Infertility treatment is not reimbursable.
1. According to national regulations, medical insurance cannot reimburse any examination items issued by the reproductive center.
2. For medical reimbursement outpatient services, you can use your medical insurance card to see a doctor in the outpatient clinic and settle the bill in real time without the need for reimbursement.
If you don’t have a medical insurance card to see a doctor in an outpatient clinic, please use the city’s medical insurance handbook.
Scope of reimbursement: General outpatient and emergency expenses incurred by insured persons in medical insurance designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and Class A hospitals of personal choice.
Outpatient deductible: the total outpatient emergency expenses incurred in a calendar year exceed 1,800 yuan.
Reimbursement ratio: For the part above 1,800 yuan, 70% for the hospital and 90% for the community, with a cap of 20,000 yuan.
3. Hospitalization reimbursement scope: hospitalization expenses incurred by insured persons in medical insurance designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and Class A hospitals selected by individuals.
Hospitalization deductible: The first hospitalization deductible within a calendar year is 1,300 yuan, and each subsequent hospitalization is 650 yuan.
Reimbursement ratio: 90% for first-level hospitals, 87% for second-level hospitals, and 85% for third-level hospitals. The total reimbursement for hospitalization is 300,000 yuan.
4. Handling process: Please use the "Beijing Medical Insurance Manual" when seeking medical treatment. If the unit pays the fee in full, the individual only needs to pay part of the hospitalization prepayment to go through the hospitalization procedures. The medical expenses incurred must comply with the scope of medical insurance.
, the hospital and the individual settle the self-pay amount when discharged, and the overall fund reimbursement amount is settled by the hospital and the district medical insurance center.