北京提高产检费用医保报销标准 基金最多支付1万元

Core Points - Beijing has announced an increase in the reimbursement standards for prenatal examination costs under the maternity insurance scheme, effective from January 1, 2026, to support the construction of a fertility-friendly society and promote high-quality population development [1][2]. Group 1: Policy Changes - The reimbursement standard for prenatal examination costs for female employees covered by Beijing's maternity insurance will increase, with costs up to 3,000 yuan reimbursed at 100%, and costs exceeding 3,000 yuan reimbursed at 30%, with a maximum payment from the fund of 10,000 yuan [1][2]. - New categories of individuals, including flexible employment workers, retirees, and insured residents, will now be eligible for reimbursement of prenatal examination medical expenses under the maternity insurance scheme [2]. Group 2: Coverage Expansion - Male employees' unemployed spouses who are covered by basic medical insurance will also be eligible for reimbursement of maternity medical expenses, including prenatal examinations, hospital deliveries, and family planning surgery, under the same standards as female employees [2]. - The policy adjustments aim to significantly enhance the reimbursement levels for female employees while providing coverage for previously excluded groups, thereby reducing the financial burden of prenatal examination costs [2].