Class A drugs shall be reimbursed at the reimbursement rate of 100%. Class b should pay part of its own expenses and reimburse part of it. The specific reimbursement ratio varies according to local policies and specific drugs.
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 definite 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, and the self-payment ratio of the same drug is different in different provinces and cities.
For example, the reimbursement amount of Class B drugs in Yibin City is as high as 100%. Yibin Municipal Bureau of Human Resources and Social Security stipulates that township central hospitals and health centers (community health service centers) that implement zero-difference sales of essential drugs to insured residents in the city use drugs in the list of essential drugs, among which the reference drugs belonging to Class B drugs do not have an individual self-payment ratio.
In addition, the local labor and social security bureaus have the right to adjust the B-type varieties of medical insurance, 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 A-type varieties of medical insurance.
Class A drugs are necessary for clinical treatment, which are widely used and have good curative effect, and the price is lower among similar drugs. It is formulated by the state and may not be adjusted by all localities. The expenses incurred in using "Class A drugs" shall be paid according to the provisions of basic medical insurance.
"Class B" drugs can be used for clinical treatment with good curative effect, and the price of similar drugs is slightly higher than that of "Class A" drugs; "Class B drugs" are formulated by the state, and all provinces and cities make appropriate adjustments according to the local economic level, medical needs and medication habits, but they cannot exceed the "Class B drugs" formulated by the state, and 15% of the total expenses unrelated to medical insurance, that is, the so-called class C expenses, are all paid in cash.