Can chronic diseases be reimbursed by going to a pharmacy to buy medicine?

Whether chronic diseases can be reimbursed by going to pharmacies depends mainly on the personal medical insurance situation and whether the drugs purchased belong to the medical insurance catalogue.

First, understand the medical insurance policy

First of all, you need to know the local medical insurance policy, including medical insurance coverage, reimbursement ratio, reimbursement limit and so on. Different regions may have different medical insurance policies. Therefore, understanding and familiarity with local medical insurance policies is the basis for judging whether reimbursement can be made.

Second, confirm whether the drug is in the medical insurance catalogue.

Secondly, it is necessary to confirm whether the purchased drugs belong to the medical insurance catalogue. Only drugs in the medical insurance catalogue can enjoy medical insurance reimbursement. Therefore, when purchasing a drug, you can ask the pharmacy staff whether the drug is in the medical insurance catalogue or through the official channels of the medical insurance department.

Three, for medical insurance reimbursement procedures

If the purchased drugs are in the medical insurance catalogue and the personal medical insurance situation meets the reimbursement conditions, then the medical insurance reimbursement procedures can be handled. Generally speaking, it is necessary to provide relevant medical purchase vouchers, medical insurance cards and other documents, and apply and review according to the requirements of the medical insurance department. The specific reimbursement process and requirements can be consulted with the local medical insurance department.

It should be noted that different types of medical insurance (such as employee medical insurance and resident medical insurance). ) There may be different reimbursement rates and limits. Therefore, when handling reimbursement procedures, you need to understand and abide by the relevant regulations.

To sum up:

Whether chronic diseases can be reimbursed by going to pharmacies depends mainly on the personal medical insurance situation and whether the drugs purchased belong to the medical insurance catalogue. When handling reimbursement procedures, you need to understand and abide by local medical insurance policies and regulations.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28 provides that:

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

People's Republic of China (PRC) Drug Administration Law

Article 60 provides that:

The state establishes a basic drug system, selects an appropriate number of basic drug varieties, strengthens the organization of production and storage, and ensures the supply of basic drugs. The state publishes the list of essential drugs, and adjusts the list of essential drugs according to the clinical application practice of drugs, changes in drug standards and the dynamics of newly listed drugs. All essential drugs are included in the reimbursement list of basic medical insurance drugs, and the reimbursement ratio is significantly higher than that of non-essential drugs.