Proportion of medical insurance reimbursement for imatinib in China in 2022

At present, after imatinib is included in medical insurance, China's medical insurance can reimburse 70%~80%, so the price of each bottle of imatinib has dropped a lot, from the original 23,500 yuan per bottle to the current 5,000 yuan per box. Although the price of imatinib mesylate capsules imported from China has dropped sharply, so that more patients can take the drug, the economic burden of long-term drug use is still heavy for patients with financial difficulties or without medical insurance.

First, the documents required for the medical insurance card:

1. If the enterprise helps employees to get it, it is required to provide a copy of the ID card of the person receiving the medical insurance card, a copy of the ID card of the person who needs to get it and the official seal of the enterprise;

2. Individuals who receive medical insurance cards by themselves need to provide payment vouchers, card-taking vouchers and original ID cards;

3. If it is collected by others, the original ID card and power of attorney of the consignee shall be provided.

Two, medical insurance reimbursement conditions are:

1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital.

2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations.

3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.