How to reimburse for pregnancy test reimbursement?

The pregnancy test reimbursement process is as follows:

1, apply for a medical insurance card at the local social security or medical insurance bureau, understand the medical insurance policy at the same time, and confirm whether the pregnancy test items are within the scope of medical insurance, and the proportion and limit of medical insurance reimbursement;

2. Go to a medical institution for pregnancy check-up and ask for an invoice or a list of medical expenses. It should be noted that the pregnancy test items within the scope of reimbursement are inspection application forms or doctor's orders issued by medical institutions in accordance with the provisions of designated medical institutions for medical insurance. The application form or doctor's advice needs to indicate the applicant's basic information, inspection items and medication information;

3. According to the requirements of local medical insurance policies, submit invoices or lists of medical expenses, medical insurance cards, inspection application forms or doctor's orders and other related materials to social security or medical insurance bureau for reimbursement;

4. The Social Security Bureau or the Medical Insurance Bureau shall review the submitted materials and reimburse them according to the medical insurance policy. The reimbursement amount will be directly credited to the applicant's medical insurance account, and the balance can be inquired on the medical insurance card or to the medical insurance bureau.

Medical insurance reimbursement conditions:

1. Confirm the insured status: before seeking medical treatment, you need to confirm that you have participated in local medical insurance, which can be confirmed by means of social security card and medical insurance certificate;

2. Medical category: Medical insurance generally only reimburses therapeutic medical behaviors, such as outpatient service, hospitalization, surgery and examination. Some cosmetic medical behaviors, such as dental beauty and plastic surgery, are usually not covered by medical insurance reimbursement;

3. Medical expenses: Medical insurance will only reimburse medical expenses that meet the requirements, such as medical expenses, medicine expenses, examination expenses, operation expenses, etc. Personal expenses, medical insurance will not be reimbursed;

4. Hospital qualification: Medical insurance will only reimburse the medical expenses of legally operated medical institutions, such as public hospitals and qualified private hospitals. Medical insurance will not be reimbursed for illegal medical institutions or clinics.

To sum up, the specific reimbursement methods and standards for pregnancy test reimbursement may be different due to different regions and types of medical insurance.

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.