Does medical insurance reimburse infertility?

Infertility, because it is difficult to define, can not be reimbursed by medical insurance at present, but it can be reimbursed by using some drugs. Although it can't be reimbursed on a large scale like other major diseases, it can also get some discounts on smaller drugs. This situation can also reduce our burden and pressure. Infertility can not be reimbursed for the time being, but preferential policies for patients are increasing.

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

(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, how to reimburse without a medical insurance card:

1. The medical insurance must be paid continuously for more than three months, and it will take effect in the fourth month before the related medical expenses can be reimbursed. After the medical insurance comes into effect, the company can go to the local social security department to apply for a medical card without hospitalization certificate.

2. If the medical insurance card is not received, the individual can also apply for reimbursement of medical expenses after hospitalization, and the individual can provide relevant materials to his medical insurance center for reimbursement. Under normal circumstances, if an individual does not receive a medical insurance card, he can apply for a temporary medical card at the medical insurance center to facilitate medical treatment.

3. Reimbursement materials When applying for reimbursement, you need to bring hospital invoices, general lists, doctor's orders, medical records and other materials.

4. Reimbursement of medical insurance card is limited to medical expenses above hospitalization in re-designated hospitals due to diseases and some accidents. The reimbursement formula is: (total expense-threshold expense-self-funded expense-expense overrun) *(75+ age *0.2)% Under normal circumstances, the actual reimbursement ratio is between 20% and 60%. Self-funded drugs are not reimbursed, class B drugs are reimbursed 80%, bed fees are limited, and some inspection fees and treatment fees are not reimbursed according to regulations.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

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.