Job Recruitment Website - Social security inquiry - Can pre-pregnancy medical insurance be reimbursed?

Can pre-pregnancy medical insurance be reimbursed?

The expenses of pre-pregnancy examination can be reimbursed, but the delivery must be made in a regular public hospital. If you pay medical insurance every year, you can reimburse it, but you must keep all the receipts and invoices, as well as the birth certificate after giving birth, and then register at the reimbursement place. I'll reimburse you after the audit. If you go to an unqualified hospital or a private hospital, there is no way to reimburse. Most items of pre-pregnancy examination can be covered by medical insurance and medical insurance card, but some items need to be paid by themselves, such as TCT and B-ultrasound, and which items need to be paid by themselves depends on the hospital.

First, the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Second, can abortion be reimbursed for medical insurance?

Abortion cannot be reimbursed by medical insurance. Induced abortion is the use of artificial and drug methods to terminate pregnancy, which does not belong to the scope of medical insurance reimbursement, so it cannot enjoy medical insurance reimbursement. However, the regulations of different provinces and cities are different. It is recommended to choose a regular public hospital for abortion operation.

To sum up, abortion is not covered by medical insurance reimbursement, so you can't enjoy medical insurance reimbursement. They are all other pre-pregnancy tests, as long as they can be reimbursed in a regular hospital.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

second

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.