The cost of amniocentesis is usually not covered by medical insurance reimbursement, because it is not a compulsory prenatal examination during pregnancy, but a voluntary choice of expectant mothers. Because amniocentesis is a prenatal diagnosis method, it is mainly used to confirm whether there is chromosome abnormality in the fetus, involving inserting a puncture needle into the amniotic cavity to extract amniotic fluid for examination. Nevertheless, some hospitals or communities may provide preferential treatment, such as free inspection vouchers or partial expense reimbursement. Therefore, it is suggested that expectant mothers consult relevant hospitals or neighborhood committees before amniocentesis to find out whether there are available preferential measures to avoid unnecessary expenses.
Cost composition of amniocentesis:
1. Test item cost: including the cost of collecting amniotic fluid samples;
2. Laboratory analysis expenses: laboratory work expenses for gene or chromosome analysis of amniotic fluid samples;
3. Doctor's operation cost: the technical service fee for doctors to do amniocentesis;
4. Equipment use cost: the cost of using ultrasonic guidance equipment and other medical devices;
5. Material cost: the cost of disposable medical materials used in the operation;
6, drug costs: the cost of drugs that may be used during the operation.
To sum up, amniocentesis, as a non-mandatory prenatal diagnosis method, is usually not covered by medical insurance. However, due to its importance in diagnosing fetal chromosomal abnormalities, expectant mothers should consult hospitals or communities for possible preferential policies before choosing this service, so as to reduce the economic burden and make wise financial decisions.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.