医疗保险“三个目录”中的“甲类”“乙类”“丙类”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>：徐州<span style="color: black;">医疗保险</span>）</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/q_70/images03/20240301/79d0ea4e17f741cfbfe350c0f8deed8d.jpeg" 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="//q4.itc.cn/q_70/images03/20240301/26f618187b9f40de9a5e614e20839027.jpeg" 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;">医 保</strong></span></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;">“三个目录”</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/q_70/images03/20240301/9cd07d1cd7464aa6984c0c777cbaed3a.jpeg" 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;">什么是<span style="color: black;">医疗保险</span>的“三个目录”</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;">因为</span><span style="color: black;">医疗保险</span>基金有限，不可能覆盖所有的医疗需求，<span style="color: black;">因此呢</span>为<span style="color: black;">保证</span>参保人员的基本医疗需求，<span style="color: black;">恰当</span><span style="color: black;">掌控</span>医疗<span style="color: black;">花费</span>支出，规范基本医疗保险用药、诊疗等方面的管理，<span style="color: black;">保准</span>基本医疗保险制度的健康运行，医疗<span style="color: black;">保证</span><span style="color: black;">分部</span>规定了基本医疗保险对<span style="color: black;">药物</span>、诊疗项目和医疗服务<span style="color: black;">设备</span>的报销范围，俗<span style="color: black;">叫作</span><span style="color: black;">医疗保险</span>“三个目录”。参保人员<span style="color: black;">运用</span><span style="color: black;">药物</span>、<span style="color: black;">出现</span>诊疗项目或<span style="color: black;">运用</span>医疗服务<span style="color: black;">设备</span><span style="color: black;">出现</span>的<span style="color: black;">花费</span>，<span style="color: black;">倘若</span>属于“三个目录”内的，<span style="color: black;">能够</span>按规定进行报销;不属于“三个目录”内的，<span style="color: black;">医疗保险</span>不予报销。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/q_70/images03/20240301/645b63fd19db49f4896b16e6bb3a1a05.jpeg" 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="//q3.itc.cn/q_70/images03/20240301/b5748b0ccd2247dcae94aec34e6558ab.jpeg" 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;"><span style="color: black;">医疗保险</span>目录中的</strong></span></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”“乙类”</strong><strong style="color: blue;">“丙类”</strong></span></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;">有什么区别</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">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、诊疗项目及医疗服务<span style="color: black;">设备</span>目录分为“甲类”“乙类”“丙类”。“甲类”“乙类”所对应的<span style="color: black;">药物</span>、诊疗项目及医疗服务<span style="color: black;">设备</span>的报销比例有所不同，“丙类”<span style="color: black;">药物</span>、诊疗项目及医疗服务<span style="color: black;">设备</span><span style="color: black;">触及</span>的<span style="color: black;">花费</span>各类<span style="color: black;">统一</span>基金都不予报销。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/q_70/images03/20240301/c2723c2892b044418e4df619c421e973.jpeg" 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;"><span style="color: black;"><span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录中标注的</span></strong></span></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;"><span style="color: black;">“甲类”“乙类”是什么意思？</span></strong></span></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><span style="color: black;">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<span style="color: black;">药物</span>。<strong style="color: blue;">乙类<span style="color: black;">药物</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>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/q_70/images03/20240301/980740b9b03144d8aab8671f9b46fc4e.jpeg" 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="//q5.itc.cn/q_70/images03/20240301/fdbdad36fd2d4758b8400b580d02ffd4.jpeg" 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;">按基本医疗保险规定的支付标准及政策规定的比例报销；</span></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>“乙类”<span style="color: black;">药物</span>时，</span></strong><span style="color: black;">按基本医疗保险规定的支付标准，先由参保人自付<span style="color: black;">必定</span>比例后(各地不同)，余下<span style="color: black;">花费</span>再按政策规定的比例报销。举个例子，<span style="color: black;">倘若</span>一个价格为100元的乙类<span style="color: black;">药物</span>，先行自付比例为10%，则有10元是不被纳入报销范围的，余下的90元<span style="color: black;">根据</span>正常规定比例予以报销。