Job Recruitment Website - Social security inquiry - How many kinds of drugs can social security reimburse?
How many kinds of drugs can social security reimburse?
If it is an on-the-job employee, the medical expenses of more than 2,000 yuan can only be reimbursed after seeing a doctor in the outpatient and emergency department of the hospital, and the reimbursement ratio is 50%. For retirees under the age of 70, the expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 70%. For retirees over 70 years old,180% of the expenses above 300 yuan can be reimbursed. No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20 thousand yuan. For example, if you are an on-the-job employee, and the outpatient medical expenses are 2,500 yuan, then 500 yuan can reimburse 50%, that is, 250 yuan. In case of hospitalization expenses, employees and retirees should pay the minimum amount 1300 yuan when using the basic medical insurance for the first time in a year. And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.
Legal objectivity:
National Drug List of Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Article 1 (2021) The drug list of 2021contains 2860 kinds of western medicines and Chinese medicines, including 486 kinds of western medicines 1374 kinds of Chinese medicines. In addition, there are 892 kinds of Chinese herbal pieces that can be paid by the fund. All localities should strictly implement the drug list of 202 1, and may not adjust the limited payment scope and classification of drugs in the list by themselves. It is necessary to adjust the information system in time, update and improve the database, and bring the drugs transferred in this adjustment into the scope of fund payment according to regulations, and the drugs transferred out should be transferred out of the scope of fund payment simultaneously.
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