The difference between Class A and Class B of the National Health Insurance
1. The drugs in the "Class A List" are those that are necessary for clinical treatment, widely used, have good therapeutic effects, and are less expensive than their counterparts in the "Class A List". The drugs in the "Class B List" are those that can be used for clinical treatment, have good therapeutic effects, and are slightly more expensive than those in the "Class A List".
2. The "Category A List" is formulated by the state and cannot be adjusted by localities. The "Class B List" is formulated by the State, and each province, autonomous region and municipality directly under the Central Government may make appropriate adjustments according to the local economic level, medical needs and medication habits, and the sum of the number of varieties to be increased and decreased shall not exceed 15% of the total number of medicines in the "Class B List" formulated by the State.
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3. The cost of drugs in the "Class A List" shall be paid by the basic medical insurance fund in accordance with the regulations; the cost of drugs in the "Class B List" shall be paid by the insured person in accordance with the regulations of the basic medical insurance after he/she has paid a certain proportion of the cost out of his/her own pocket first. p>For the drugs in the Class B catalog, each region has the right to adjust 15%. Each region can set a certain individual out-of-pocket percentage for Class B drugs according to the fund's affordability, and then pay according to the provisions of basic medical insurance. The drug catalogs of industrial injury insurance and maternity insurance are all reimbursable, regardless of categories A and B.
For the anti-AIDS drugs provided free of charge by the state and the anti-tuberculosis, anti-malarial and anti-schistosomiasis drugs involved in the national basic public **** health program, if the insured persons use them and they are in line with the scope of the payment for public **** health, the basic medical insurance, labor injury insurance and maternity insurance funds will not pay for them; if they are not in line with the scope of the payment for public **** health, the basic medical insurance, labor injury insurance and maternity insurance funds will pay for them according to the regulations. pay in accordance with the regulations.
Reference:
Medicare Category B - Baidu Encyclopedia