The cost of amniocentesis is usually not covered by medical insurance reimbursement. This examination is not a routine examination that must be carried out during pregnancy, but is based on the voluntary choice of expectant mothers. Amniocentesis is mainly used to confirm whether there is chromosome abnormality in the fetus, usually when the screening results show high risk. Hospitals or communities in some areas may provide certain preferential measures, such as free inspection vouchers or partial expense reimbursement. Before deciding to do amniocentesis, expectant mothers should consult local hospitals or neighborhood committees to find out whether there are relevant preferential policies to reduce personal burden.
Reimbursement scope of medical insurance:
1, drug reimbursement: medical insurance usually covers drugs in the national medical insurance catalogue, including western medicine and Chinese patent medicine;
2. Reimbursement of diagnosis and treatment items: including inspection, treatment, surgery and other items in the medical insurance catalogue;
3. Reimbursement of hospitalization expenses: including bed fees, nursing fees and inspection fees. During hospitalization;
4. Outpatient expense reimbursement: Some medical insurance policies include outpatient chronic disease reimbursement;
5. Reimbursement for special diseases: There are special reimbursement policies for major diseases and special diseases.
To sum up, amniocentesis, as an unnecessary pregnancy examination, is usually not covered by medical insurance, but expectant mothers can consult local hospitals or neighborhood committees to find out whether there are preferential policies to reduce their personal financial burden.
Legal basis:
Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers
Article 27
Employers who pay the basic medical insurance premiums in accordance with these regulations enjoy the basic medical insurance benefits.
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.