Is hepatitis B long-acting interferon included in medical insurance?

Long-acting interferon of hepatitis B is included in medical insurance.

Interferon B is a drug for reimbursement, and the specific reimbursement ratio can be consulted with the local medical reimbursement agency. Medical insurance refers to social medical insurance. It is a social insurance system that meets the basic medical needs of the state and society according to laws and regulations when workers are sick.

Medical insurance has the characteristics of "low level and wide coverage". The payment is based on the expenses that most units and individuals can bear at a low level, covering all units and employees in cities and towns, and employees in different units can enjoy the rights of basic medical insurance. The insured can enjoy it for life after completing the payment period. Secondly, the basic medical insurance has the characteristics of "the burden of both parties and the combination of unified accounts"; Based on the principle of "balance of payments".

First, the medical insurance reimbursement process:

1. The agent submits the reimbursement documents and other materials to the social security agency for acceptance;

2. After receiving the application materials, the accepting department shall review, settle accounts and pay;

3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form". The medical insurance reimbursement process is relatively simple, and now it has also opened cross-regional medical insurance reimbursement, so you don't have to go back and forth for medical treatment in different places.

Second, the scope and standard of medical insurance reimbursement:

1. Drugs are divided into Class A, Class B and Class C, among which Class A drugs are necessary for clinical treatment and widely used, and the drug expenses of these drugs are reimbursed according to the proportion stipulated by medical insurance. Class B drugs are paid a certain proportion first, and then reimbursed according to medical insurance. The specific reimbursement ratio varies from place to place.

2, diagnosis and treatment project refers to the hospitalization, the use of medical instruments, equipment and medical materials, mainly in two ways, the whole project is included in the scope of medical insurance reimbursement, according to the provisions of the proportion of payment. As a whole, part of the project is paid in advance, and then reimbursed according to the prescribed proportion;

3, medical service facilities standards, refers to the hospital bed fees, outpatient and emergency observation bed fees, etc., the scope and standards of reimbursement vary from place to place. In terms of social security, the scope of medical insurance reimbursement is the items in the medical insurance catalogue, including medicines, medical treatment items and medical service facilities.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 25 The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.