The reason why infertility is not included in medical insurance in China is that medical insurance mainly targets reimbursement for diseases, and infertility is not a disease. Therefore, infertility is not included in medical insurance in China.
The so-called medical insurance is actually medical insurance. It is a social insurance system established to compensate workers for economic losses caused by disease risks.
A medical insurance fund is established through contributions from employers and individuals. After insured persons incur medical expenses for medical treatment, the medical insurance agency will provide them with certain financial compensation.
Infertility is a reproductive disorder caused by multiple causes and an adverse event that affects female reproductive health. It can be divided into infertility and infertility.
Generally speaking, if a couple of childbearing age lives together for more than one year and does not take contraceptive measures during normal sexual life, it is called infertility if they do not get pregnant within one year.
At present, there are many causes of infertility, such as uterine fibroids, fallopian tube blockage, premature ovarian failure, and male oligospermia and weak sperm.
If you suffer from infertility, it is recommended that both husband and wife go to a regular hospital for examination to identify the cause and then provide symptomatic treatment.
During the two sessions in 2021, some representatives of the National People’s Congress suggested that infertility diagnosis and treatment be included in medical insurance.
On September 15, the National Medical Security Administration responded to the “Recommendation on Incorporating auxiliary treatment for ‘infertility’ into national medical insurance to increase population growth.”
The reply pointed out that the medical insurance department has included eligible fertility support drugs bromocriptine, triptorelin, clomiphene and other ovulation induction drugs into the scope of payment, which has improved the level of drug protection for infertile patients.
At the same time, in terms of diagnosis and treatment projects, we will guide all localities to gradually make technologically mature, safe, reliable, and cost-controllable therapeutic assisted reproductive technologies affordable by medical insurance based on the positioning of "guaranteing the basics" and on the basis of scientific calculations and full demonstration.
Included in medical insurance payment scope according to procedures.
Legal basis: Article 23 of the "Social Insurance Law of the People's Republic of China" stipulates that employees shall participate in employee basic medical insurance, and the employer and employees shall jointly pay basic medical insurance premiums in accordance with national regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.