Medicare reimbursement classification A B C

I. How is Medicare Class A, B and C categorized?

1. Class A medicines

are necessary for clinical treatment, widely used, effective, and low-priced among similar medicines. Participants using this type of drugs, can be fully included in the scope of reimbursement, reimbursement in accordance with the prescribed proportion.

2. Category B medicines

are medicines that can be used for clinical treatment, have good therapeutic effects, and are more expensive than Category A medicines in the same category. When a participant uses a Class B drug, a certain amount of personal out-of-pocket expenses will be deducted according to the proportion (specified by each region), and then the remaining expenses will be included in the scope of reimbursement and reimbursed according to the specified proportion.

3. Class C drugs

are not covered by basic medical care, and most areas require 100% personal out-of-pocket payment. Of course, there may be some areas will be reimbursed some of the specific can look at the hospital invoice on the "self-care ratio" column. The first thing you need to do is to get your hands on a new pair of shoes or boots, and you'll be able to get your hands on a new pair of shoes or boots.

In short, regardless of Class A, Class B, Class C, or outpatient, inpatient, most hospital invoices or hospitalization fee details will be on each drug, medical materials, inspection, laboratory tests, and other costs of the "self-care ratio" to mark. If you don't, you're probably going to have to go to a hospital that's not a designated medical center.

In daily life, illness is inevitable, so in the hospital registration to see a doctor, it is not difficult to find the use of health insurance to see the doctor, is required to reimbursement. Then, the medical insurance reimbursement is divided into three categories of medical insurance catalog. Of course, the use of medical insurance to buy drugs is not all pharmacies can be used, only medical insurance designated pharmacies can use medical insurance reimbursement.

ii. Professional insurance planner reminds you that in the case of drugs in the drug catalog, completely out-of-pocket. In addition can be completely supplemented with some commercial insurance on a sub-basis.

The characteristics of health insurance are: wide coverage, low coverage. The scope of coverage and reimbursement is very limited: the starting line is not reported, the ceiling line is not reported, the personal out-of-pocket expenses are not reported, and the personal out-of-pocket expenses are not reported.

1. Only reimbursement of the costs of the medical insurance catalog

The costs of treatment within the catalog can be reimbursed. The first is a proportionate reimbursement for Class A drugs, Class B drugs are partially paid for, Class C drugs are fully paid for, and imported special drugs are not reported.

2. Limitations on the amount of benefits

Most cities have limitations on the maximum amount of coverage, with some cities having a maximum of 300,000 USD, which is too much for many people to pay for the high cost of medical care.

3. There is a limit to the reimbursement rate

Currently, there is no place where the health insurance can reimburse 100%.

4. The inconvenience of foreign medical treatment

In the non-members of the designated medical institutions will not be reimbursed; in the mainland outside of the treatment will not be reimbursed.