How to reimburse medical insurance? What is the reimbursement ratio of medical insurance A, B and D?

First, how to reimburse medical insurance?

Medical insurance reimbursement is divided into two situations:

1, local reimbursement

When you are admitted to the hospital, you should go through the hospitalization formalities with your ID card and medical insurance card, and pay the deposit in advance according to the requirements of the hospital. Ensure that part of the expenses in the hospital are included in the scope of medical insurance reimbursement.

After the admission procedures are completed, they will be transferred to hospital for diagnosis and treatment with the hospitalization form. When you leave the hospital, you need to go to the charging window to handle the discharge settlement with the relevant procedures issued by the doctor.

2. Off-site reimbursement

If medical insurance needs to be directly reimbursed and settled in different places, the reimbursement process: first register for the record, select a designated medical institution, and then hold a card for medical treatment. Reimbursement requires a copy of the original ID card and the original medical insurance card. As well as the admission certificate, discharge certificate, charge documents during hospitalization, total charge documents at discharge, and copies of medical records of diagnosis certificate.

2. What is the reimbursement ratio of medical insurance A, B, C and D?

According to the medical insurance catalogue, medical insurance drugs are divided into three categories: A, B and C, and there is no D.

The first class A is necessary for clinical treatment, widely used, with good curative effect and lower price among similar drugs. The expenses incurred by using "Class A drugs" can all be reimbursed by medical insurance, and be reimbursed according to the local medical insurance ratio (100%);

Class B, which can be used for clinical treatment, has good curative effect, and the price of similar drugs is slightly higher than that of "Class A" drugs; The use of such drugs generally requires individuals to bear part of the expenses according to a certain proportion, and then the rest will enter the scope of medical insurance reimbursement and be reimbursed according to the proportion of medical insurance.

Class III and Class C drugs generally belong to imported drugs or tonic drugs unrelated to treatment. These medical expenses are borne by individuals and will not be reimbursed.