What does the reimbursement scope of medical insurance generally include?
1. List of medical insurance drugs: The list of medical insurance drugs is generally divided into Class A and Class B. All Class A drugs are included in the scope of reimbursement, and then reimbursed according to the prescribed proportion. Class B drugs need to pay a certain proportion first, and the rest are included in the scope of reimbursement, and reimbursed according to a certain proportion. And some drugs can not be reimbursed, such as: diet pills, infertility and other drugs;
2. Catalogue of diagnosis and treatment items: all the necessary, safe, effective and appropriate diagnosis and treatment items in clinical diagnosis and treatment, and the fees are customized by the price department, can be reimbursed. Other items can not be reimbursed, such as registration fee, plastic surgery, dental beauty, etc.
3. Catalogue of medical-related service facilities: generally provided by designated medical institutions. The insured generally needs to receive necessary service facilities during the process of diagnosis, treatment and nursing.
Legal basis: Article 25 of People's Republic of China (PRC) Social Insurance Law.
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.