On November 8th, Lelaiwa organized a training session to review the medical insurance policies within the organization. With the National Medical Insurance Administration proposing to “unify the payment scope for assisted reproduction services,” and various local regulations being finalized one after another, we have compiled the latest guidelines in detail. The goal is to ensure that every advisor’s responses are based on the most up-to-date official information, rather than relying solely on memory or personal experience.

1. Why is it necessary to conduct retrospectives now?

The "time difference" in policies is the main risk factor for services. While the national guidelines are clear, local regulations, quotas, and filing procedures vary from place to place, and often require dynamic adjustments. If consultants use outdated versions of these guidelines, it can lead to misleading expectations among clients. Reviewing regularly is necessary to eliminate this time difference.

II. Four key points discussed during this review

1. Update of the reimbursement guidelines

Compare with the catalogues released in various regions, and verify the coverage of the five most common procedures: egg retrieval, embryo culture, transplantation, sperm selection, and intracytoplasmic sperm injection.

2. Process for filing records in a different location

We have identified the latest procedures and common issues related to online registration on the national medical insurance service platform. We ensure that the instructions are accurate and helpful.

3. Interpretation of the unified payment scope

It is important to understand the difference between “unified scope” and “unified ratio”. This helps prevent customers from misunderstanding it as “national unified reimbursement”.

4. The response patterns become fixed and predictable.

Include compliant descriptions of high-frequency issues in the standard response database, thereby reducing personalized biases.

III. Real benefits for customers

• The reimbursement information you have heard is more in line with the current official statements.
• Regarding the proportion involved and the deductible amount, the consultant will assist in guiding the official procedures rather than making final decisions themselves.
• 政策变动时，Lelaiwa能更快同步给您。

IV. LELAWA’s Attitude

In terms of policy-related services, the use of vague expressions like “probably” or “should” should be strictly avoided. We would rather include a sentence like “Please refer to official sources” than provide any misleading information that seems certain. Conducting review sessions is precisely about institutionalizing this cautious approach.