</span></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;"><span style="color: black;">诊疗项目及医疗服务<span style="color: black;">设备</span>目录中</span></strong></span></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;"><span style="color: black;">标注的</span></strong><strong style="color: blue;"><span style="color: black;">“甲类”“乙类”是什么意思？</span></strong></span></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;">“甲类目录”</span></strong><strong style="color: blue;"><span style="color: black;">的诊疗项目及医疗服务<span style="color: black;">设备</span></span></strong><span style="color: black;">是临床诊疗必需、安全有效、<span style="color: black;">花费</span>适宜的诊疗项目及医疗服务<span style="color: black;">设备</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/q_70/images03/20240301/1272f6f8f679451b9da2b63cc70a6be7.jpeg" 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;">“乙类目录”的诊疗项目及医疗服务<span style="color: black;">设备</span></span></strong><span style="color: black;">是可供临床诊疗<span style="color: black;">选取</span><span style="color: black;">运用</span>，效果确定，但需适当<span style="color: black;">掌控</span><span style="color: black;">运用</span>的诊疗项目及医疗服务<span style="color: black;">设备</span>。“乙类目录”中的部分项目及<span style="color: black;">设备</span>，<span style="color: black;">根据</span>临床适应症、医院级别与专科特点、开展的方式<span style="color: black;">办法</span>、医疗技术人员资格等予以限定。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/q_70/images03/20240301/f2478e91ba344107b9c0ef0527b2b259.jpeg" 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;">甲类诊疗项目及医疗服务<span style="color: black;">设备</span></span></strong><span style="color: black;"><span style="color: black;">按</span></span><span style="color: black;">基本医疗保险规定的支付标准及政策规定的比例报销；</span></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;">乙类诊疗项目及医疗服务<span style="color: black;">设备</span></span></strong><span style="color: black;"><span style="color: black;">必须</span>按基本医疗保险规定的支付标准，先由参保人自付<span style="color: black;">必定</span>比例后(各地不同)，余下<span style="color: black;">花费</span>再按政策规定的比例报销。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/q_70/images03/20240301/2ec2b5c32b6d448abfec226493366998.jpeg" 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;"><span style="color: black;">怎样</span><span style="color: black;">查找</span>江苏省“三个目录”</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">1</span></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;">网页登录“徐州市医疗<span style="color: black;">保证</span>局”官网（http://ybj.xz.gov.cn/）；</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/q_70/images03/20240301/14db400c35b44a3cbf95f392fbe949b2.jpeg" 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;">（点击查看大图）</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">2</span></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;">点击网页下方的“资料下载”专栏；</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/q_70/images03/20240301/beed2e5596cb453a8bc7b8c007e5b7b6.jpeg" 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;">（点击查看大图）</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">3</span></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;">点击最新的《江苏省基本医疗保险、工伤保险和生育保险<span style="color: black;">药物</span>目录数据库》或《江苏省基本医疗保险诊疗项目和医疗服务<span style="color: black;">设备</span>范围及支付标准》，下载附件后<span style="color: black;">就可</span><span style="color: black;">查找</span>。</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/q_70/images03/20240301/aeecb4be330f4229af7280e6e9e5b580.jpeg" 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="//q4.itc.cn/q_70/images03/20240301/d3c62a9136fe4db9a500fe08f7036d6d.jpeg" 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;">（点击查看大图）</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/q_70/images03/20240301/22d6760c9804429aa388d7c5373c640c.jpeg" 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="//q5.itc.cn/q_70/images03/20240301/90cc18a71ec8433ca7debae38f4b88df.jpeg" 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="//q6.itc.cn/q_70/images03/20240301/311f6966e10f40f6ba6b86ffc67011af.jpeg" 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;">┃信息<span style="color: black;">源自</span>：市<span style="color: black;">医疗保险</span>中心</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">审核：<span style="color: black;">张善永</span></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;">颁布</span>：刘念</span><a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">责任编辑：网友投稿</span></p>
页:
[1]