Infertility is not reimbursed by current medical insurance.
First of all, there are many factors that cause infertility for both men and women. If a man and a woman live together and have normal sexual intercourse for more than one year without taking any measures during sexual intercourse, but still do not get pregnant, it can be considered infertile. There are many factors that may cause this condition, so patients should not make their own judgments, especially not choose folk remedies for treatment. On the basis of the national medical insurance policy, many major diseases can be reimbursed, but infertility is currently not reimbursable by medical insurance because it is difficult to define.
However, it is recommended that patients not feel stressed or give up treatment because of this. Because although infertility treatment is not covered by medical insurance, early treatment is the best time to resume normal fertility. You can receive reimbursement when using some drugs. Although it cannot be reimbursed on a large scale like other major diseases, you can also get certain discounts on minor drugs. This situation can also reduce our burden and pressure. In addition, patients may also wish to adopt a combination of Chinese and Western treatment methods according to their condition, which can quickly relieve the condition and the charges are not high, so there is no need to accept reimbursement.
Legal basis: "Social Insurance Law of the People's Republic of China"
Article 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions and government subsidies.
The government will subsidize the personal contributions required by people who enjoy the minimum living security, disabled people who have lost the ability to work, elderly people over 60 years old and minors from low-income families.
Article 26 The treatment standards of the basic medical insurance for employees, the new rural cooperative medical insurance and the basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 27 Individuals participating in the basic medical insurance for employees who have made cumulative contributions for the number of years specified by the state when they reach the legal retirement age will no longer pay basic medical insurance premiums after retirement and enjoy basic medical insurance in accordance with national regulations. If the benefits reach the number of years specified by the state, you can pay premiums until the number of years specified by the state.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.