New crown antigen detection reagents have been temporarily included in medical insurance in many places!

Recently, the "Notice on Effectively Doing a Good Job in the Current Epidemic Prevention and Control Medical Security" issued by the Office of the National Medical Security Administration proposed that the new coronavirus antigen detection reagents and corresponding detection items should be temporarily included in the province's basic medical insurance medical service item catalog according to procedures
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The relevant expenses incurred by the insured in the designated primary medical institutions shall be paid in accordance with the current regulations of the overall planning area, and the expenses of purchasing testing reagents in the designated retail pharmacies can be paid using personal accounts
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A few days ago, relevant documents were issued in many places to temporarily include the new crown antigen detection reagents in medical insurance, and to clarify the upper limit of the new crown virus antigen detection fee
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For the management of new crown antigen detection reagents, many provinces and cities adopt the "four types of drugs" method
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The Jiangxi Food and Drug Administration clearly emphasized that retail pharmacies should include the new crown antigen detection reagents into the "four categories" of drug monitoring and management, and require retail pharmacies that sell new crown virus antigen detection reagents to fulfill their main responsibilities, strengthen the training of sales staff, and guide consumers.
Standardize the use of detection reagents, include the new coronavirus antigen detection reagents in the scope of four types of key monitoring drugs, and strictly implement information reporting requirements.
In addition, places like Changsha, Hunan also require customers to produce 48-hour nucleic acid certificates
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Jiangsu: Included in the payment scope of employee medical insurance personal accounts, citizens have successively used medical insurance cards to purchase new coronavirus antigen detection reagents, and the price per person is 16.
5 yuan.
According to the spirit of the document of the National Medical Insurance Bureau, the Jiangsu Provincial Medical Insurance Bureau recently issued "On Effectively Strengthening the Current Epidemic Prevention and Control" Notice on Medical Security Work, which temporarily includes the novel coronavirus antigen detection reagents and corresponding detection items into the catalogue of medical service items of basic medical insurance.
Discovery provides support
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The cost of purchasing new coronavirus antigen detection reagents at designated retail pharmacies can be paid using the employee medical insurance personal account
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Among them, the Xuzhou Municipal Medical Insurance Bureau of Jiangsu issued the "Notice on Effectively Strengthening the Medical Security Work for the Current Epidemic Prevention and Control" on March 24, and promptly included the new coronavirus antigen detection reagents and corresponding detection items into the basic medical insurance medical service item catalog.
The relevant expenses incurred by the insured personnel in designated primary medical institutions in Xuzhou City enjoy medical insurance treatment according to regulations
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Among them, the new coronavirus antigen detection reagent is included in the payment scope of the employee's medical insurance personal account, and the insured personnel can use the personal account to pay the cost of purchasing the detection reagent at the designated retail pharmacy in Xuzhou
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Beijing: The total cost of each new coronavirus antigen test is prohibited to exceed 11.
37 yuan.
On March 28, the Beijing Municipal Medical Insurance Bureau announced that from March 25, Beijing will temporarily include the new coronavirus antigen detection reagents and corresponding testing items in the basic medical insurance.
The catalogue of medical service projects is listed as a category A project, and the medical insurance fund will pay and reimburse according to regulations, and coordinate the promotion of price, online, procurement, payment and other related work
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Antigen detection reagents (including sampling equipment) are sold at a zero mark-up rate.
The maximum guide price does not exceed the current lowest selected price in each province and is dynamically adjusted.
The current maximum guide price is 7.
87 yuan per person
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The maximum guide price for antigen testing services is 3.
5 yuan per time, which cannot be raised, and there is no limit to the range of lower prices
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The total cost of testing shall not exceed 11.
37 yuan/time
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Medical institutions shall not charge fees for outpatient medical services for simple antigen testing
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According to statistics, there are currently 406 designated retail pharmacies in Beijing that are qualified to sell antigen detection reagents.
Pharmacies should purchase antigen detection reagents through the Beijing Medical Insurance Information Platform, and encourage and support the purchase of reagents through other channels that are lower than the purchase price of the Beijing Medical Insurance Information Platform.
For testing reagents, the price limit is limited to no more than 10%, that is, no more than 8.
66 yuan per person
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At the same time, non-medical insurance designated retail pharmacies with sales qualifications are encouraged to purchase relevant testing reagents through formal channels
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Anhui: The maximum single charge is not more than 15 yuan.
Anhui Provincial Health and Health Commission and Anhui Provincial Medical Insurance Bureau jointly issued a notice to temporarily add new coronavirus antigen testing items
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The actual charge for a single COVID-19 antigen test (including service fees, reagent fees and sampling equipment) shall not exceed 15 yuan
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According to reports, the project price is the highest government-guided price in the province
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Reagents and sampling equipment are sold at zero mark-up
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Public medical institutions shall not charge outpatient consultation fees or general diagnosis and treatment fees for people who simply conduct novel coronavirus antigen testing; for patients who purchase testing reagents for antigen self-testing, they shall not charge novel coronavirus antigen testing fees
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Subsequently, the Anhui Provincial Medical Insurance Bureau issued a relevant notice, clearly including the antigen detection items and reagents into the scope of medical insurance payment
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It is understood that the new coronavirus antigen detection reagents and corresponding testing items are temporarily included in the scope of basic medical insurance payment in Anhui, and the province uniformly implements a 30% personal advance payment ratio
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The relevant expenses incurred by the insured personnel of the basic medical insurance in the designated primary medical institutions shall be paid according to the current treatment guarantee policy of the overall planning area, and the expenses of purchasing testing reagents in the designated retail pharmacies can be paid by using their personal accounts
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Guizhou: Charge according to the method of "price items + testing reagents" Recently, the Guizhou Provincial Medical Security Bureau and the Guizhou Provincial Health Commission jointly issued the "Notice of Newly-added Novel Coronavirus Antigen Testing Items Charging Standards", temporarily adding "New Coronavirus Antigen Testing Items".
Antigen Testing" project
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The "Notice" clarifies that the virus antigen test carried out by public medical institutions is charged in the way of "price items + detection reagents", "price items" are 5 yuan each time, and the total cost of "price items + detection reagents" is not more than 15 yuan
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The "Notice" will be implemented from March 29, 2022
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At the same time, the method of "separation of technology and consumption" was adopted to temporarily add the price item of "novel coronavirus antigen test".
The unified government guide price of the whole province is 5 yuan per time
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Public medical institutions carry out novel coronavirus antigen testing, and charge according to the method of "price items + testing reagents".
If the total cost exceeds 15 yuan/person, the actual charge will be capped at 15 yuan/person
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The "novel coronavirus antigen detection" project is simultaneously included in the medical service project catalog of basic medical insurance in Guizhou Province, and is managed according to general diagnosis and treatment projects
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The outpatient testing of the insured person in the designated medical institution shall be implemented according to the overall treatment standard of the outpatient clinic in each overall planning area
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In areas that have not established an outpatient co-ordination system, employees can use their personal accounts to pay; for inpatient testing, the hospitalization treatment standard of basic medical insurance in each co-ordinated area shall be implemented; employees can use personal accounts to pay for the cost of purchasing testing reagents at designated retail pharmacies
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