Can the hospitalization insurance for fetal stop be reimbursed?

There is no medical insurance reimbursement for fetal stop hospitalization. General abortion is not covered by medical insurance reimbursement. However, maternity insurance includes abortion reimbursement. As long as one of the husband and wife has maternity insurance, hospitalization abortion can enjoy maternity insurance reimbursement.

General maternity insurance cannot fully reimburse hospitalization expenses, but it can partially reimburse expenses in proportion. Although the general cost of abortion surgery is not very high, it is best not to give up the right to reimbursement. Moreover, after the abortion, female employees still have the right to enjoy maternity leave, and they should pay attention to rest after the operation. The scope of medical insurance reimbursement varies greatly in different regions. Consult the local medical insurance bureau before hospitalization. If you meet the reimbursement requirements, tell the doctor to take medical insurance when you are in hospital, and the doctor will give you as many medicines as possible that meet the reimbursement requirements. Although many drugs have the same effect, they are not included in the scope of medical insurance reimbursement.

Medical insurance users should prepare materials for hospitalization and medical insurance reimbursement: before leaving the hospital, the attending physician will issue relevant diagnosis and medical records; Check out: the invoice list of hospitalization must be kept well; Take these content materials to be reimbursed to the medical insurance reimbursement institution where the user is located for reimbursement; The medical insurance institution will review the information submitted by the user and remit the reimbursement amount to the user's account after confirmation. The above is the way of medical insurance reimbursement.

Medical insurance reimbursement requires the following materials: ID card, medical insurance card; The disease diagnosis certificate, outpatient medical records and test results report issued by the designated medical institutions; Charge documents and related invoices issued by medical institutions. Designated medical institutions for basic medical insurance, including designated medical institutions and designated pharmacies, refer to institutions that have been audited by the medical security department in the overall planning area, obtained the qualification of designated medical insurance, been identified by the medical insurance agency and signed relevant agreements with them, and provided medical services for the insured of basic medical insurance and assumed corresponding responsibilities.

legal ground

Social Insurance Law of People's Republic of China (PRC) (revised on 20 18).

Article 2 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 in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

Thirtieth 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;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Fifty-fourth employers have paid maternity insurance premiums, and their employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund.

Maternity insurance benefits include maternity medical expenses and maternity allowance.

Fifty-fifth maternity medical expenses include the following:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.