.

There are three main categories of medical insurance reimbursement catalogues, including drug catalogues, diagnosis and treatment catalogues and medical service facilities catalogues. Only the expenses in the catalogue can be reimbursed. If the medical expenses fall into these three categories, they can be reimbursed; If not, they can only pay for it themselves.

1 drug list: the drug list of basic medical insurance refers to the drug list necessary to ensure the clinical treatment of insured employees, which is included in the basic medical insurance coverage. It is a way to manage the scope of basic medical insurance drugs. It mainly includes Class A and Class B drugs. Class A drugs are necessary for treatment, cheap and easy to use, and can be reimbursed 100%. Class B drugs are optional and easy to use, but the price will be slightly more expensive. Generally, 70%-80% will be reimbursed. However, some nourishing and health-care drugs are generally outside the drug list, such as diet pills and hangover drugs.

2 diagnosis and treatment catalogue: it is mainly the items that are necessary for treatment, exact in curative effect, but expensive, such as hemodialysis. But cosmetic surgery is not in the catalogue.

Catalogue of medical service facilities: the necessary service setting fees in the process of diagnosis and treatment, such as bed fees. , but the escort fee and care fee are not in the catalogue and are not included.