医保一共分几种类型

医保其实也是分几种类型的,不同类型的医保报销的方式也是不一样,比例也是不一样以及医保保险纳费的年限和如果中断该如何计算呢?接下来小编为大家进行医保分几种类型?怎么报销问题的解答,带着问题一起往下看。


一、医保分几种类型?怎么报销

第一类:基本医疗保险药品

医疗保险将药品分为三类:甲类、乙类、丙类

甲类药品全部纳入医保基金给付范围,也就是说甲类药品可以100%报销的。

乙类药品可以报销80%,,剩余的20%需要自己自负。

丙类药品则是全部自负药品,比如像滋补类药品,可以入药的动物和水果干果,血液制品和蛋白质制品及其他药品,不能报销。

第二类:基本医疗保险诊疗项目

基本医疗保险诊疗项目需要符合这样几个条件:

医保一共分几种类型 医保分为几种类型,报销比例是多少

1.临床诊疗安全有效且费用适宜,费用太离谱不能报销。

2.物价部门已制定了相关收费标准的。

3.在定点医疗服务范围内治疗的。

第三类:基本医疗服务设施

基本医疗保险医疗服务设施费用的报销是由定点医疗机构提供的。参保人员在接受诊断、治疗和护理过程中所必须要用到的生活设施,像住院的床位费或者门诊留观床位费等。


二、医疗保险缴费年限是多久

根据相关法规规定,参加职工基本医疗保险的个人,达到法定退休年龄时累计缴费达到国家规定年限的,退休后不再缴纳基本医疗保险费,按照国家规定享受基本医疗保险待遇;未达到国家规定年限的,可以缴费至国家规定年限。参加职工基本医疗保险的个人达到法定退休年龄,且累计缴费年限满二十五年的,退休后不再缴纳基本医疗保险费,按照规定享受职工基本医疗保险待遇。


三、医疗保险缴费中断,连续缴费年限如何计算

连续缴费年限是参保人在本市实际缴纳医疗保险费的连续时间。参保人在医疗保险年度内累计中断参保不超过3个月的,重新缴费后其中断前后的连续参保时间合并计算;超过3个月的,重新计算。参保人一次性缴交医疗保险费的,自其缴交月的次月1日起逐月计算其连续参保时间。

用人单位按规定参加并补缴应当缴纳的社会医疗保险费、滞纳金后,补缴前后的参保时间合并计算为连续参保时间。

以上便是小编为大家整理关于医保分几种类型?怎么报销问题的详细解答,通过以上内容我们了解到,我国医保分甲乙丙三种类型不同类型报销比例是100%、80%,以及全部自付药品,并且医疗保险缴纳年份一般是满25年,如果中断的话要及时续费,如果您还有其他疑问,欢迎咨询律师。

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