The difference between Medicare Part A and Medicare Part B

There are 3 differences between MediShield Category A and MediShield Category B:

1. The reimbursement ratio of MediShield Category A: 100% of Category A drugs are reimbursed according to the reimbursement ratio.

2. The reimbursement rate for Medicare Part B: Part of the reimbursement for Part B drugs will be partially paid for and partially reimbursed, and the specific reimbursement rate will vary according to local policies and specific drugs.

2, the two drug regulations are different:

1, the medical insurance class A drug regulations: Class A drugs refers to the national unified development, clinical treatment is necessary, widely used, efficacy, low price of similar drugs, the use of this type of drugs incurred in the cost of the basic medical insurance fund into the scope of coverage, according to the provisions of the basic medical insurance scheme to pay the cost.

2, the medical insurance class B drug regulations: class B drugs refers to the basic medical insurance fund has the ability to partially pay for the cost of drugs, the use of such drugs incurred by the employee to pay a certain percentage of the cost of out-of-pocket expenses, and then included in the scope of the basic medical insurance fund, and in accordance with the provisions of the basic medical insurance to pay for the cost.

Three, the overview of the two are different:

1, the overview of the medical insurance category A: Category A drugs refers to the unified development by the state, the clinical treatment of essential, widely used, efficacious, low-priced drugs in the same class of drugs, the use of this type of drugs incurred by the cost of the basic medical insurance fund into the scope of coverage, and in accordance with the provisions of the basic medical insurance approach to pay for the cost of the drug.

2, the overview of the medical insurance class B: medical insurance class B refers to class B drugs, the basic medical insurance fund has the ability to pay part of the cost of drugs.

Baidu Encyclopedia-Medicare Category A

Baidu Encyclopedia-Medicare Category B