Epidemic normalization, the mask is a necessity for the family, why can not brush medical insurance?" Recently, Zhengzhou citizens to Elephant News to reflect his drugstore to buy masks encountered a scene.
Medicare card in the end can not buy this life necessities? Many people have questions, for this problem, the reporter also visited a number of pharmacies, and to the competent authorities to consult to understand.
Pharmacy clear: masks are not in the brush health insurance scope
"Can not brush, masks are medical devices, not in the brush health insurance scope." March 31, in Zhengzhou, a pharmacy, the reporter just raised doubts, the pharmacy owner immediately gave the answer.
Perhaps more people consulting, in order to save trouble, the owner of the drugstore deliberately set up a shelf in front of the store, which clearly indicates that "this cabinet does not brush the health insurance card," the shelf alcohol disinfectant, medical hand sanitizer, iodophor, and other external antiseptic, but also medical masks, cotton swabs and so on.
In a short distance from the other two chain drugstores, the staff said directly, the whole Henan pharmacy sells masks, regardless of whether it is not a medical class, are not able to brush the medical insurance card.
The reporter posted in a pharmacy "Zhengzhou City health insurance policy bulletin board" to see, about the health insurance payment in the designated retail pharmacy can be used within the scope of clearly written, in the pharmacy to buy medicines, food and health health health food, approved by the health department of the extermination of the class of supplies, household medical (health care) equipment and medical consumables, etc., can brush the health insurance card. The company's website has been updated with the latest information on the company's website, including its website.
"Although this is written above, but our provincial and municipal health insurance system does not have this item, if you brush is brush, in order to this point of money, can not be put aside to violate the regulations." A pharmacy owner said.
Multiple provinces and cities issued a new regulation medical masks into the scope of the medical insurance card
Why can't masks brush the medical insurance card? This controversy has been a long time, under the epidemic in the past two years, many provinces and cities also have new regulations, medical masks, new crown antigen kit into the scope of medical insurance.
March 25, in the "Shenyang City, the new coronavirus pneumonia epidemic prevention and control work," the 58th press conference clearly stipulated that the new crown antigen test items and the corresponding reagents into the Shenyang City, the medical insurance catalog management scope, can use the medical insurance personal account payment, and in the pharmacy to buy the mechanical size of the medical masks can also use the The newest and most important of all, the newest and most important of all is the newest and most important of all.
Back in 2020, the Xi'an Municipal Bureau of Human Resources and Social Security issued a public announcement "Xi'an will be the treatment of new coronavirus pneumonia 12 diagnostic and treatment items and medical supplies into the scope of reimbursement of the medical insurance", which medical supplies in the protective clothing, isolation gowns, ordinary goggles, R95 masks, N95 masks, as well as other medical masks in the reimbursement of the scope of the medical insurance.
In addition, Shandong, Yunnan and other places, in accordance with the national and local health insurance bureau on the scope of the social security card health insurance personal account brush the relevant provisions of the insured person in the designated retail pharmacy to buy masks, such as belonging to the disposable medical materials or medical devices (food and drug equipment, drug supervision and medical equipment) range, you can use the personal account of the health insurance payment.
There are still some places, the epidemic serious period, the health insurance bureau policy to relax the retail pharmacy can sell some medical equipment, such as masks, alcohol elimination supplies, but to be normalized after the epidemic, many provinces and cities once again resumed the implementation of the original provisions.
Will the province include masks in health insurance?
It can be seen that the drugstore to buy masks can not brush the health insurance card, but also with the specific local policy. For example, in January 2021, the Nanjing Municipal Health Insurance Bureau responded to public concerns by pointing out that, according to the state and related policies, public **** health costs and related consumption not directly related to the disease shall not be included in the scope of payment of health insurance. Masks for personal hygiene and epidemic prevention materials, and disease treatment is not directly related to the current scope of the health insurance catalog, the need for participants to purchase at their own expense.
But predictably, in the last two years under the normalization of the epidemic, the policy is also gradually loosening, many places are gradually masks, disinfection supplies into the scope of medical insurance.