Can zhongmou county's pregnancy test be reimbursed by Kaifeng Social Security?

Pregnancy examination can not be reimbursed by medical insurance, but can only be settled by personal account. Zhongmou county, which is under the jurisdiction of Zhengzhou City, Henan Province, does not belong to Kaifeng City, so it is impossible to directly use the social security card for medical treatment in different places, and the employee's situation does not meet the conditions for medical treatment in different places, so it cannot be reimbursed.

Medical treatment in different places can be simply defined as the medical treatment behavior of the insured outside the insured place. In social medical insurance coverage, "off-site" generally refers to other areas in China other than the co-ordination area where the insured person is insured, and "seeking medical treatment" refers to the insured person's medical treatment behavior.

"Off-site medical treatment" is mainly divided into three situations.

First, one-time medical treatment in different places, including emergency treatment during business trips and tourism, leads to the problem that medical expenses cannot be settled in time.

Second, short-term and medium-term mobility. The jobs are not in the insured places for medical treatment in different places, including the personnel stationed in various places of the unit and the local employees of the stationed institutions. Another situation is that the whole unit is in a state of mobility, such as the medical care for employees in the construction industry, and the problems arising are either that they cannot participate in medical insurance or that they have to pay medical expenses in advance.

The third is the medical care of retirees who have been resettled in different places for a long time. Including those whose registered permanent residence is moved from the place of work to the place of resettlement after retirement, and those who rely on their children to move in without registered permanent residence. On the surface, the problem is that the medical settlement is not timely and inconvenient, and the personal burden is heavy. In essence, the medical treatment in a safe place is often better than that in the insured place, and the resettlement personnel feel that the medical treatment is unequal.

Reasons for declaration

1. Due to the limitation of local medical level, some critically ill patients and patients whose long-term treatment effect was not obvious in local designated medical institutions were transferred to other places for medical treatment.

2. Some people participate in endowment insurance and medical insurance as freelancers in the local area, but they usually work in other places, and when they are sick, they seek medical treatment at their workplace.

3. After retirement, some employees miss their homeland and go back to their hometown to provide for the aged, and seek medical treatment in the local hospital in their hometown.

4. Some enterprises have contracted projects abroad or set up marketing agencies in other places, and their employees have been working and seeking medical treatment in other places for a long time.

Declaration standard

1, retired insured persons resettled in different places;

2. The insured who has lived in the same place in China for more than half a year after retirement;

3. Insured who work in different places in China.