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Proportion of medical insurance reimbursement for minimally invasive surgery for ectopic pregnancy
The reimbursement rate of medical insurance for ectopic pregnancy is 60%-70%. In addition to medical insurance, maternity insurance in employee social security will also provide certain maternity allowance: generally speaking, women with normal childbirth can enjoy three months' national maternity allowance and 1500 yuan's living allowance. Women who have miscarried less than 4 months after pregnancy, or women suffering from ectopic pregnancy, enjoy maternity allowance for half a month. However, medical insurance for urban residents cannot reimburse ectopic pregnancy, but it can be reimbursed if you buy maternity insurance, provided that you get a marriage certificate and are within the legal birth range. Under normal circumstances, 60%-70% of ectopic pregnancy operations can be reimbursed through medical insurance. Ectopic pregnancy surgery is divided into traditional surgery and minimally invasive surgery, and the reimbursement ratio is different, both of which are within the scope of medical insurance. You can go to the medical insurance office for reimbursement after discharge. Try to use drugs and materials that can be reimbursed by medical insurance when you are hospitalized.
How to do ectopic pregnancy surgery?
1, laparotomy: the therapeutic mechanism of this method is: after laparotomy, the tubal wall is cut at the pregnancy, and the tubal wall is repaired after the embryo is taken out, so as to achieve the purpose of removing the focus and preserving the fallopian tube. The method of laparotomy is effective and can be cured at one time, but there may be pelvic organ adhesion after operation, which will affect her pregnancy in the future.
2. Laparoscopic surgery: Laparoscopic surgery is a minimally invasive surgery, which has the advantages of less trauma, faster postoperative recovery and fewer surgical complications. It is the main method to treat ectopic pregnancy in recent years. Laparoscopic surgery does not require laparotomy, but only needs to puncture 3-4 small holes in the umbilical wheel and lower abdomen of the patient to complete the operation. Only a few small circular scars were left on the abdominal wall of the patient after operation, which did not affect the appearance. Laparoscopic surgery is effective and can be cured at one time. Moreover, because of its small trauma and difficult adhesion of pelvic organs after operation, the pregnancy rate of postoperative patients is higher than that of open surgery.
To sum up, the proportion of medical insurance reimbursement for ectopic pregnancy is 60%-70%. Ectopic pregnancy surgery is divided into traditional surgery and minimally invasive surgery. And the reimbursement ratio is different, which is within the scope of medical insurance. You can go to the medical insurance office for reimbursement after discharge. Try to use drugs and materials that can be reimbursed by medical insurance when you are hospitalized. Ectopic pregnancy is a gynecological disease of women. Surgery is within the scope of medical insurance reimbursement and can be reimbursed through medical insurance.
Legal basis:
Article 26 of People's Republic of China (PRC) Social Insurance Law
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
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