According to the Regulations of Beijing Municipality on Maternity Insurance for Enterprise Employees, the maternity insurance fund will not pay the following medical expenses for fertility and family planning operations:
(a) does not meet the provisions of the state or the city's family planning;
(two) does not meet the provisions of the basic medical insurance in this Municipality;
(three) does not conform to the provisions of the city's basic medical insurance drug list, diagnosis and treatment projects and medical service facilities;
(4) Medical expenses incurred abroad or in Hongkong, Macao Special Administrative Region and Taiwan Province Province;
(five) medical expenses due to medical accidents;
(six) the cost of treatment of reproductive complications;
(seven) according to the provisions of the state or the city should be borne by individuals.
Extended data:
Article 15 of the Provisions of Beijing Municipality on Maternity Insurance for Enterprise Employees shall be calculated according to the payment base of the month when female employees give birth, divided by 30 and multiplied by the number of days of maternity leave. Maternity allowance is the salary of female employees during maternity leave. If the maternity allowance is lower than my salary standard, the difference will be made up by the enterprise.
Article 16 Maternity medical expenses include medical examination expenses, delivery expenses, operation expenses, hospitalization expenses and medicine expenses incurred by female employees due to pregnancy and childbirth. The medical expenses of family planning operation include the medical expenses incurred by workers in placing (taking out) IUD, abortion, induced labor, sterilization and recanalization due to family planning. If the medical expenses for fertility and family planning operations meet the requirements of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities in this Municipality, they shall be paid by the maternity insurance fund.
Baidu Encyclopedia-Provisions of Beijing Municipality on Maternity Insurance for Enterprise Employees