What does medical insurance reimbursement mean?

Legal analysis: medical insurance reimbursement categories A, B and C.

1, the first category A, can all enter the scope of medical insurance reimbursement, calculated according to the local medical insurance reimbursement ratio (100%);

2. Class B, the use of such drugs requires individuals to bear part of the expenses according to a certain proportion, and the rest will enter the scope of medical insurance reimbursement and be reimbursed according to the proportion of medical insurance; The proportion of social security reimbursement for Class B drugs is: individual pays first 10%, and then reimburses according to the proportion of Class A drugs.

3, the third category C, this part of the medicine is not reimbursed, all borne by the individual.

4. "Class A" drugs are necessary for clinical treatment, which are widely used and have good curative effect, and the prices of similar drugs are low; It is formulated by the state and may not be adjusted by all localities. The expenses incurred in using "Class A drugs" shall be paid according to the provisions of basic medical insurance.

5. "Class B" drugs can be used for clinical treatment with good curative effect, and the price of similar drugs is slightly higher than that of "Class A" drugs; "Class B drugs" are formulated by the state, and all provinces and cities make appropriate adjustments according to the local economic level, medical needs and medication habits, but they cannot exceed the "Class B drugs" formulated by the state, and 15% of the total expenses unrelated to medical insurance, that is, the so-called class C expenses, are all paid in cash.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.