Chapter 6 of the Interim Provisions on Basic Medical Insurance for Employees of Jingzhou Municipality: Provisions on Class B Diagnostic and Therapeutic Service Items and Class B Drugs

Article 29 The costs incurred by insured workers for outpatient use of Class B diagnostic and treatment service items and Class B medicines uniformly stipulated by the province shall be implemented according to the outpatient medical treatment and management methods stipulated by the basic medical insurance.

Article 30 The hospitalization of insured workers using the province unified provisions of the Class B diagnostic and treatment services, Class B drugs, should be applied for by the doctor, the director of the clinical department signed, informed the patient or family members to agree to carry out the basic medical costs incurred by the integrated fund to pay 75%, the individual out-of-pocket payment of 25%. Category B diagnostic and treatment services, Category B drugs reimbursement costs into the integrated fund to pay the cumulative.

Article 31: In case of outpatient emergency rescue requiring the use of medicines outside the catalog of medicines of the employees' medical insurance, the expenses incurred shall be implemented in accordance with the outpatient medical treatment of the basic medical insurance. Drugs outside the drug list used for emergency rescue of insured employees hospitalized in the hospital shall be implemented according to the reimbursement treatment stipulated for Class B drugs and settled by social security card. Clinical departments should report the drugs used and their costs to the medical insurance section of the hospital for registration within three days after use, and the medical insurance agency conducts regular audits.

Article 32 The fixed-point medical institutions shall provide the human resources and social welfare departments with materials related to the purchase price of special examination and treatment equipment, clinical indications and therapeutic efficacy, and price and charging standards, etc., which shall be coordinated and confirmed by the human resources and social welfare departments in accordance with the requirements of the regional health planning, and then provide the services for the insured employees, and settle the expenses with the use of the social security card. The medical insurance fund will not pay for all expenses incurred for special examination and treatment instruments that are not confirmed by the human resources and social welfare departments.