Legal analysis: Class A drugs are reimbursed at 100% of the reimbursement rate. Category B has to pay part of the out-of-pocket expenses and reimburse part of the reimbursement, and the specific reimbursement rate varies according to local policies and specific medicines.
The medical insurance catalog is screened according to the national essential drugs catalog, category A and B are determined according to the efficacy of the price ratio, that is to say, the efficacy of the exact and low cost are included in the category A, do not need to pay out of pocket. But the B class basically has a self-payment ratio, the same kind of medicine in different provinces and cities, the self-payment ratio is different.
Legal basis: The People's Republic of China Social Insurance Law Article 30 The following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(a) should be paid from the Industrial Accident Insurance Fund (b) should be borne by a third party (c) should be borne by the public **** health (d) outside the country for medical treatment.
Medical expenses shall be borne by the third party according to law, the third party does not pay or cannot determine the third party, the basic medical insurance fund to pay first. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.