Added 148 kinds of essential drugs, drugs for major diseases, drugs for chronic diseases and drugs for children. At the same time, medical insurance covers 128 kinds of cancer drugs, which greatly reduces the cost of home medication for cancer.

Some new drugs have been added and some have been reduced. 150 drugs were "kicked out" of the new list because of obvious abuse and low clinical value. The state also clearly stipulates that local drugs are not allowed to make their own medical insurance catalogues, and they are not allowed to take flexible measures to increase the varieties of drugs in the medical insurance catalogues. The scope of the medical insurance quota payment catalogue will not be adjusted.

2. Drug level adjustment

74 kinds of Class B drugs were adjusted to be paid for Class A drugs. China's drug list is divided into three categories according to medical insurance: A, B and C, so it is a good thing. 1974, Class B drugs fully compensated Class A drugs ... The purpose of adjusting the medical insurance catalogue is to better protect residents' health and standardize medical insurance reimbursement and drugs.

What are the scope of medical insurance non-reimbursement?

1. Did not spend money at the designated medical insurance institution.

Only the words "designated medical insurance institutions" and "designated medical insurance hospitals" can be reimbursed with medical insurance cards, otherwise they can only be reimbursed at their own expense.

2. Medical expenses did not reach the scope of medical insurance reimbursement.

There is a minimum amount of medical insurance reimbursement, and the medical expenses consumed in designated hospitals must reach the deductible line to be reimbursed. Until/very

3. The medical expenses are lower than the reimbursement limit of medical insurance.

According to the actual level of national economic development, the starting point is generally between 100 yuan and 1800 yuan. If the cost is too low to reach the insurance threshold, you can only pay for it yourself.

4. Special medical care

Medical expenses incurred by the insured due to cosmetic surgery, weight loss and other reasons will not be reimbursed.

How to pay medical insurance?

Those who have no work unit to participate in social insurance should refer to the method of freelancers participating in social insurance. Freelancers can only participate in endowment insurance and medical insurance. Freelancers and self-employed workers in medical insurance can choose to set up overall funds instead of individual accounts, and pay the basic medical insurance premium at 4.2% of the local average monthly salary in the previous year; You can also choose to pay 8% of the local average monthly salary in the previous year and set up a personal account!

Employees participate in medical insurance, the unit is 6%, and the individual is 2%.

If it is a rural hukou, you can participate in rural cooperative medical insurance.

Medical insurance coverage, urban residents, is set up for those who have not participated in medical insurance for urban workers. The fee is paid for one year and the insurance is guaranteed for one year.

legal ground

Opinions on deepening the reform of medical security system

Second, improve the guarantee mechanism of fair and moderate treatment.

Fair and moderate treatment guarantee is the inherent requirement to improve people's health and well-being. It is necessary to promote the legal medical security system to be more mature and stereotyped, improve the medical security and assistance system for serious and serious diseases, coordinate the high-quality development of various medical security, and steadily improve the level of medical security according to the level of economic development and financial affordability.

(4) Improve the basic medical insurance system. Adhere to and improve the basic medical insurance system and policy system covering the whole people and participating in insurance according to law. Workers and urban and rural residents are classified and guaranteed, and their treatment is linked to payment. The funds are accounted for separately. Unify the overall level of basic medical insurance and medical insurance catalogue, and standardize the method of determining medical insurance payment policy. Gradually bring outpatient medical expenses into the scope of payment of the basic medical insurance pooling fund, reform the individual accounts of employees' basic medical insurance, and establish and improve the outpatient economic security mechanism.

(five) the implementation of medical insurance benefits list system. Establish and improve the medical security treatment list system, standardize the government's decision-making authority, scientifically define the basic system, basic policies, fund payment items and standards, and promote the legalization, scientific decision-making and standardized management of the medical security system. All regions should ensure the smooth implementation of government decrees, and policies beyond the scope authorized by the list shall not be promulgated without approval. Strictly implement the basic payment scope and standards, implement fair and moderate protection, and correct the problems of excessive protection and insufficient protection.

(six) improve the unified and standardized medical assistance system. Establish a timely and accurate identification mechanism for rescue objects and scientifically determine the scope of rescue. We will fully implement the policy of subsidizing key relief objects to participate in insurance payment, and improve the medical expenses relief mechanism for key relief objects. Establish a long-term mechanism to prevent and solve poverty caused by illness. Strengthen the function of medical assistance, reduce medical expenses by defining the diagnosis and treatment plan, standardizing referral and other measures, increase the annual medical assistance limit, and reasonably control the proportion of out-of-pocket expenses within the poverty-stricken population policy.

(seven) to improve the medical treatment cost guarantee mechanism for major epidemics. In emergencies such as sudden epidemic, ensure that medical institutions charge after treatment. Improve the medical insurance payment policy for medical treatment of major epidemics, improve the direct settlement system for medical treatment in different places, and ensure that patients are not affected by medical expenses. Explore the establishment of a medical fee exemption system for special groups and specific diseases, specifically exempting restrictive clauses such as medical insurance catalogue, payment limit and dosage, and alleviating the worries of people with medical needs. Coordinate the use of medical security funds and public health service funds, increase the proportion of payment to primary medical institutions, and realize the effective connection between public health services and medical services.

(eight) to promote the construction of a multi-level medical security system. Strengthen the triple protection functions of basic medical insurance, serious illness insurance and medical assistance, promote the complementary connection of various medical insurances, and improve the level of protection for serious and serious diseases and multiple medical needs. Improve and standardize residents' serious illness insurance, large medical expenses subsidies for employees, medical subsidies for civil servants and supplementary medical insurance for enterprises. Accelerate the development of commercial health insurance, enrich the supply of health insurance products, make full use of the personal income tax policy of commercial health insurance, and study and expand the scope of insurance products. Strengthen the supervision of market behavior and highlight