Ningxia: Clear medical insurance medical supplies reimbursement standards

Recently, Ningxia recently issued a policy to provide basic medical insurance, industrial injury insurance and maternity insurance medical supplies in terms of basic payment, limited payment and single product limit, and clarified that the medical product medical supplies single product reimbursement standard up to 50,000 yuan.

According to the newly released “Ningxia Hui Autonomous Region Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Medical Consumables Payment Catalogue”, when the basic medical insurance is reimbursed, the specific payment ratio will not be set and will be directly included in the medical insurance policy, according to the Ningxia urban workers. Basic medical insurance and basic medical insurance for urban and rural residents are implemented in the reimbursement treatment of medical institutions at all levels. Reimbursement of maternity insurance and industrial injury insurance is carried out in accordance with relevant policy provisions.

For the use of high-value, consumable disposable medical consumables such as vascular stents, balloons, guide wires, artificial joints and organs in the catalog, Ningxia also limits the medical insurance payment policy. In addition, for other consumables in the catalog that do not have a limited scope for medical insurance payment, the cost of single-item consumables within 50,000 yuan shall be paid by the basic medical insurance pooling fund and individuals according to regulations; for single-item consumables exceeding 50,000 yuan, the highest payment standard for medical insurance shall be 50,000 yuan is executed, and the excess is paid by the individual or all kinds of supplementary insurance.