Job Recruitment Website - Social security inquiry - Can you get reimbursed for medicines bought at a medical insurance pharmacy
Can you get reimbursed for medicines bought at a medical insurance pharmacy
You can only buy drugs at designated pharmacies. In the designated retail pharmacy to buy drugs, if the participant participated in the health insurance personal account can use the funds in the personal account to buy drugs; in addition, the financial account of the social security card if there are deposited funds also have the same as ordinary bank card payment function can be used to buy drugs. If the accumulated amount in the personal account of a participant in the first grade of basic medical insurance exceeds 5% of the average salary of the on-the-job workers in the city in the previous year, the excess can be used to pay for the following expenses: (a) the cost of non-prescription medicines within the scope of the catalog of medicines of the basic medical insurance and the local supplemental medical insurance purchased by the participant at the designated retail pharmacy; (b) out-of-pocket payment of basic medical care expenses for the participant, his/her spouse who has participated in the basic medical insurance of the city, and his/her relatives in the designated medical institutions. (b) Basic medical expenses and local supplementary medical expenses paid out of pocket during medical consultations; (c) Health check-ups and preventive inoculation expenses for the person and his/her spouse and immediate family members who have participated in the city's basic medical insurance; and (d) Other medical expenses as stipulated by the State, Guangdong Province and the city. Article 30 of the Social Insurance Law of the People's Republic of China excludes the following medical expenses from the scope of payment by the basic medical insurance fund: (1) those that should be paid from the Workmen's Compensation Insurance Fund; (2) those that should be borne by a third party; (3) those that should be borne by the public health authorities; and (4) those that are incurred outside China. If the medical expenses should be borne by a third person in accordance with the law, and the third person does not pay or the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after making the payment in advance.
Objective law:Article 28 of the Social Insurance Law of the People's Republic of China is in line with the basic medical insurance drug directory, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund. Article 29 of the Social Insurance Law of the People's Republic of China (PRC) states that the portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance treatment by insured persons.
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