First, understand the medical insurance policy
There may be differences in medical insurance policies in different regions and at different levels, so it is necessary to understand the local medical insurance policies first. You can get accurate information by consulting the local social security bureau or medical insurance center or consulting relevant policy documents.
Second, the type of surgery and medical insurance coverage.
There are many kinds of infertility operations, including IVF, artificial insemination and tubal surgery. Whether these operations are included in the scope of medical insurance depends on the specific provisions of the medical insurance policy. Generally speaking, medical insurance will reimburse certain operations that meet the requirements of medical insurance.
Three. Reimbursement conditions and procedures
If the operation is included in the scope of medical insurance, it needs to meet certain reimbursement conditions, such as the operation must be carried out in a designated medical institution with medical insurance, and the patient must hold a valid medical insurance card. After the operation, you can ask the hospital for a list of expenses and invoices, and then reimburse them according to the process of the medical insurance center.
It should be noted that even if surgery is included in the scope of medical insurance, some expenses may not be reimbursed, such as some imported drugs and high-value consumables. Therefore, it is best to consult the hospital and medical insurance center before the operation to understand the specific reimbursement policy.
To sum up:
Whether the medical insurance for infertility surgery can be reimbursed needs to be determined according to the local medical insurance policy. On the basis of understanding the medical insurance policy and the type of operation, only by meeting the reimbursement conditions and following the procedures can we successfully obtain medical insurance reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28 provides that:
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.
People's Republic of China (PRC) social insurance law
Article 30 provides that:
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.