What do you mean by overlapping medication? How to explain medical insurance?

First of all, understand the significance of drug bidding.

Drug bidding is for the government to control the cost and monitor the quality of drugs, so there is a saying that the price is reasonable and the quality is qualified in general bidding documents.

Let me talk about medical insurance.

There are four kinds of drugs in medical insurance.

First, it is core medical insurance, called essential drugs, which was also called national class A medical insurance before. There is no class A medical insurance now, only basic drugs. This medicine has the highest reimbursement rate. It's easy to find on this website.

The second is Class B medical insurance, also called provincial medical insurance. This range is set by local provincial government agencies, and the reimbursement rate is lower than that of basic drugs.

Third, it is called local medical insurance, and there is also a place called drug thesaurus. In other words, medical insurance is provided by administrative units below the provincial level (usually prefecture-level cities). This medical insurance is equivalent to Class B medical insurance, but the reimbursement rate will be high.

Fourth, drugs that do not belong to the above three categories. This part of medicine is generally not reimbursed.

First, there will be no overlap. The third stroke will overlap with the second stroke, but not with the first stroke. The first, second and third kinds can all be called medical insurance drugs.

Let me answer your question again.

1. According to the latest drug bidding policy, all drugs used in hospitals are generally subject to drug bidding. Whether you have health insurance or not. At present, there are generally two kinds of drug bidding, one is essential drug bidding, and the other is non-essential drug bidding. This includes all drugs. However, it does not exclude some special drugs, patented drugs, imported drugs, or drugs that cannot be replaced clinically. Hospitals will choose to purchase by themselves. But to the drug bidding center for the record. Commonly known as filing procurement. According to local policies and regulations, the proportion of winning drugs used in hospitals is generally not less than 70%. If it is a medical reform pilot hospital, it needs to show that 100% uses the winning drugs.

This issue is generally called "two-vote system" or "two-vote half system". How many checkpoints pass depends on the local bidding policy. For example, in Fujian, Guangdong and other places, in some cases, the "two-vote system" is implemented, that is, manufacturers only have two invoices when they go to the hospital. Manufacturers-local pharmaceutical companies-hospitals-consumers. "Two-vote and half-system" means that manufacturers have their own business enterprises, manufacturers-their own business enterprises or national general agents-local drug business enterprises-hospitals-consumers. This has nothing to do with health insurance. It is only related to the local drug bidding policy.

I believe that after reading the second question, the third question will be clear at a glance.

These are the medicines used in the hospital.

As for drugs used in pharmacies, hospitals and clinics.

Separate. Drugs are used in hospitals and clinics. Because the coverage is too wide, it is difficult for a single local commercial enterprise to distribute drugs, so generally speaking. Drug bidding only limits the price, and there is no restriction on intermediate circulation links. In other words, the medicine you use in the clinic or health center is the manufacturer-business enterprise A-business enterprise B-business enterprise N-health center or clinic.

For drugs in pharmacies, it is only a price limit, but this price is set by the local price bureau. As long as it is not higher than this price, there is no limit to how many companies change hands. This is also the reason why many pharmacies have factory direct sales.

Hehe, you still don't understand. Just asking.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.