16 assisted reproductive projects included in Beijing medical insurance! There is also good news for newborn medical insurance, starting from July, the medical insurance bureau | projects | medical insurance

Release time:Apr 13, 2024 21:48 PM

On June 15th, the Beijing Municipal Medical Insurance Bureau issued a notice that starting from July 1st, 16 therapeutic assisted reproductive technology projects will be included in the reimbursement scope of the city's basic medical insurance. In addition, newborns born in this city can enjoy medical insurance benefits.

Newborns born in this city can enjoy medical insurance benefits

It is reported that the medical insurance benefits for newborns in this city are available upon birth. For newborns whose parents are registered residence in this city, the hospitalization medical expenses incurred after birth can be settled in the designated medical institutions in this city in real time. Individuals only need to pay out of pocket expenses and do not need to fully advance medical expenses, further reducing the pressure on families of infants and young children who do not participate in medical insurance in a timely manner.

16 assisted reproductive projects included in basic medical insurance

The Municipal Medical Insurance Bureau stated that under the guidance of the National Medical Insurance Bureau, the city has comprehensively considered factors such as the bearing capacity of the medical insurance fund and the standardization of relevant technologies. Through organizing expert argumentation, the city has carried out expenditure calculation of the medical insurance fund and included 16 assisted reproductive technology projects that involve a wide range of people, are necessary for diagnosis and treatment, mature in technology, and safe and reliable in the scope of basic medical insurance outpatient Class A reimbursement. The new policy will provide cost support for insured individuals who require assisted reproductive technology treatment services.

The 16 therapeutic assisted reproductive technology projects specifically include:

Ovulation induction examination, sperm selection and treatment, sperm selection and treatment - density gradient centrifugation method, intrauterine artificial insemination, semen cryopreservation, transvaginal puncture for egg collection, embryo morphological evaluation, blastocyst culture, in vitro fertilization embryo culture, embryo transfer surgery, intracytoplasmic sperm injection of oocytes, diagnosis of embryonic monogenic diseases, pre implantation embryo genetic testing for chromosomal diseases, blastocyst/blastomere/polar biopsy, testicular/epididymal sperm separation, frozen embryo recovery, etc.

At present, there are 16 designated medical institutions for basic medical insurance in this city that can provide assisted reproductive technology services, including:

Beijing Union Medical College Hospital, Peking University First Hospital, Peking University People's Hospital, Peking University Third Hospital, Beijing Chaoyang Hospital, Beijing Obstetrics and Gynecology Hospital, Beijing University of Traditional Chinese Medicine Eastern Hospital, Haidian District Maternal and Child Health Hospital, PLA General Hospital First Medical Center, PLA General Hospital Sixth Medical Center, PLA General Hospital Seventh Medical Center, Strategic Support Force Special Medical Center, Air Force Special Medical Center, Rocket Force Special Medical Center, Beijing Jiayuan Hospital, Beijing Meizhongyi and North Third Ring Women and Children's Hospital.

In addition, eligible married female insured individuals who have purchased the 2023 Beijing Universal Health Insurance can enjoy a 60% discount on specific assisted reproductive medicine medication for one ovulation promotion and one transplantation cycle at a designated pharmacy with a doctor's diagnosis and prescription, including a one-year discount on ovulation promotion medication, antagonist regimen medication, and luteal support medication, with a maximum reduction of 5000 yuan.

The Municipal Medical Insurance Bureau stated that after the implementation of the new policy on July 1st, in order to ensure the policy is fully implemented, designated medical institutions must strictly follow the human assisted reproductive technology standards of the health department, the payment scope and standards of the medical insurance fund, and provide assisted reproductive services and expense reimbursement for insured personnel. Each district's medical insurance bureau should strengthen the daily audit of relevant expenses, provide business guidance and fund supervision to designated medical institutions that carry out assisted reproductive technology in their jurisdiction, and ensure the safe and effective use of medical insurance funds.

Are patients from other provinces being reimbursed for related projects in Beijing?

Are the 16 therapeutic assisted reproductive technology projects incurred by patients from other provinces and cities visiting Beijing reimbursed? The Municipal Medical Insurance Bureau stated that according to the relevant regulations of the National Medical Insurance Bureau's policy of seeking medical treatment in different regions, when insured personnel from other provinces and cities come to Beijing for outpatient treatment and direct settlement, whether the diagnosis and treatment items are reimbursed shall be implemented in accordance with the policies of Beijing, whether they enjoy outpatient reimbursement benefits, and the payment ratio shall be implemented in accordance with the policies of the insured place. Therefore, when insured individuals from other provinces and cities come to Beijing for outpatient treatment and direct settlement, the 16 therapeutic assisted reproductive technology projects that occur are within the scope of medical insurance reimbursement. Whether they enjoy outpatient reimbursement benefits and the payment ratio need to be consulted with the local medical insurance bureau.

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