The outpatient reimbursement policy of pharmacies usually refers to the policy that residents can apply to medical insurance institutions for reimbursement of part or all of their expenses after purchasing drugs or seeking medical treatment in pharmacies. Due to the differences between regions and medical insurance policies, different provinces and cities may have different implementation standards and reimbursement scope, which generally need to meet the following conditions: 1) Outpatient medical behavior conforms to the regulations, such as registration, physical examination, inspection, prescription, inspection, etc. 2) Drugs or medical services are in the medical insurance catalogue; 3) It has been included in the scope of local medical insurance. Specific details need to be inquired according to local policies and regulations. In addition, the medical insurance policy is constantly updated and adjusted. It is recommended to pay attention to the relevant policy trends and keep abreast of the latest reimbursement scope and policy implementation standards.
What items does the outpatient reimbursement scope of pharmacy include? The reimbursement scope of general pharmacy outpatient service includes registration, prescription, inspection, inspection and some drug expenses. However, due to the differences between regions and medical insurance policies, the specific scope may be different. You need to check the local medical insurance policy or consult the local medical insurance management department or pharmacy for confirmation.
The outpatient reimbursement policy of pharmacies is one of the important policies to protect residents' basic medical rights. We need to pay attention to the local medical insurance policy, understand the implementation standards and requirements of outpatient reimbursement policy, and avoid unnecessary economic losses. At the same time, we should also arrange medical treatment and drug purchase reasonably according to our actual situation, save medical expenses and promote the construction of national health security system.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.