A basic medical insurance drug catalog
The basic medical insurance drug catalog is the policy basis and standard for the payment of drug expenses by the funds of medical insurance, workers' compensation and maternity insurance, as well as for the reimbursement of drug expenses of the insured persons. The basic medical insurance drug catalog is the policy basis and standard for the medical insurance, work injury insurance and maternity insurance fund to pay for the drug costs of the insured. The medicines in the medical insurance drug catalog are also divided into "Class A" and "Class B". Class A medicines are those that are necessary for clinical treatment, widely used, have good therapeutic effects, and are low-priced among similar medicines, and are fully included in the scope of reimbursement and reimbursed in accordance with the stipulated percentage. Category B drugs are drugs that can be used for clinical treatment, have good therapeutic effects, and are more expensive than Category A drugs in the same category. A certain amount of personal out-of-pocket expenses will be deducted according to the proportion (which varies from place to place), and then the remaining expenses will be included in the scope of reimbursement and reimbursed in accordance with the prescribed proportion.
Two, diagnostic and treatment items directory
Diagnostic and treatment items directory refers to a variety of medical technology and labor projects and the use of instruments, equipment and medical materials for diagnosis and treatment of the following conditions, the requirements for clinical diagnosis and treatment necessary, safe and effective, appropriate cost of diagnostic and treatment items; by the price, the health sector has developed a fee for the diagnostic and treatment items; by the fixed-point health care institutions for the insured person Provided by the designated medical institutions for the participants within the scope of medical services diagnostic and therapeutic items.
Three, medical service facilities directory
Medical service facilities directory refers to the designated medical institutions provided by the participants in the process of diagnosis, treatment and care of the living service facilities, including inpatient hospital beds and outpatient (emergency) observation beds. The medical insurance card can be taken out. But to meet certain conditions, the following three cases can be taken out:
1, the termination of the use of health insurance card, such as the death of the participant, relatives can be certified with the death of the withdrawal procedures;
2, the participant can be emigrated to the withdrawal procedures;
3, transfer of the transfer of foreign countries, the balance of the account of the health insurance can be transferred to the new account.
Medicare card money is credited on what day of the month
The reimbursement of contribution reimbursement can be made in 2-3 days after the payment is made. The individual portion of the unified health insurance payment arrives at the end of each month. The medical insurance company will allocate a certain percentage of the contribution salary, age, etc. to the individual account, 12 times a year. The social medical insurance card, referred to as the medical insurance card or medical insurance card, is a special card for the medical insurance personal account, using the personal ID card as the identification code, and storing detailed information such as the personal ID card number, name, gender, as well as the allocation of the account funds, and the consumption situation. The medical insurance card is organized by the local designated agent bank and is a kind of multifunctional debit card of the bank.
Legal Basis
The Social Insurance Law of the People's Republic of China
Article 23 Employees shall participate in the basic medical insurance for employees, and shall pay the basic medical insurance premiums by the employing organization and the employees in accordance with the state regulations***.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.