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.
Extended data:
Medical insurance reimbursement should pay attention to six rules:
1, pay attention to the designated institutions for medical treatment and drug purchase.
There are medical insurance designated institutions! When participating in insurance, you must remember where your designated hospital is, and you can only be reimbursed if you go to a designated hospital for medical treatment; 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.
2. Don't transfer to another hospital without permission.
Some diseases can't be seen in designated medical institutions. If you want to go to a better hospital for treatment, you must first apply for referral, and the referral with complete procedures can be reimbursed; If you don't apply for referral, it is still equivalent to going to a designated medical institution that you have no choice, and you still can't reimburse. There is often a gap in the reimbursement ratio. Generally speaking, the higher the level of hospital treatment, the lower the reimbursement rate.
3. The deductible can only be applied for medical insurance if it crosses the line.
Medical insurance has a deductible, and you can only reimburse it if you pay that amount first. For example, X stipulates that the outpatient deductible line is 1.800 yuan, and if the total amount of outpatient medical treatment in one year is less than 1.800 yuan, all the money must be paid by yourself; And if it exceeds 1800 yuan, it can be reimbursed. At the same time, medical insurance also has a cap line, which means that medical insurance can give you the most money, and the excess money cannot be reimbursed.
4. Some medicines cannot be reimbursed.
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.
5. Some special surcharges cannot be reimbursed.
It is common to be hospitalized in your private room or to ask for special services, such as specialized doctors and nurses. These are not reimbursable. If you really have special needs, pay for it yourself.
6. Be careful not to exceed the time limit for reimbursement.
Social security card must be used to settle all kinds of expenses when leaving the hospital. Special circumstances can not be settled immediately, you can later take documents and vouchers to the medical insurance department for manual reimbursement of medical expenses. But we must hurry up at this time, because there is often a time limit. For example, some local medical insurance departments will conduct liquidation before the end of the year, and they will not be reimbursed after the deadline. Don't forget to reimburse the medical expenses because of carelessness. You can only bear these expenses yourself after the deadline.
China medical insurance-medical insurance drug list query
China medical insurance-six rules for reimbursement of medical insurance.