Medicare Class B drugs refer to Class B drugs, and the basic medical insurance fund has the ability to pay part of the expenses. The expenses arising from the use of such drugs shall be paid by the insured according to a certain proportion, and then included in the scope of payment of the basic medical insurance fund, and the expenses shall be paid according to the provisions of the basic medical insurance.
Extended data:
The difference between grade a and grade b
Class A Otc is marked in red, Class B otc is marked in green, and Class A and B drugs are covered by medical insurance.
In the Measures for the Administration of Over-the-counter Drugs, Class A drugs must be sold in pharmacies, and Class B drugs can be sold in ordinary commercial enterprises and other places, but they must be examined and approved by the local drug supervision and administration department at or above the prefecture level, and eligible drugs can be issued with a quasi-sale sign. The medical insurance catalogue is selected according to the national essential drugs catalogue, and Class A and Class B are determined according to the price ratio of curative effect, that is to say, those with exact curative effect and low cost are included in Class A, and there is no need to pay, while Class B basically has a self-payment ratio, which is determined by each locality. In addition, the local labor and social security bureaus have the right to adjust the medical insurance category B varieties, and the total amount of transfer-in and transfer-out is controlled within 15% of the number of varieties, while all localities have no right to adjust the medical insurance category A varieties.
When it is used in outpatient service, it can be paid with the medical insurance personal account on the card.
When used in a hospital, when class B drugs and other expenses are settled by the insured, after class B pays 10%, they are counted as basic medical expenses together with class A expenses, and the part exceeding the hospital deductible expenses enjoys the proportion of overall payment (more than 80% for urban workers' medical insurance and 40% for urban residents' medical insurance).
Simply put, when you are in hospital, you should pay more. Reimbursement for medical insurance hospitalization —— After paying 10% of Class B expenses, more than 80% of the expenses exceeding the threshold fee can be "reimbursed" (occupational insurance). You don't have to pay cash in advance, but you will be reimbursed by the bill. Instead, when hospitalized in a designated medical insurance hospital, the medical insurance card will be issued, so that the unified medical insurance settlement system can read the information of the insured and handle the hospitalization number. When you leave the hospital, the medical insurance system will not charge you the "reimbursement" part-the overall payment part.
References:
Baidu encyclopedia-medical insurance a Baidu encyclopedia-medical insurance b