As we all know, in order to reimburse medical expenses must first be within the scope of medical insurance reimbursement, it is reported that the scope of the medical insurance reimbursement in Laibin is the cost of drugs in the directory, the cost of therapeutic preparations self-prescribed by the designated hospitals, the cost of items paid by the medical insurance fund, and the cost of medical materials which can be charged separately by the state, etc., and the following is the detailed introduction. For the health insurance reimbursement strategy, I just happened to organize the relevant content, I hope to help you: 2020 national social security health insurance application reimbursement process!
The scope of reimbursement
1, "Guangxi Zhuang Autonomous Region basic medical insurance and industrial injury insurance drug directory" within the scope of the basic medical insurance fund to pay for the cost of medicines; 2, approved by the municipal administrative department of labor and security into the scope of the basic medical insurance medicines of the fixed-point hospitals of the therapeutic preparation of self-dispensing; 3, "Guangxi Zhuang Autonomous Region basic medical insurance and industrial injury insurance medical services" within the scope of the basic medical insurance and industrial injury insurance medical service items, belonging to the basic medical insurance fund. The items paid by the basic medical insurance fund in the "Basic Medical Insurance and Work Injury Insurance Medical Service Items of Guangxi Zhuang Autonomous Region"; 4. Medical materials that meet the payment standard of the basic medical insurance and can be charged separately as stipulated by the competent departments of the price of the state and the autonomous region. Note that the above drugs, medical services, medical materials are managed in three categories: A, B and C. If the insured person uses the items in categories B and C, he/she will have to pay 5%-35% of the cost before being reimbursed by the medical insurance fund.
Non-payment of fees
The diagnostic and therapeutic items that are not paid for by the basic medical insurance for employees are mainly non-clinically necessary diagnostic and therapeutic items whose effects are uncertain, as well as the diagnostic and therapeutic items of the medical services for special needs, including service items such as registration fees, non-disease treatment items such as cosmetology, therapeutic equipment and medical materials such as hearing aids, and therapeutic items such as magnetic therapy, as well as other items such as infertility treatments. The company's products and services are available in a wide range of categories, including
Tips from Bao: What is the scope of medical insurance reimbursement in Laibin? As you can see from the above, the scope of reimbursement of medical insurance in Laibin is the cost of drugs in the catalog, the cost of therapeutic preparations in the designated hospitals, the cost of items paid by the medical insurance fund, as well as the cost of medical materials that can be charged separately according to state regulations. In addition, the costs incurred for cosmetic and magnetic therapy are not covered by the medical insurance.