Henan Medical Insurance Reimbursement Scope Catalogue 202 1 is a list of medical expenses that can be reimbursed by medical insurance in Henan Province, including drugs, treatment and diagnosis. The catalogue was formulated and published by the Health and Health Committee of the People's Government of Henan Province, with the purpose of standardizing the scope of medical insurance reimbursement and improving the efficiency of medical insurance use. The catalogue will be updated every year and adjusted and revised according to the actual situation. Henan Medical Insurance Reimbursement Scope Catalogue 2021* * is divided into three parts, namely, drug catalogue, diagnosis and treatment project catalogue and material fee catalogue. The drug list includes the list of western medicines, the list of Chinese patent medicines, and the list of Chinese herbal pieces. The catalogue of diagnosis and treatment projects includes various medical services such as surgery, treatment and examination; The material cost catalogue includes all kinds of medical materials and instruments. The items in the medical insurance catalogue can get some insurance reimbursement support. It should be noted that the reimbursement ratio and limit of the items listed in the medical insurance catalogue are different, and the medical insurance policy of that year shall prevail. At the same time, the items that are not in the medical insurance catalogue do not mean that they cannot be reimbursed, and individual approval can be made according to the actual situation.
What is the updating method of Henan medical insurance reimbursement scope catalogue? Henan medical insurance reimbursement scope catalogue will be updated every year, including soliciting opinions, expert argumentation, publicity and other links. The Health and Wellness Committee of the People's Government of Henan Province will invite relevant experts and scholars, medical institutions and people from all walks of life to participate in opinions collection and discussion, and conduct evaluation and demonstration. The final list of medical insurance reimbursement scope will be published in official website and the official media, and it will take effect at the same time.
Henan Medical Insurance Reimbursement Scope Catalogue 202 1 is a list of medical expenses that can be reimbursed by medical insurance in Henan Province, including drugs, treatment and diagnosis. The catalogue will be updated and publicized every year, and adjusted and revised according to the actual situation. The reimbursement ratio and limit of the items listed in the medical insurance catalogue will be different, subject to the medical insurance policy of that year.
Legal basis:
Article 15 of People's Republic of China (PRC) Medical Insurance Law is used to pay medical insurance benefits and management fees. Medical insurance benefits should be reasonable, in line with the payment and management capacity of the medical insurance fund, which is conducive to mobilizing social forces to develop health undertakings. Medical insurance benefits should be implemented through the formulation of medical service prices, drug prices, inspection and treatment project prices, diagnosis and treatment standards, payment methods, etc.