Health Insurance Council Explains Co-Pay Rates
The Health Insurance Council clarified the mechanism for dispensing medications to health insurance beneficiaries. Medications are dispensed using the generic name of the active ingredient to ensure the most suitable drug is chosen for the patient. The co-payment rate for generic drugs ranges from 0% to 20%, while for their brand-name counterparts, it ranges from 0% to 50%, according to the insurance policy and regulatory systems. If a suitable alternative is not available, the available medication will be dispensed in accordance with established guidelines to ensure the necessary treatment is provided, with a maximum co-payment limit of 20% for generics and 50% for brand-name drugs. The council also urged beneficiaries to use the "Dhaman" application to access electronic services, including viewing data and making suggestions, making it easier to benefit from health coverage.
Notice: This Is an AI-Generated Summary
Comments (0)