Rivaroxaban belongs to Class B medical insurance. The expenses incurred in the use of such drugs shall be paid by the insured first, and then included in the scope of payment of the basic medical insurance fund, and paid according to the provisions of the basic medical insurance.
The medical expenses incurred after the insured person is referred to another hospital shall be paid by the individual or unit in cash. After the end of medical treatment, the insured person or his agent will submit the referral approval form, medical record certificate, prescription and valid documents to the medical insurance agency for reimbursement of hospitalization expenses that fall within the scope of the overall fund payment.
The drugs reimbursed by medical insurance are specific, and only drugs in the medical insurance catalogue can be reimbursed, but drugs outside the medical insurance catalogue cannot be reimbursed, such as many expensive imported innovative drugs and patented drugs. So communicate with the doctor before taking medicine. If you want to save money, use the medicine in the catalogue.
Extended data:
There are designated institutions for medical insurance. Be sure to remember where your designated hospital is when you join the insurance. Only when you go to a designated hospital for medical treatment and hospitalization can you be reimbursed. If you go to a non-designated medical institution, there is no way to reimburse the treatment expenses, and you can only bear it yourself. The same is true for buying medicine. Only designated pharmacies with medical insurance can swipe their medical insurance cards to buy medicines, and other pharmacies can only pay their own money.
The drugs reimbursed by medical insurance are specific, and only drugs in the medical insurance catalogue can be reimbursed, but drugs outside the medical insurance catalogue cannot be reimbursed, such as many expensive imported innovative drugs and patented drugs. So communicate with the doctor before taking medicine. If you want to save money, use the medicine in the catalogue.
After continuous adjustment and improvement, the scope of drug protection has been expanded. The new version of the adjusted drug list ***2 15 1 contains 260 varieties of western medicine and Chinese patent medicine, 260 varieties more than the old version of the drug list, which has taken a big step to solve the problem of people's difficulty in seeing a doctor.
China medical insurance-six rules for reimbursement of medical insurance.
China medical insurance-medical insurance drug list query