医疗保险报销的 “甲类”“乙类” 是什么意思？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（<span style="color: black;">源自</span>：白河微政务）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">医疗保险</span>三大目录中，<span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录和诊疗项目目录分为“甲类”和“乙类”。“甲类”“乙类”所对应的<span style="color: black;">药物</span>和诊疗项目的报销范围有所不同。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录中标注的</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“甲类”“乙类”是什么意思？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q8.itc.cn/q_70/images03/20240412/70fb934d116245d0b9a08a52647a0477.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录中的<span style="color: black;">药物</span>分为“甲类”和“乙类”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">甲类<span style="color: black;">药物</span></span></strong>是临床治疗必需、<span style="color: black;">运用</span>广泛、疗效好，同类<span style="color: black;">药物</span>中价格低的药品。<strong style="color: blue;"><span style="color: black;">乙类<span style="color: black;">药物</span></span></strong>是可供临床治疗<span style="color: black;">选取</span><span style="color: black;">运用</span>、疗效好，同类<span style="color: black;">药物</span>中比甲类<span style="color: black;">药物</span>价格高的<span style="color: black;">药物</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q6.itc.cn/q_70/images03/20240412/e4adf8dbec35436a872ffcdff07efbf8.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q9.itc.cn/q_70/images03/20240412/828e20b593fe470fbf8a854c92a89edd.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">参保人<span style="color: black;">运用</span>“甲类”<span style="color: black;">药物</span>时，</span></strong><span style="color: black;">能够</span><span style="color: black;"><strong style="color: blue;">全额</strong></span>纳入报销范围。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">参保人<span style="color: black;">运用</span>“乙类”<span style="color: black;">药物</span>时，</strong></span>需由个人先<span style="color: black;">包袱</span>部分<span style="color: black;">药物</span><span style="color: black;">花费</span>（<span style="color: black;">详细</span>比例<span style="color: black;">根据</span>当地规定执行），其余部分<span style="color: black;">加入</span>医疗保险基金支付范围。举个例子，<span style="color: black;">倘若</span>一个价格为100元的<span style="color: black;">药物</span>在乙类目录中<span style="color: black;">药物</span>规定需先自付10%，则有10元是不被纳入报销范围的，纳入报销范围的是90元，要<span style="color: black;">根据</span>90元乘以报销比例计算。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">诊疗项目目录中标注的</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“甲类”“乙类”是什么意思？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">诊疗项目分为“甲类项目”和“乙类项目”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">“甲类目录”的诊疗项目</strong></span>是临床诊疗必需、安全有效、<span style="color: black;">花费</span>适宜的诊疗项目。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">“乙类目录”的诊疗项目</strong></span>是可供临床诊疗<span style="color: black;">选取</span>使用，效果确定，但需适当<span style="color: black;">掌控</span><span style="color: black;">运用</span>的诊疗项目。“乙类目录”中的部分项目，<span style="color: black;">根据</span>临床适应症、医院级别与专科特点、医疗技术人员资格等予以限定。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q2.itc.cn/q_70/images03/20240412/4485eda838364b1d8d5287bf8e7b6d09.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">甲类项</strong></span><span style="color: black;"><strong style="color: blue;">目全额</strong></span>纳入报销范围。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">乙类项目</strong></span><span style="color: black;">必须</span><span style="color: black;"><strong style="color: blue;">个人先行<span style="color: black;">包袱</span>部分<span style="color: black;">花费</span>，其余<span style="color: black;">花费</span>纳</strong></span><span style="color: black;"><strong style="color: blue;">入报销范围。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">源自</span>：白河<span style="color: black;">医疗保险</span></span></p>
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