Can threatened abortion and abortion be reimbursed by medical insurance?

Fetal hospitalization insurance can be reimbursed. The basic medical insurance for urban residents and the new rural cooperative medical system are paid once a year. As long as the medical insurance fee was paid last year, the hospitalization expenses can be reimbursed this year. The medical insurance premium paid this year will be reimbursed from June 65438+ February this year (February to June 165438+ next year1October). The basic medical insurance for urban residents and the new rural integration will not be paid in one year, and they will not enjoy medical insurance reimbursement in the next year. The basic medical insurance for urban workers, as long as the unit gives you a social security card (medical insurance card), hospitalization can be reimbursed.

The medical insurance reimbursement process is as follows:

Local medical insurance reimbursement: after seeing a doctor in a designated medical institution, people who meet the conditions for medical insurance reimbursement can directly use the medical insurance card to make reimbursement and settlement in the settlement window of the medical institution;

Reimbursement of medical insurance in different places: if the insured person has difficulty in diagnosis or has no treatment means in the medical institutions in this city, he can apply for hospitalization in different places, fill out the Application Form for Transfer to Different Places, and report it to the municipal medical insurance agency for review and filing before being transferred to different places for treatment; If the insured person needs hospitalization for sudden illness in different places, he can report to the municipal medical insurance center in time (usually within three days) after admission. The medical expenses for transfer and emergency treatment in different places also need to be paid in advance by the insured, and then reimbursed to the municipal medical insurance center after discharge. It is recommended to go through the reimbursement procedures within one month.

Medical insurance can be reimbursed as follows:

1, hospitalization expenses;

2. Medical expenses within 7 days before emergency observation and hospitalization;

3, in line with the provisions of the urban residents special disease outpatient medical expenses;

4. Other expenses that meet the requirements.

The part paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. If an individual is employed across the overall planning area, his basic medical insurance relationship will be transferred accordingly, and the payment period will be calculated cumulatively.

Medical insurance, like other types of insurance, collects medical insurance premiums from people threatened by diseases in advance in the form of contracts and establishes medical insurance funds; When the insured goes to a medical institution for medical treatment, the medical insurance institution will give him some economic compensation. Medical insurance also has two major functions of insurance, namely risk transfer and compensation transfer. That is, the economic losses caused by individual disease risks are distributed to all members threatened by the same risks, and the economic losses caused by diseases are compensated by centralized medical insurance funds.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 30 of People's Republic of China (PRC) Social Insurance Law

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.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.