天津市出台基本医保医用耗材目录共收录3062种

2025-09-09 09:44:40人民网佚名查看次数：12

人民网天津9月9日电 (记者陶建)日前，天津市医保局印发了《天津市基本医疗保险医用耗材目录(2025年)》(以下简称《目录》)，进一步推进天津市医用耗材医保支付精准化、科学化、规范化管理，保障参保患者医保待遇。

《目录》规定了医用耗材报销范围，适用于天津市基本医疗保险和生育保险，目前共收录医用耗材3062种。参照通行做法，《目录》内耗材实行“甲乙分类”管理，包括：甲类1896种，乙类1166种。参保群众使用甲类耗材，不设个人先行自付比例，按照医保最高支付标准和相应比例报销。使用已确定医保最高支付标准的乙类耗材，医保最高支付标准内费用，需由参保人员先行自付一定比例后，医保基金再按规定比例支付；使用尚未确定医保最高支付标准的乙类医用耗材，按照现行“分段累计”报销政策执行。《目录》支持医药产业科技创新，将“有进有出”实行动态调整。暂未纳入《目录》的耗材，不予报销。

天津市《目录》编制，旨在按准入法进一步明确纳入医保支付的耗材范围，合理确定医保支付标准，逐步向精细化管理过渡，将于2025年9月18日在天津市正式执行，有助于医疗机构更加清晰地把握政策、准确执行，提高医保基金购买效益，促进“三医”协同发展和治理。

据了解，我国基本医疗保险的报销范围实行目录管理，目录内的医疗费用纳入医保报销，按规定由医保基金与患者个人按比例分担，在目录外的医疗费用医保基金一律不予支付。其中，药品目录主要由国家统一制定并动态调整，原则上每年调整一次；医用耗材目录、医疗服务项目目录由国家制定医保准入和管理政策，原则上由省级医保部门按照国家规定自行编制出台。

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天津市出台基本医保医用耗材目录共收录3062种

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