The total cost of antigen testing in Beijing shall not exceed 11.37 yuan per time. 19 provinces specify the maximum price

On the 28th, Beijing and Guizhou clarified the maximum price of the new crown antigen test and announced that it was temporarily included in the scope of medical insurance reimbursement
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According to the Beijing Municipal Medical Security Bureau, since March 25, Beijing has temporarily included the new coronavirus antigen detection reagents and corresponding detection items into the catalogue of basic medical insurance medical service items, and listed them as Category A items, which will be paid by the medical insurance fund according to regulations.
Reimbursement, coordinated promotion of price, online, procurement, payment and other related work
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Primary-level public medical institutions and designated primary-level medical institutions in Beijing shall carry out the procurement of antigen detection reagents through the Beijing Municipal Medical Security Information Platform (Medicine and Medical Consumables Recruitment and Procurement Management Subsystem)
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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
.
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
.
The total cost of testing shall not exceed 11.
37 yuan/time
.
Medical institutions shall not charge fees for outpatient medical services for simple antigen testing
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According to statistics, there are more than 5,000 retail pharmacies in Beijing, including 662 designated retail pharmacies and 406 designated retail pharmacies qualified to sell antigen detection reagents
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406 designated retail pharmacies should purchase antigen detection reagents through the Beijing Medical Insurance Information Platform (public service subsystem), and encourage and support the purchase of detection reagents through other channels that are lower than the purchase price of the Beijing Medical Insurance Information Platform.
The price is limited to a markup No more than 10%, that is, the sales price of antigen detection reagents in designated retail pharmacies with sales qualifications in this city shall not exceed 8.
66 yuan per person
.
The cost of purchasing testing reagents at designated retail pharmacies can be paid by the insured personnel using their personal accounts
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The Municipal Medical Insurance Bureau actively organized designated retail pharmacies to carry out the procurement of new coronavirus antigen detection reagents to ensure a stable and orderly supply of detection reagents
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The list of 406 designated retail pharmacies can be inquired through the portal website of “Beijing Medical Insurance Bureau” and the WeChat public account of “Medical Insurance Beijing”
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The medical insurance departments of all districts should increase the inspection of the supply and sales price of antigen detection reagents in designated retail pharmacies within their jurisdictions to ensure the stability of reagent supply and prices
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On the 28th, I learned from the Guizhou Provincial Medical Security Bureau that Guizhou has included the new crown antigen test into the medical insurance, and the total cost of a single time does not exceed 15 yuan
.
The virus antigen test carried out by public medical institutions is charged according to the method of "price item + detection reagent", "price item" is 5 yuan each time, and the total cost of "price item + detection reagent" is not more than 15 yuan
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At the same time, the "novel coronavirus antigen detection" project was included in the management of the medical service project catalogue of basic medical insurance in Guizhou Province
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According to incomplete statistics, at least 19 provinces in Beijing, Guizhou, Hainan, Tianjin, Hebei, Shanxi, Heilongjiang, Shanghai, Zhejiang, Fujian, Jiangxi, Shandong, Henan, Hubei, Hunan, Chongqing, Yunnan, Shaanxi, and Gansu have identified public The maximum price of COVID-19 antigen testing in medical institutions
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Among the above-mentioned provinces, Hunan has the lowest price limit, requiring a maximum total cost of no more than 12 yuan per person; followed by Tianjin, which clearly adopts the method of "separation of technology and consumption", and adds the price item of "new coronavirus antigen detection", and the government guides the price 5 yuan/time, antigen detection reagents (including sampling equipment) should not exceed 9 yuan/unit, that is, the total cost of testing should not exceed 14 yuan/person; other provinces require that the total cost should not exceed 15 yuan/person
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Previously, the National Medical Insurance Administration issued a document requesting that all provincial medical insurance departments should temporarily incorporate the new coronavirus antigen detection reagents and corresponding detection items into the province's basic medical insurance medical service item catalog according to procedures
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Compared with nucleic acid testing, antigen testing does not require professional machines and special places, and results can be obtained in a shorter time
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According to experts, the sensitivity of the approved antigen detection reagents in China is between 75% and 98%, and the specificity is between 95% and 99%.
That is to say, there is a certain proportion of false positives and false negatives
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Therefore, at present, antigen detection cannot replace nucleic acid detection as the "gold standard" for diagnosis
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