Class B drugs: drugs that can be used for clinical treatment and have good curative effect, and the price is higher than that of class A drugs at the same level. When the insured uses Class B drugs, Class B should pay 10%, and 90% should enter the basic medical expenses; Class C is at its own expense.
The National Drug Catalogue of Basic Medical Insurance divides drugs into three categories:
The first category A can all enter the scope of medical insurance reimbursement and be reimbursed according to the proportion of medical insurance;
The second category 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;
Class III and Class C, these drugs are not reimbursed, and all of them are borne by individuals.
1, Class A, basic medical category has been fully covered, and 100% can be reimbursed.
2. Class B, with incomplete coverage of basic medical care, varies from region to region. There is also a column "self-care ratio" behind the "price" column in some hospitals that generally need individual to pay, which will indicate the proportion that needs individual to pay. Some may be 10%, some 5%, some 3%, and some 0%.
3. Class C, which is not covered by basic medical care, needs to be paid by individuals in most areas 100%. Of course, some areas may also be reimbursed; Specifically, you can see the column of "self-care ratio" on the hospital invoice.
Legal basis:
Interim Measures for the Administration of the Medication Scope of the Basic Medical Insurance for Urban Employees
Eighth basic medical insurance insured to use the "Drug List" drugs, the expenses incurred by the payment according to the following principles.
The expenses incurred in using Class A drugs shall be paid in accordance with the provisions of the basic medical insurance. The expenses incurred in the use of "Category B drugs" shall be paid by the insured according to a certain proportion, and then according to the provisions of the basic medical insurance. The specific proportion of individual pays shall be stipulated by the overall planning area and reported to the administrative departments of labor security of provinces, autonomous regions and municipalities directly under the Central Government for the record.
The expenses incurred in the use of Chinese herbal pieces shall be paid in accordance with the provisions of the basic medical insurance, except for drugs that are not paid by the basic medical insurance fund.