Is there any medical insurance reimbursement for Praprofen Eye Drops?

Eye drops are not covered by the national medical insurance reimbursement. The reimbursement of medical insurance card is limited to the medical expenses above hospitalization in designated hospitals due to illness and some accidents. Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and treatment fees cannot be reimbursed according to regulations.

Legal basis: Article 84 of the Basic Medical Care and Health Promotion Law of People's Republic of China (PRC), the state establishes and improves the negotiation mechanism between the basic medical insurance agency and the designated medical and health institutions, scientifically and reasonably determines the payment standard and payment method of the basic medical insurance fund, guides the medical and health institutions to make rational diagnosis and treatment, promotes the orderly flow of patients, and improves the use efficiency of the basic medical insurance fund.

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.

Answered on May 25, 2022

Wei zhaoliang

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