1. Medical insurance category B refers to category B drugs, drugs for which the basic medical insurance fund has the ability to pay part of the cost. Costs incurred by the use of such medicines are first paid by the insured person as a certain percentage of the cost, and then included in the scope of the basic medical insurance fund and paid in accordance with the provisions of the basic medical insurance.
2. Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
Second, what is the process of medical insurance reimbursement
Medical insurance reimbursement process:
1, this article's original ID card or social security card;
2, the original diagnosis of disease certificate issued by a specialist doctor of the third or second level of hospitals in the designated medical institutions;
3, the original outpatient medical records, reports of examination and test results and other medical information;
4, outpatient medical records, examination, test results and other original information;
5, outpatient medical records, examination, test results and other original information;
4, the original receipt of outpatient charges of financial and tax unified medical institutions;
5, the original printed list of outpatient expenses in hospitals** or the original payment of prescriptions issued by doctors;
6, designated pharmacies: the original unified invoice for sales of tax commodities and the original printout list;
7, such as a proxy to provide the original ID card of the proxy.