Legal analysis: 1, Category A, the basic medical scope has been fully covered, 100% can be reimbursed.
2, category B, the basic medical category is not fully covered, this will vary from region to region, the general need for personal out-of-pocket part of the hospital's invoice, "price" column, there is also a column after the "self-care ratio" will indicate the need for personal out-of-pocket percentage. Some can be 10%, some 5%, some 3%, some 0%.
3, category C, the basic medical care is not covered, most areas are required to pay 100%. Of course, there may be some areas will be reimbursed some; specific hospital invoices can be seen on the "self-care ratio" column.
4, in short, regardless of Category A, Category B, Category C; whether outpatient, or hospitalization, most hospital invoices or hospitalization charges in the details of the invoice will be for each drug, medical materials, inspection, laboratory tests and other costs "self-care ratio for the label; if not indicated, may be the hospital is a "non-medical insurance hospital! "The company's website has been updated with the latest information on the latest developments in the industry.
Legal basis: "People's Republic of China **** and the State Social Insurance Law"
Article 28 conforms to the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical services and facilities, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.
Article 29 The part of the medical expenses of the insured 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 pharmaceutical business units. The social insurance administrative department and the health administrative department shall establish a system of settlement of medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
Article 30 The following medical expenses are not included in the scope of payment of the basic medical insurance fund: (-) shall be paid from the workers' compensation insurance fund.
The; (2) should be borne by a third person; (3) should be borne by the public **** health; (4) medical treatment outside the country. Medical expenses should be borne by a third party, according to law, the third party does not pay or can not determine the third party, the basic medical insurance fund to pay first
. The basic medical insurance fund first paid, the right to recover from the third party.