The reimbursement rate for Medicare Part A and Part B varies from place to place.
Category A drugs are reimbursed at 100% of the reimbursement rate. Category B drugs are reimbursed partly out-of-pocket and partly on a reimbursement basis, which varies according to local policies and specific drugs.
The medical insurance catalog is screened according to the national essential drugs catalog, and category A and B are determined according to the efficacy-price ratio, that is to say, the efficacy of the exact and low-cost are included in category A, do not need to pay out-of-pocket. The first is that the first two are the same, and the second is that the first two are the same, and the third is that the first two are the same, and the third is that the first two are the same, and the third is that the first two are the same.
For example, the reimbursement for Category B drugs in Yibin is as high as 100 percent. The Yibin Municipal Bureau of Human Resources and Social Security stipulates that for insured residents within the city, the implementation of the zero-differential rate sales of basic drugs in township central health centers, health centers (community health service centers), the use of basic drug list of drugs, which belong to the class B drugs, with reference to the class A drugs do not have a personal out-of-pocket ratio.
In addition, the local labor and social security bureau of health insurance category B varieties have the right to adjust, transfer in and out of the total amount of control in the number of varieties within 15%, while all localities do not have the right to health insurance category A varieties to do adjustments.
Expanded
On February 23rd, the Ministry of Human Resources and Social Security announced the "National Basic Medical Insurance, Workers' Compensation Insurance and Maternity Insurance Drug Catalog (2017 Edition)" (hereinafter referred to as the "new version of the Drug Catalog") and issued a related notice. The new version of the drug catalog consists of four parts: vanilla, western medicines, proprietary Chinese medicines and traditional Chinese medicines, of which the western medicines and proprietary Chinese medicines part*** contains 2,535 medicines, which is 339 more than the 2009 version of the catalog, an increase of about 15.4%.
The Ministry of Human Resources and Social Security requires that the social insurance authorities of all provinces (autonomous regions and municipalities) shall not make adjustments to Category A drugs in the new version of the drug catalog and shall make adjustments to Category B drugs in strict accordance with existing laws, regulations and documents.
The Ministry of Human Resources and Social Security requires that, regarding the adjustment of Class B drugs, all provinces (autonomous regions and municipalities) should release the local drug catalogs for basic medical insurance, work-related injury insurance and maternity insurance before July 31, 2017. The number of adjustments (including transfers in, transfers out, and adjustments to the limited scope of payment) shall not exceed 15% of the national number of Class B drugs. The adjustment of Class B drugs in each province (region and city) shall be reported to the Ministry of Human Resources and Social Security for the record in accordance with the regulations.
Examination of information: Baidu Encyclopedia? Medical insurance Class B (Class A and B difference part)?
People's Daily Online? Yibin medical insurance policy adjustment Class B drugs 100% reimbursement,
People? The new version of the medical insurance drug catalog announced