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What is the reimbursement standard for pregnancy check-up social security?
Infertility treatment cannot be reimbursed. 1. According to national regulations, medical insurance cannot be reimbursed for any examination items issued by reproductive centers. 2, medical reimbursement clinic, medical insurance card to the clinic, real-time settlement, no reimbursement. Please use the city medical insurance handbook when you go to the clinic without a medical insurance card. Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by the insured. Outpatient deductible line: the total emergency expenses of general outpatient service exceed 1800 yuan in a natural year. Reimbursement ratio: 70% for the hospital, 90% for the community, and 20,000 yuan for the capping line. 3. Hospitalization reimbursement scope: hospitalization expenses incurred by the insured in designated medical insurance hospitals or specialized hospitals, Chinese medicine hospitals and 3A hospitals selected by the individual. Inpatient deductible line: The standard of the first hospitalization deductible line in a natural year is 1.300 yuan, with 650 yuan as the unit each time. Reimbursement ratio: 90% in the first-class hospital, 87% in the second-class hospital and 85% in the third-class hospital, with a total reimbursement of 300,000 yuan for hospitalization. 4. Handling process: Please use the Beijing Medical Insurance Manual for medical treatment. If the unit pays in full, the individual can go through the hospitalization formalities only by paying part of the hospitalization advance payment, and the medical expenses incurred should meet the scope of medical insurance. When leaving the hospital, the hospital and the individual will settle the expenses themselves, and the reimbursement amount of the overall fund will be settled by the hospital and the district medical insurance center.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.
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