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Can insulin injection at home be reimbursed by social security?
According to Article 28 of People's Republic of China (PRC) Social Insurance Law:
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.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(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.
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.
Insulin belongs to the basic medical insurance drug list, and the behavior of injecting at home is within the scope of basic medical insurance payment, which can be reimbursed by social security.
Extended data:
Animal insulin belongs to Class A medical insurance and can be reimbursed 100%. Human insulin and insulin analogues belong to Class B. According to the medical and health economic situation in different places, the reimbursement ratio is different, generally around 70%. However, due to the high price of insulin analogues, the use of analogues is usually limited to patients with recurrent hypoglycemia, 1 diabetes or brittle diabetes.
The medical insurance system covers all employers in cities and towns, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises and private enterprises). ), institutions, private non-enterprise units and their employees, and must participate in basic medical insurance. Whether township enterprises and their employees, owners of urban individual economic organizations and their employees participate in basic medical insurance shall be decided by the people's governments of all provinces, autonomous regions and municipalities directly under the Central Government.
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