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. It should be noted that the part that enters the basic medical expenses will be reimbursed according to the prescribed proportion and standard after it is higher than the basic medical expenses Qifubiaozhun.

Class A Otc is marked in red, Class B otc is marked in green, and Class A and B drugs are covered by medical insurance.

In the Measures for the Administration of Over-the-counter Drugs, Class A drugs must be sold in pharmacies, and Class B drugs can be sold in ordinary commercial enterprises and other places, but they must be examined and approved by the local drug supervision and administration department at or above the prefecture level, and eligible drugs can be issued with a quasi-sale sign.

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 without payment.

Class b basically has a self-payment ratio, which is determined by each place; 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.

Extended data

National medical insurance reimbursement scope:

1, drug reimbursement for basic medical insurance

Class A and B drugs included in the basic medical insurance coverage can be reimbursed. Among them, Class A drugs refer to drugs that can basically meet the basic clinical needs.

Class B drugs are included in the scope of basic medical insurance payment after the employees pay a certain percentage of the expenses, and the expenses are generally paid according to the basic medical insurance payment standard.

2, the basic medical insurance treatment project reimbursement

The scope of basic medical insurance payment items must be determined in accordance with the scope of basic medical insurance diagnosis and treatment items stipulated by the state. The diagnosis and treatment items that are part of the expenses paid by the basic medical insurance can be paid by the insured in advance and then paid in accordance with the provisions of the basic medical insurance.

Among them, the basic medical insurance diagnosis and treatment project must meet the following conditions: 1, designated medical institutions provide designated medical services for the insured; 2. The charging standard is stipulated by the price part; 3, clinical diagnosis and treatment projects must be safe, effective and reasonable cost.

3. Reimbursement of basic medical service facilities

The reimbursement scope of medical service facilities of basic medical insurance covers the service facilities that the insured person must live in during the process of diagnosis and treatment, including bed fees for outpatient and emergency observation and bed fees for hospitalization.

For some referral transportation expenses, emergency transportation expenses, infant incubator expenses, food incubator expenses, nursing expenses and escort expenses, the basic medical insurance fund cannot reimburse them.

References:

Baidu Encyclopedia-Medical Insurance Class B

References:

Baidu Encyclopedia-Medical Insurance Class A

References:

What are the reimbursement scope of China Merchants Cigna-Universal Health Insurance?