Why can't the reproductive department use medical insurance

Reproductive medicine can not use medical insurance is because a variety of reproductive patients and treatment costs and sexual dysfunction diagnosis and treatment programs are not covered by medical insurance, such as registration fees, examination and treatment costs, reproductive assisted treatment costs need to be self-funded, reproductive medicine examination costs can not be reimbursed by medical insurance. The company has set up a special department for the examination and treatment of diseases of the reproductive system, mainly for the examination of male and female infertility and recurrent miscarriages.

The expenses that are not reimbursed by the medical insurance are as follows:

1. Services: registration fee, out-of-hospital consultation fee, cost of medical records, etc.; consultation fee, expedited fee for examination and treatment, surcharge for named surgery, surcharge for named surgery, quality and premium fee, and self-invited special nurses and other special medical services.

2, diagnostic and therapeutic equipment and medically useful materials: the application of positron emission tomography device (pet), electron beam ct, ophthalmology excimer laser therapy instrument and other large-scale medical equipment for the examination and treatment program. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitative devices. All kinds of self-use health care, massage, inspection and treatment equipment. Provincial price departments do not charge separately for disposable medical materials.

3, the treatment program category: all kinds of organ or tissue transplantation of organ source or tissue source; in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues; myopic eye orthopedics; qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy, and other complementary therapeutic programs. State regulations state that health insurance is not reimbursable for tests prescribed by any fertility center.

Medical insurance reimbursement scope refers to the basic medical needs to protect the participants, standardize the management of the basic medical insurance medication, diagnosis and treatment, the basic medical insurance provides for the reimbursement scope of the drug catalog, diagnostic and treatment items and medical service facilities (commonly known as the "three catalogs"). The medical expenses incurred by the insured in the designated hospitals in accordance with the three catalogs will be paid by the medical insurance fund in accordance with the regulations.

In summary, urban medical reimbursement mainly refers to is to see a doctor in the hospital, medication, hospitalization, surgery, etc., can be through the medical insurance card in accordance with the relevant provisions of the medical cost reimbursement, urban medical insurance is more specialized, the project size and coverage is larger.

Legal basis:

"Chinese People's **** and State Social Insurance Law"

Article 24

The State establishes and improves the new rural cooperative medical system. The administration of the new type of rural cooperative medical care shall be regulated by the State Council.

Article 25

The State establishes and perfects the basic medical insurance system for urban residents. Basic medical insurance for urban residents is a combination of individual contributions and government subsidies. The government shall subsidize the portion of individual contributions required by persons enjoying the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over sixty years of age and minors from low-income families.

Article 26

The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.