Why is the reproductive department not covered by medical insurance?

According to national regulations, medical insurance can not be reimbursed for any inspection items issued by reproductive centers.

What does reproduction mean?

Reproductive department: in a hospital, it refers to the department that specializes in treating reproductive system diseases. Treatment direction of reproductive department: male and female infertility, recurrent abortion, family planning diagnosis and treatment. Reproductive examination subjects: mainly sex hormone examination.

Female reproductive system diseases have the characteristics of high prevalence rate, high proportion of asymptomatic symptoms, high proportion of not seeing a doctor and high proportion of not receiving reasonable treatment, which leads to various serious complications and sequelae-the level of female reproductive health directly affects the quality of the population. At present, female reproductive system diseases have become one of the most serious infectious diseases in the world.

Scope of medical insurance reimbursement

The scope of reimbursement for medical insurance refers to the scope of reimbursement for standardizing basic medical insurance drugs, diagnosis and treatment items and medical service facilities (commonly known as "three catalogues") in order to protect the basic medical needs of the insured. The medical insurance fund shall pay the related medical expenses incurred by the insured in the designated hospitals in accordance with the provisions of the three catalogues.

Reimbursement of urban medical insurance

The reimbursement scope of urban medical insurance refers to all employers in cities and towns, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises and private enterprises). ); Organs, institutions, social organizations, private non-enterprise units and their employees must participate in the basic medical insurance.

Some towns and villages stipulate that township enterprises and their employees, owners of urban individual economic organizations and their employees should be gradually incorporated into the basic medical insurance coverage (the last one depends on the different policies in different places), so that they can enjoy medical reimbursement.

Urban medical reimbursement mainly refers to medical treatment, medication, hospitalization, surgery, etc. And medical expenses can be reimbursed by medical insurance card in accordance with relevant regulations. Urban medical insurance is more specific, and the project scale and coverage are large.

But its compensation for major diseases or accidents is limited. At this point, the author suggests that the insured can purchase commercial medical supplementary insurance and social security to reduce their economic losses.