The National Drug Catalog of Basic Medical Insurance divides drugs into three categories. The first category is Category A, which can all be included in the scope of medical insurance reimbursement and is reimbursed according to the proportion of medical insurance. The second category B requires individuals to bear a certain proportion first. After part of the expenses, the remaining part will enter the scope of medical insurance reimbursement and be reimbursed according to the proportion of medical insurance. Category III and C. This part of the medicine is not reimbursed and is entirely borne by the individual.
Class A drugs refer to drugs that are formulated uniformly by the state, are necessary for clinical treatment, are widely used, have good curative effects, and are low-priced among similar drugs. The expenses incurred by using such drugs are included in the scope of payment of the basic medical insurance fund. According to the basic medical insurance methods payment of fees. Class B drugs are drugs that are available for clinical treatment, have good curative effects, and are more expensive than Class A drugs among similar drugs.
Medical insurance Category B refers to Category B drugs, drugs for which the basic medical insurance fund has the ability to pay part of the cost. The expenses incurred by using such drugs will first be paid by the insured at a certain proportion, and then included in the scope of payment of the basic medical insurance fund, and the expenses will be paid in accordance with the provisions of the basic medical insurance.
Article 23 of the "Social Insurance Law of the People's Republic of China" Employees shall participate in the basic medical insurance for employees, and the employer and employees shall jointly pay the basic medical insurance premiums in accordance with national regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions and government subsidies.
The government subsidizes the required personal contributions for people who enjoy the minimum living security, disabled people who have lost the ability to work, elderly people over 60 years old and minors from low-income families.