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.
legal ground
Legal Basis of People's Republic of China (PRC) Social Insurance Law
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Rivaroxaban tablets are covered by medical insurance.
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.
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.
Extended data
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.
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.
If you can't see it in a designated medical institution, you have to apply for referral before you can go to a better hospital for treatment. 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.
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.